Drain thigh/knee lesion 27301 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$2,342.90
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.
$6,694.00
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.
$815.20 with TCHP vs $9,316.74 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|STARKIDS | $815.20 | ↓ -65% |
| Wellpoint | Medicaid|All Other Plans | $815.20 | ↓ -65% |
| TCHP | Medicaid|All Other Plans | $815.20 | ↓ -65% |
| Wellpoint | Medicaid|STARKIDS | $815.20 | ↓ -65% |
| Wellpoint | Medicaid|CHIP | $815.20 | ↓ -65% |
| UHC | Medicaid|CHIP | $831.50 | ↓ -65% |
| UNITED | Medicaid|All Other Plans | $831.50 | ↓ -65% |
| UHC | Medicaid|STARKIDS | $831.50 | ↓ -65% |
| BCBS | Medicaid|All Plans | $855.96 | ↓ -63% |
| CHC | Medicaid|All Other Plans | $937.48 | ↓ -60% |
| TCHP | Medicaid|STAR | $1,092.37 | ↓ -53% |
| Wellpoint | Medicaid|STAR | $1,092.37 | ↓ -53% |
| UNITED | Medicaid|STAR | $1,116.82 | ↓ -52% |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↓ -47% |
| CHC | Medicaid|STAR | $1,255.41 | ↓ -46% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -36% |
| Healthsmart | Commercial|AP3-PPO | $1,609.00 | ↓ -31% |
| BCBS-TX | Commercial|Exchange | $1,739.17 | ↓ -26% |
| Independent Med System | Commercial|All Plans | $1,795.00 | ↓ -23% |
| OPTUM | Medicare|All Plans | $1,807.38 | ↓ -23% |
| Renaissance | Commercial|All Plans | $2,064.02 | ↓ -12% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $2,226.13 | ↓ -5% |
| KELSEY | Medicare|All Plans | $2,285.81 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $2,342.90 | ↑ +0% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +3% |
| OPTUM | Medicaid|STAR | $2,421.89 | ↑ +3% |
| UNITED | Medicaid|STARPLUS | $2,543.42 | ↑ +9% |
| UHC | Medicaid|STARPLUS | $2,543.42 | ↑ +9% |
| HUMANA | Medicare|TRANSPLANT | $2,866.69 | ↑ +22% |
| SELECTCARE | Medicare|All Plans | $2,866.69 | ↑ +22% |
| CIGNA HEALTHSPRING | Medicare|HMO | $2,866.69 | ↑ +22% |
| BCBS | Medicare|All Plans | $2,866.69 | ↑ +22% |
| HUMANA | Medicare|All Other Plans | $2,866.69 | ↑ +22% |
| CIGNA HEALTHSPRING | Medicare|PPO | $2,895.36 | ↑ +24% |
| UHC-SecureHorizons | Medicare|All Plans | $2,924.02 | ↑ +25% |
| AETNA | Medicare|All Plans | $2,924.02 | ↑ +25% |
| Amerivantage | Medicare|All Plans | $2,952.69 | ↑ +26% |
| DEVOTED | Medicare|All Plans | $3,067.36 | ↑ +31% |
| SCANHealth | Medicare|All Plans | $3,067.36 | ↑ +31% |
| United | Commercial|Exchange | $3,137.00 | ↑ +34% |
| United | Commercial|Optum | $3,146.18 | ↑ +34% |
| KINDRED | Medicare|All Plans | $3,153.36 | ↑ +35% |
| Cigna | Commercial|Surefit | $3,262.00 | ↑ +39% |
| BCBS-TX | Commercial|Blue Premier | $3,362.39 | ↑ +44% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +53% |
| CHC | Medicaid|HMO | $3,681.70 | ↑ +57% |
| CHC | Medicaid|CHIP | $3,681.70 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $3,681.70 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $3,870.03 | ↑ +65% |
| Bright Health | Commercial|All Plans | $3,965.11 | ↑ +69% |
| BCBS-TX | Commercial|HMO | $3,988.49 | ↑ +70% |
| Humana | Commercial|PPO | $4,000.00 | ↑ +71% |
| Humana | Commercial|HMO | $4,000.00 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $4,016.40 | ↑ +71% |
| Wellpoint | Commercial|Exchange | $4,300.03 | ↑ +84% |
| Community Health Choice | Commercial|All Other Plans | $4,300.03 | ↑ +84% |
| Community Health Choice | Commercial|Exchange | $4,300.03 | ↑ +84% |
| Superior Health Plan | Commercial|All Plans | $4,300.03 | ↑ +84% |
| First Health | Commercial|All Plans | $4,351.10 | ↑ +86% |
| Humana | Commercial|Transplant | $4,351.10 | ↑ +86% |
| Coventry | Commercial|PPO | $4,351.10 | ↑ +86% |
| Aetna | Commercial|Exchange | $4,414.70 | ↑ +88% |
| BCBS-TX | Commercial|PPO | $4,452.27 | ↑ +90% |
| Aetna | Commercial|PPO | $4,551.92 | ↑ +94% |
| United | Commercial|Charter | $4,631.00 | ↑ +98% |
| Healthsmart | Commercial|PPO | $4,685.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $4,685.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $4,685.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $5,020.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $5,087.44 | ↑ +117% |
| United | Commercial|HMO | $5,145.00 | ↑ +120% |
| United | Commercial|PPO | $5,145.00 | ↑ +120% |
| PHCS | Commercial|All Plans | $5,252.00 | ↑ +124% |
| PHCS Savility | Commercial|PPO | $5,252.00 | ↑ +124% |
| OPTUM | Medicaid|STARPLUS | $5,530.59 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $5,689.90 | ↑ +143% |
| MHealth Network | Commercial|PPO | $6,694.00 | ↑ +186% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +285% |
| NX Health | Commercial|PPO | $9,316.74 | ↑ +298% |
Visitor-reported prices
Comments
Drain thigh/knee lesion 27301 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,606.86 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,187.72 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,620.47 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,606.86 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,187.72 | $85.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,187.72 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,620.47 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,606.86 | $815.20 – $7,039.11 |