Clsd tx clavicle fracture w/manip 23505 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$1,325.10
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.
$3,786.00
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.
$593.04 with TCHP vs $5,209.75 with NX Health — 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|All Other Plans | $593.04 | ↓ -55% |
| Wellpoint | Medicaid|STARKIDS | $593.04 | ↓ -55% |
| Wellpoint | Medicaid|CHIP | $593.04 | ↓ -55% |
| Wellpoint | Medicaid|All Other Plans | $593.04 | ↓ -55% |
| TCHP | Medicaid|STARKIDS | $593.04 | ↓ -55% |
| UNITED | Medicaid|All Other Plans | $604.90 | ↓ -54% |
| UHC | Medicaid|STARKIDS | $604.90 | ↓ -54% |
| UHC | Medicaid|CHIP | $604.90 | ↓ -54% |
| BCBS | Medicaid|All Plans | $622.69 | ↓ -53% |
| CHC | Medicaid|All Other Plans | $682.00 | ↓ -49% |
| TCHP | Medicaid|STAR | $794.67 | ↓ -40% |
| Wellpoint | Medicaid|STAR | $794.67 | ↓ -40% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -39% |
| UNITED | Medicaid|STAR | $812.46 | ↓ -39% |
| CHC | Medicaid|STAR | $913.28 | ↓ -31% |
| Healthsmart | Commercial|AP3-PPO | $958.00 | ↓ -28% |
| Aetna | Commercial|HMO | $972.00 | ↓ -27% |
| BCBS-TX | Commercial|Exchange | $1,016.54 | ↓ -23% |
| OPTUM | Medicare|All Plans | $1,022.22 | ↓ -23% |
| Renaissance | Commercial|All Plans | $1,154.16 | ↓ -13% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $1,301.17 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $1,325.10 | ↑ +0% |
| KELSEY | Medicare|All Plans | $1,327.26 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,369.78 | ↑ +3% |
| HUMANA | Medicare|TRANSPLANT | $1,603.00 | ↑ +21% |
| SELECTCARE | Medicare|All Plans | $1,603.00 | ↑ +21% |
| HUMANA | Medicare|All Other Plans | $1,603.00 | ↑ +21% |
| BCBS | Medicare|All Plans | $1,603.00 | ↑ +21% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,603.00 | ↑ +21% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,619.03 | ↑ +22% |
| AETNA | Medicare|All Plans | $1,635.06 | ↑ +23% |
| UHC-SecureHorizons | Medicare|All Plans | $1,635.06 | ↑ +23% |
| Amerivantage | Medicare|All Plans | $1,651.09 | ↑ +25% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +26% |
| United | Commercial|Exchange | $1,676.00 | ↑ +26% |
| SCANHealth | Medicare|All Plans | $1,715.21 | ↑ +29% |
| DEVOTED | Medicare|All Plans | $1,715.21 | ↑ +29% |
| KINDRED | Medicare|All Plans | $1,763.30 | ↑ +33% |
| United | Commercial|Optum | $1,779.42 | ↑ +34% |
| UHC | Medicaid|STARPLUS | $1,850.28 | ↑ +40% |
| UNITED | Medicaid|STARPLUS | $1,850.28 | ↑ +40% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +41% |
| BCBS-TX | Commercial|Blue Premier | $1,965.32 | ↑ +48% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +55% |
| CHC | Medicaid|HMO | $2,082.30 | ↑ +57% |
| CHC | Medicaid|CHIP | $2,082.30 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,082.30 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $2,164.05 | ↑ +63% |
| Cigna Lifesource | Commercial|Transplant | $2,271.60 | ↑ +71% |
| Bright Health | Commercial|All Plans | $2,329.26 | ↑ +76% |
| BCBS-TX | Commercial|HMO | $2,331.27 | ↑ +76% |
| Community Health Choice | Commercial|Exchange | $2,404.50 | ↑ +81% |
| Superior Health Plan | Commercial|All Plans | $2,404.50 | ↑ +81% |
| Community Health Choice | Commercial|All Other Plans | $2,404.50 | ↑ +81% |
| Wellpoint | Commercial|Exchange | $2,404.50 | ↑ +81% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +81% |
| Humana | Commercial|Transplant | $2,460.90 | ↑ +86% |
| First Health | Commercial|All Plans | $2,460.90 | ↑ +86% |
| Coventry | Commercial|PPO | $2,460.90 | ↑ +86% |
| Aetna | Commercial|Exchange | $2,468.62 | ↑ +86% |
| United | Commercial|Charter | $2,474.00 | ↑ +87% |
| Aetna | Commercial|PPO | $2,574.48 | ↑ +94% |
| BCBS-TX | Commercial|PPO | $2,602.35 | ↑ +96% |
| Cigna | Commercial|Transplant | $2,650.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,650.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $2,650.20 | ↑ +100% |
| United | Commercial|HMO | $2,749.00 | ↑ +107% |
| United | Commercial|PPO | $2,749.00 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $2,839.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,877.36 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $3,128.00 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,218.10 | ↑ +143% |
| MHealth Network | Commercial|PPO | $3,786.00 | ↑ +186% |
| Humana | Commercial|HMO | $4,000.00 | ↑ +202% |
| Humana | Commercial|PPO | $4,000.00 | ↑ +202% |
| PHCS Savility | Commercial|PPO | $4,487.00 | ↑ +239% |
| PHCS | Commercial|All Plans | $4,487.00 | ↑ +239% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +289% |
| NX Health | Commercial|PPO | $5,209.75 | ↑ +293% |
Visitor-reported prices
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Clsd tx clavicle fracture w/manip 23505 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,642.32 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,913.29 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,771.56 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,642.32 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,913.29 | $85.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,913.29 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,771.56 | $71.00 – $3,981.46 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,642.32 | $593.04 – $3,981.46 |