Convert nephrostomy catheter at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$7,902.30
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.
$22,578.00
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.
$652.80 with Wellpoint vs $22,578.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $652.80 | ↓ -92% |
| TCHP | Medicaid|STARKIDS | $652.80 | ↓ -92% |
| TCHP | Medicaid|All Other Plans | $652.80 | ↓ -92% |
| Wellpoint | Medicaid|STARKIDS | $652.80 | ↓ -92% |
| Wellpoint | Medicaid|CHIP | $652.80 | ↓ -92% |
| UHC | Medicaid|CHIP | $665.86 | ↓ -92% |
| UHC | Medicaid|STARKIDS | $665.86 | ↓ -92% |
| UNITED | Medicaid|All Other Plans | $665.86 | ↓ -92% |
| BCBS | Medicaid|All Plans | $685.44 | ↓ -91% |
| CHC | Medicaid|All Other Plans | $750.72 | ↓ -90% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -90% |
| Wellpoint | Medicaid|STAR | $874.75 | ↓ -89% |
| TCHP | Medicaid|STAR | $874.75 | ↓ -89% |
| UNITED | Medicaid|STAR | $894.34 | ↓ -89% |
| Aetna | Commercial|HMO | $972.00 | ↓ -88% |
| CHC | Medicaid|STAR | $1,005.31 | ↓ -87% |
| BCBS-TX | Commercial|Exchange | $1,328.66 | ↓ -83% |
| Renaissance | Commercial|All Plans | $1,477.32 | ↓ -81% |
| KELSEY | Medicare|All Plans | $1,667.19 | ↓ -79% |
| United | Commercial|Exchange | $1,676.00 | ↓ -79% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $1,700.69 | ↓ -78% |
| UNITED | Medicaid|STARPLUS | $2,036.74 | ↓ -74% |
| UHC | Medicaid|STARPLUS | $2,036.74 | ↓ -74% |
| CIGNA HEALTHSPRING | Medicare|HMO | $2,051.83 | ↓ -74% |
| SELECTCARE | Medicare|All Plans | $2,051.83 | ↓ -74% |
| BCBS | Medicare|All Plans | $2,051.83 | ↓ -74% |
| HUMANA | Medicare|All Other Plans | $2,051.83 | ↓ -74% |
| HUMANA | Medicare|TRANSPLANT | $2,051.83 | ↓ -74% |
| CIGNA HEALTHSPRING | Medicare|PPO | $2,072.35 | ↓ -74% |
| AETNA | Medicare|All Plans | $2,092.87 | ↓ -74% |
| UHC-SecureHorizons | Medicare|All Plans | $2,092.87 | ↓ -74% |
| Amerivantage | Medicare|All Plans | $2,113.38 | ↓ -73% |
| SCANHealth | Medicare|All Plans | $2,195.46 | ↓ -72% |
| DEVOTED | Medicare|All Plans | $2,195.46 | ↓ -72% |
| KINDRED | Medicare|All Plans | $2,257.01 | ↓ -71% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -70% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -69% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -69% |
| United | Commercial|Charter | $2,474.00 | ↓ -69% |
| BCBS-TX | Commercial|Blue Premier | $2,568.75 | ↓ -67% |
| United | Commercial|HMO | $2,749.00 | ↓ -65% |
| United | Commercial|PPO | $2,749.00 | ↓ -65% |
| KelseyCare | Commercial|Exchange | $2,769.97 | ↓ -65% |
| Bright Health | Commercial|All Plans | $2,994.29 | ↓ -62% |
| BCBS-TX | Commercial|HMO | $3,047.07 | ↓ -61% |
| Superior Health Plan | Commercial|All Plans | $3,077.74 | ↓ -61% |
| Wellpoint | Commercial|Exchange | $3,077.74 | ↓ -61% |
| Community Health Choice | Commercial|All Other Plans | $3,077.74 | ↓ -61% |
| Community Health Choice | Commercial|Exchange | $3,077.74 | ↓ -61% |
| Aetna | Commercial|Exchange | $3,159.82 | ↓ -60% |
| Cigna | Commercial|Surefit | $3,262.00 | ↓ -59% |
| BCBS-TX | Commercial|PPO | $3,401.38 | ↓ -57% |
| Cigna | Commercial|HMO | $3,594.00 | ↓ -55% |
| OPTUM | Medicare|All Plans | $6,096.06 | ↓ -23% |
| NX Health | Commercial|PPO | $6,668.45 | ↓ -16% |
| TCHPCHIP | Medicaid|HMO | $7,902.30 | ↑ +0% |
| OPTUM | Medicaid|STAR | $8,168.73 | ↑ +3% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +14% |
| United | Commercial|Optum | $10,611.66 | ↑ +34% |
| CHC | Medicaid|CHIP | $12,417.90 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $12,417.90 | ↑ +57% |
| CHC | Medicaid|HMO | $12,417.90 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $13,546.80 | ↑ +71% |
| Humana | Commercial|Transplant | $14,675.70 | ↑ +86% |
| Coventry | Commercial|PPO | $14,675.70 | ↑ +86% |
| First Health | Commercial|All Plans | $14,675.70 | ↑ +86% |
| Aetna | Commercial|PPO | $15,353.04 | ↑ +94% |
| Cigna | Commercial|Transplant | $15,804.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $15,804.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $15,804.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $16,933.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $17,159.28 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $18,653.95 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $19,191.30 | ↑ +143% |
| MHealth Network | Commercial|PPO | $22,578.00 | ↑ +186% |
Visitor-reported prices
Comments
Convert nephrostomy catheter at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,267.48 | $652.80 – $6,093.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,732.69 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,230.89 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,267.48 | $652.80 – $6,093.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,732.69 | $85.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,732.69 | $652.80 – $5,045.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,230.89 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,267.48 | $652.80 – $6,093.00 |