Consultation/report referred material w/preparation of slides at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$259.35
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.
$741.00
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.
$38.53 with Renaissance vs $741.00 with MHealth Network — 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $38.53 | ↓ -85% |
| KELSEY | Medicare|All Plans | $43.95 | ↓ -83% |
| HUMANA | Medicare|All Other Plans | $53.52 | ↓ -79% |
| SELECTCARE | Medicare|All Plans | $53.52 | ↓ -79% |
| BCBS | Medicare|All Plans | $53.52 | ↓ -79% |
| CIGNA HEALTHSPRING | Medicare|HMO | $53.52 | ↓ -79% |
| HUMANA | Medicare|TRANSPLANT | $53.52 | ↓ -79% |
| CIGNA HEALTHSPRING | Medicare|PPO | $54.06 | ↓ -79% |
| AETNA | Medicare|All Plans | $54.59 | ↓ -79% |
| UHC-SecureHorizons | Medicare|All Plans | $54.59 | ↓ -79% |
| Amerivantage | Medicare|All Plans | $55.13 | ↓ -79% |
| SCANHealth | Medicare|All Plans | $57.27 | ↓ -78% |
| DEVOTED | Medicare|All Plans | $57.27 | ↓ -78% |
| KINDRED | Medicare|All Plans | $58.87 | ↓ -77% |
| Cigna | Commercial|Surefit | $65.17 | ↓ -75% |
| United | Commercial|Exchange | $67.05 | ↓ -74% |
| United | Commercial|Charter | $67.05 | ↓ -74% |
| United | Commercial|HMO | $67.05 | ↓ -74% |
| United | Commercial|PPO | $67.05 | ↓ -74% |
| Cigna | Commercial|HMO | $71.91 | ↓ -72% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $72.23 | ↓ -72% |
| KelseyCare | Commercial|Exchange | $72.25 | ↓ -72% |
| Community Health Choice | Commercial|All Other Plans | $80.28 | ↓ -69% |
| Community Health Choice | Commercial|Exchange | $80.28 | ↓ -69% |
| Superior Health Plan | Commercial|All Plans | $80.28 | ↓ -69% |
| Wellpoint | Commercial|Exchange | $80.28 | ↓ -69% |
| Aetna | Commercial|Exchange | $82.42 | ↓ -68% |
| Bright Health | Commercial|All Plans | $83.09 | ↓ -68% |
| BCBS-TX | Commercial|Exchange | $93.99 | ↓ -64% |
| Cigna | Commercial|PPO | $98.30 | ↓ -62% |
| BCBS-TX | Commercial|Blue Premier | $161.27 | ↓ -38% |
| NX Health | Commercial|PPO | $173.94 | ↓ -33% |
| OPTUM | Medicare|All Plans | $200.07 | ↓ -23% |
| BCBS-TX | Commercial|HMO | $216.68 | ↓ -16% |
| BCBS-TX | Commercial|PPO | $253.78 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $259.35 | ↑ +0% |
| OPTUM | Medicaid|STAR | $268.10 | ↑ +3% |
| United | Commercial|Optum | $348.27 | ↑ +34% |
| TEXASTRUECHOICE | Medicaid|CHIP | $407.55 | ↑ +57% |
| CHC | Medicaid|CHIP | $407.55 | ↑ +57% |
| CHC | Medicaid|HMO | $407.55 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $437.19 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $444.60 | ↑ +71% |
| Humana | Commercial|Transplant | $481.65 | ↑ +86% |
| First Health | Commercial|All Plans | $481.65 | ↑ +86% |
| Coventry | Commercial|PPO | $481.65 | ↑ +86% |
| Aetna | Commercial|HMO | $503.88 | ↑ +94% |
| Interlink | Commercial|Transplant | $518.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $518.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $518.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $555.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $612.22 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $629.85 | ↑ +143% |
| MHealth Network | Commercial|PPO | $741.00 | ↑ +186% |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $275.42 | $35.00 – $344.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $309.65 | $36.00 – $464.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $230.32 | $36.00 – $287.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $275.42 | $35.00 – $344.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $309.65 | $36.00 – $464.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $309.65 | $26.00 – $464.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $230.32 | $36.00 – $345.47 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $275.42 | $35.00 – $344.28 |