Compatibility test incubate at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$133.70
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.
$382.00
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.
$76.00 with Cigna vs $557.83 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 |
|---|---|---|---|
| Cigna | Commercial|Surefit | $76.00 | ↓ -43% |
| Cigna | Commercial|HMO | $83.87 | ↓ -37% |
| OPTUM | Medicare|All Plans | $103.14 | ↓ -23% |
| Cigna | Commercial|PPO | $114.66 | ↓ -14% |
| Renaissance | Commercial|All Plans | $123.58 | ↓ -8% |
| KELSEY | Medicare|All Plans | $127.01 | ↓ -5% |
| TCHPCHIP | Medicaid|HMO | $133.70 | ↑ +0% |
| OPTUM | Medicaid|STAR | $138.21 | ↑ +3% |
| BCBS | Medicare|All Plans | $171.64 | ↑ +28% |
| HUMANA | Medicare|All Other Plans | $171.64 | ↑ +28% |
| SELECTCARE | Medicare|All Plans | $171.64 | ↑ +28% |
| HUMANA | Medicare|TRANSPLANT | $171.64 | ↑ +28% |
| CIGNA HEALTHSPRING | Medicare|HMO | $171.64 | ↑ +28% |
| CIGNA HEALTHSPRING | Medicare|PPO | $173.36 | ↑ +30% |
| AETNA | Medicare|All Plans | $175.07 | ↑ +31% |
| UHC-SecureHorizons | Medicare|All Plans | $175.07 | ↑ +31% |
| Amerivantage | Medicare|All Plans | $176.79 | ↑ +32% |
| United | Commercial|Optum | $179.54 | ↑ +34% |
| DEVOTED | Medicare|All Plans | $183.65 | ↑ +37% |
| SCANHealth | Medicare|All Plans | $183.65 | ↑ +37% |
| KINDRED | Medicare|All Plans | $188.80 | ↑ +41% |
| United | Commercial|PPO | $193.77 | ↑ +45% |
| United | Commercial|Exchange | $193.77 | ↑ +45% |
| United | Commercial|HMO | $193.77 | ↑ +45% |
| United | Commercial|Charter | $193.77 | ↑ +45% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $209.51 | ↑ +57% |
| CHC | Medicaid|HMO | $210.10 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $210.10 | ↑ +57% |
| CHC | Medicaid|CHIP | $210.10 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $229.20 | ↑ +71% |
| KelseyCare | Commercial|Exchange | $231.71 | ↑ +73% |
| Coventry | Commercial|PPO | $248.30 | ↑ +86% |
| First Health | Commercial|All Plans | $248.30 | ↑ +86% |
| Humana | Commercial|Transplant | $248.30 | ↑ +86% |
| Bright Health | Commercial|All Plans | $249.41 | ↑ +87% |
| Superior Health Plan | Commercial|All Plans | $257.46 | ↑ +93% |
| Community Health Choice | Commercial|All Other Plans | $257.46 | ↑ +93% |
| Community Health Choice | Commercial|Exchange | $257.46 | ↑ +93% |
| Wellpoint | Commercial|Exchange | $257.46 | ↑ +93% |
| Aetna | Commercial|HMO | $259.76 | ↑ +94% |
| Aetna | Commercial|Exchange | $264.33 | ↑ +98% |
| Interlink | Commercial|Transplant | $267.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $267.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $267.40 | ↑ +100% |
| BCBS-TX | Commercial|Exchange | $272.65 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $286.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $315.61 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $324.70 | ↑ +143% |
| BCBS-TX | Commercial|PPO | $382.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $382.00 | ↑ +186% |
| BCBS-TX | Commercial|HMO | $382.00 | ↑ +186% |
| BCBS-TX | Commercial|Blue Premier | $382.00 | ↑ +186% |
| NX Health | Commercial|PPO | $557.83 | ↑ +317% |
Visitor-reported prices
Comments
Compatibility test incubate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $647.07 | $120.02 – $339.75 |
| HCA HOUSTON MEDICAL CENTER | Houston | $957.45 | $120.02 – $339.75 |
| HCA HOUSTON CONROE | CONROE | $554.35 | $120.02 – $339.75 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,040.20 | $120.02 – $339.75 |
| HCA HOUSTON NORTHWEST | SPRING | $869.82 | $120.02 – $339.75 |
| St. Luke's Health - Patients Medical Center | Pasadena | $48.83 | $76.00 – $193.77 |
| Baylor St Luke's Medical Center | Houston | $133.70 | $36.95 – $382.00 |
| St. Joseph Health Madison Hospital | Madisonville | $100.45 | $11.50 – $516.60 |