Complex repair trunk 1.1-2.5cm 13120 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$643.65
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.
$1,839.00
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.
$216.80 with Wellpoint 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 |
|---|---|---|---|
| Wellpoint | Medicaid|CHIP | $216.80 | ↓ -66% |
| Wellpoint | Medicaid|STARKIDS | $216.80 | ↓ -66% |
| TCHP | Medicaid|STARKIDS | $216.80 | ↓ -66% |
| Wellpoint | Medicaid|All Other Plans | $216.80 | ↓ -66% |
| TCHP | Medicaid|All Other Plans | $216.80 | ↓ -66% |
| UNITED | Medicaid|All Other Plans | $221.14 | ↓ -66% |
| UHC | Medicaid|STARKIDS | $221.14 | ↓ -66% |
| UHC | Medicaid|CHIP | $221.14 | ↓ -66% |
| BCBS | Medicaid|All Plans | $227.64 | ↓ -65% |
| CHC | Medicaid|All Other Plans | $249.32 | ↓ -61% |
| Wellpoint | Medicaid|STAR | $290.51 | ↓ -55% |
| TCHP | Medicaid|STAR | $290.51 | ↓ -55% |
| UNITED | Medicaid|STAR | $297.02 | ↓ -54% |
| CHC | Medicaid|STAR | $333.87 | ↓ -48% |
| BCBS-TX | Commercial|Exchange | $372.77 | ↓ -42% |
| Renaissance | Commercial|All Plans | $441.45 | ↓ -31% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $477.14 | ↓ -26% |
| KELSEY | Medicare|All Plans | $480.00 | ↓ -25% |
| OPTUM | Medicare|All Plans | $496.53 | ↓ -23% |
| HUMANA | Medicare|TRANSPLANT | $613.12 | ↓ -5% |
| HUMANA | Medicare|All Other Plans | $613.12 | ↓ -5% |
| SELECTCARE | Medicare|All Plans | $613.12 | ↓ -5% |
| BCBS | Medicare|All Plans | $613.12 | ↓ -5% |
| CIGNA HEALTHSPRING | Medicare|HMO | $613.12 | ↓ -5% |
| CIGNA HEALTHSPRING | Medicare|PPO | $619.25 | ↓ -4% |
| AETNA | Medicare|All Plans | $625.38 | ↓ -3% |
| UHC-SecureHorizons | Medicare|All Plans | $625.38 | ↓ -3% |
| Amerivantage | Medicare|All Plans | $631.51 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $643.65 | ↑ +0% |
| DEVOTED | Medicare|All Plans | $656.04 | ↑ +2% |
| SCANHealth | Medicare|All Plans | $656.04 | ↑ +2% |
| OPTUM | Medicaid|STAR | $665.36 | ↑ +3% |
| KINDRED | Medicare|All Plans | $674.43 | ↑ +5% |
| UNITED | Medicaid|STARPLUS | $676.42 | ↑ +5% |
| UHC | Medicaid|STARPLUS | $676.42 | ↑ +5% |
| BCBS-TX | Commercial|Blue Premier | $720.68 | ↑ +12% |
| KelseyCare | Commercial|Exchange | $827.71 | ↑ +29% |
| BCBS-TX | Commercial|HMO | $854.87 | ↑ +33% |
| United | Commercial|Optum | $864.33 | ↑ +34% |
| Bright Health | Commercial|All Plans | $875.84 | ↑ +36% |
| Wellpoint | Commercial|Exchange | $919.68 | ↑ +43% |
| Superior Health Plan | Commercial|All Plans | $919.68 | ↑ +43% |
| Community Health Choice | Commercial|Exchange | $919.68 | ↑ +43% |
| Community Health Choice | Commercial|All Other Plans | $919.68 | ↑ +43% |
| Aetna | Commercial|Exchange | $944.20 | ↑ +47% |
| BCBS-TX | Commercial|PPO | $954.28 | ↑ +48% |
| CHC | Medicaid|HMO | $1,011.45 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,011.45 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,011.45 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↑ +67% |
| Cigna Lifesource | Commercial|Transplant | $1,103.40 | ↑ +71% |
| First Health | Commercial|All Plans | $1,195.35 | ↑ +86% |
| Coventry | Commercial|PPO | $1,195.35 | ↑ +86% |
| Humana | Commercial|Transplant | $1,195.35 | ↑ +86% |
| Aetna | Commercial|PPO | $1,250.52 | ↑ +94% |
| Healthsmart | Commercial|AP3-PPO | $1,285.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,287.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,287.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,287.30 | ↑ +100% |
| Aetna | Commercial|HMO | $1,298.00 | ↑ +102% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $1,379.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,397.64 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $1,519.39 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,563.15 | ↑ +143% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +160% |
| United | Commercial|Exchange | $1,676.00 | ↑ +160% |
| Humana | Commercial|HMO | $1,782.00 | ↑ +177% |
| Humana | Commercial|PPO | $1,782.00 | ↑ +177% |
| MHealth Network | Commercial|PPO | $1,839.00 | ↑ +186% |
| NX Health | Commercial|PPO | $1,992.64 | ↑ +210% |
| United | Commercial|Charter | $2,474.00 | ↑ +284% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +305% |
| United | Commercial|HMO | $2,749.00 | ↑ +327% |
| United | Commercial|PPO | $2,749.00 | ↑ +327% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +347% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↑ +706% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +706% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +1022% |
Visitor-reported prices
Comments
Complex repair trunk 1.1-2.5cm 13120 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,109.03 | $216.80 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $893.41 | $71.00 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $746.06 | $71.00 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,109.03 | $216.80 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $893.41 | $85.00 – $1,555.84 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $893.41 | $216.80 – $1,555.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $746.06 | $71.00 – $1,555.84 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,109.03 | $216.80 – $1,555.84 |