Cls tx of heel fracture w/manip 28405 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$859.95
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,457.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$85.32 with TCHP vs $7,221.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $85.32 | ↓ -90% |
| Wellpoint | Medicaid|STARKIDS | $85.32 | ↓ -90% |
| Wellpoint | Medicaid|CHIP | $85.32 | ↓ -90% |
| TCHP | Medicaid|All Other Plans | $85.32 | ↓ -90% |
| Wellpoint | Medicaid|All Other Plans | $85.32 | ↓ -90% |
| UHC | Medicaid|CHIP | $87.03 | ↓ -90% |
| UNITED | Medicaid|All Other Plans | $87.03 | ↓ -90% |
| UHC | Medicaid|STARKIDS | $87.03 | ↓ -90% |
| BCBS | Medicaid|All Plans | $89.59 | ↓ -90% |
| CHC | Medicaid|All Other Plans | $98.12 | ↓ -89% |
| Wellpoint | Medicaid|STAR | $114.33 | ↓ -87% |
| TCHP | Medicaid|STAR | $114.33 | ↓ -87% |
| UNITED | Medicaid|STAR | $116.89 | ↓ -86% |
| CHC | Medicaid|STAR | $131.39 | ↓ -85% |
| BCBS-TX | Commercial|Exchange | $161.73 | ↓ -81% |
| Renaissance | Commercial|All Plans | $172.99 | ↓ -80% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $207.01 | ↓ -76% |
| KELSEY | Medicare|All Plans | $211.29 | ↓ -75% |
| CIGNA HEALTHSPRING | Medicare|HMO | $240.27 | ↓ -72% |
| BCBS | Medicare|All Plans | $240.27 | ↓ -72% |
| SELECTCARE | Medicare|All Plans | $240.27 | ↓ -72% |
| HUMANA | Medicare|All Other Plans | $240.27 | ↓ -72% |
| HUMANA | Medicare|TRANSPLANT | $240.27 | ↓ -72% |
| CIGNA HEALTHSPRING | Medicare|PPO | $242.67 | ↓ -72% |
| AETNA | Medicare|All Plans | $245.08 | ↓ -72% |
| UHC-SecureHorizons | Medicare|All Plans | $245.08 | ↓ -72% |
| Amerivantage | Medicare|All Plans | $247.48 | ↓ -71% |
| DEVOTED | Medicare|All Plans | $257.09 | ↓ -70% |
| SCANHealth | Medicare|All Plans | $257.09 | ↓ -70% |
| KINDRED | Medicare|All Plans | $264.30 | ↓ -69% |
| UNITED | Medicaid|STARPLUS | $266.20 | ↓ -69% |
| UHC | Medicaid|STARPLUS | $266.20 | ↓ -69% |
| BCBS-TX | Commercial|Blue Premier | $312.68 | ↓ -64% |
| KelseyCare | Commercial|Exchange | $324.36 | ↓ -62% |
| Bright Health | Commercial|All Plans | $344.69 | ↓ -60% |
| Superior Health Plan | Commercial|All Plans | $360.40 | ↓ -58% |
| Community Health Choice | Commercial|All Other Plans | $360.40 | ↓ -58% |
| Wellpoint | Commercial|Exchange | $360.40 | ↓ -58% |
| Community Health Choice | Commercial|Exchange | $360.40 | ↓ -58% |
| Aetna | Commercial|Exchange | $370.02 | ↓ -57% |
| BCBS-TX | Commercial|HMO | $370.90 | ↓ -57% |
| BCBS-TX | Commercial|PPO | $414.03 | ↓ -52% |
| OPTUM | Medicare|All Plans | $663.39 | ↓ -23% |
| NX Health | Commercial|PPO | $780.88 | ↓ -9% |
| TCHPCHIP | Medicaid|HMO | $859.95 | ↑ +0% |
| OPTUM | Medicaid|STAR | $888.95 | ↑ +3% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↑ +25% |
| United | Commercial|Optum | $1,154.79 | ↑ +34% |
| Healthsmart | Commercial|AP3-PPO | $1,285.00 | ↑ +49% |
| Aetna | Commercial|HMO | $1,298.00 | ↑ +51% |
| CHC | Medicaid|HMO | $1,351.35 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,351.35 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,351.35 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $1,474.20 | ↑ +71% |
| Coventry | Commercial|PPO | $1,597.05 | ↑ +86% |
| Humana | Commercial|Transplant | $1,597.05 | ↑ +86% |
| First Health | Commercial|All Plans | $1,597.05 | ↑ +86% |
| Aetna | Commercial|PPO | $1,670.76 | ↑ +94% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +95% |
| United | Commercial|Exchange | $1,676.00 | ↑ +95% |
| Cigna | Commercial|Transplant | $1,719.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,719.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,719.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,842.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,867.32 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $2,029.98 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,088.45 | ↑ +143% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +180% |
| MHealth Network | Commercial|PPO | $2,457.00 | ↑ +186% |
| United | Commercial|Charter | $2,474.00 | ↑ +188% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +203% |
| United | Commercial|HMO | $2,749.00 | ↑ +220% |
| United | Commercial|PPO | $2,749.00 | ↑ +220% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +234% |
| Humana | Commercial|HMO | $4,000.00 | ↑ +365% |
| Humana | Commercial|PPO | $4,000.00 | ↑ +365% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↑ +503% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +503% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +740% |
Visitor-reported prices
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Cls tx of heel fracture w/manip 28405 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,766.26 | $85.32 – $7,207.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,635.14 | $71.00 – $3,952.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,917.67 | $71.00 – $2,397.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,766.26 | $85.32 – $7,207.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,635.14 | $85.00 – $3,952.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,635.14 | $85.32 – $3,952.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,917.67 | $71.00 – $2,876.51 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $5,766.26 | $85.32 – $7,207.83 |