Drainage of prostate abscess at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
not published by hospital
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.
not published by hospital
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.
$807.00 with Aetna-Kelsey Care vs $11,227.32 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | — |
| KelseyCare | Commercial|All Other Plans | $942.30 | — |
| Healthsmart | Commercial|AP3-PPO | $958.00 | — |
| Aetna | Commercial|HMO | $972.00 | — |
| Wellpoint | Medicaid|STARKIDS | $1,142.90 | — |
| Wellpoint | Medicaid|All Other Plans | $1,142.90 | — |
| TCHP | Medicaid|All Other Plans | $1,142.90 | — |
| Wellpoint | Medicaid|CHIP | $1,142.90 | — |
| TCHP | Medicaid|STARKIDS | $1,142.90 | — |
| UNITED | Medicaid|All Other Plans | $1,165.76 | — |
| UHC | Medicaid|STARKIDS | $1,165.76 | — |
| UHC | Medicaid|CHIP | $1,165.76 | — |
| BCBS | Medicaid|All Plans | $1,200.05 | — |
| CHC | Medicaid|All Other Plans | $1,314.34 | — |
| BCBS-TX | Commercial|Exchange | $1,328.66 | — |
| Humana | Commercial|PPO | $1,345.00 | — |
| Humana | Commercial|HMO | $1,345.00 | — |
| TCHP | Medicaid|STAR | $1,531.49 | — |
| Wellpoint | Medicaid|STAR | $1,531.49 | — |
| UNITED | Medicaid|STAR | $1,565.77 | — |
| KELSEY | Medicare|All Plans | $1,667.19 | — |
| Independent Med System | Commercial|All Plans | $1,675.00 | — |
| BCBS-TX | Commercial|MyBlue Health Exchange | $1,700.69 | — |
| CHC | Medicaid|STAR | $1,760.07 | — |
| Cigna | Commercial|Surefit | $1,864.00 | — |
| Cigna | Commercial|HMO | $2,054.00 | — |
| Renaissance | Commercial|All Plans | $2,487.28 | — |
| BCBS-TX | Commercial|Blue Premier | $2,568.75 | — |
| BCBS-TX | Commercial|HMO | $3,047.07 | — |
| United | Commercial|Exchange | $3,137.00 | — |
| BCBS-TX | Commercial|PPO | $3,401.38 | — |
| SELECTCARE | Medicare|All Plans | $3,454.56 | — |
| CIGNA HEALTHSPRING | Medicare|HMO | $3,454.56 | — |
| HUMANA | Medicare|All Other Plans | $3,454.56 | — |
| HUMANA | Medicare|TRANSPLANT | $3,454.56 | — |
| BCBS | Medicare|All Plans | $3,454.56 | — |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,489.11 | — |
| AETNA | Medicare|All Plans | $3,523.65 | — |
| UHC-SecureHorizons | Medicare|All Plans | $3,523.65 | — |
| Amerivantage | Medicare|All Plans | $3,558.20 | — |
| UNITED | Medicaid|STARPLUS | $3,565.85 | — |
| UHC | Medicaid|STARPLUS | $3,565.85 | — |
| DEVOTED | Medicare|All Plans | $3,696.38 | — |
| SCANHealth | Medicare|All Plans | $3,696.38 | — |
| KINDRED | Medicare|All Plans | $3,800.02 | — |
| PHCS | Commercial|All Plans | $4,487.00 | — |
| PHCS Savility | Commercial|PPO | $4,487.00 | — |
| United | Commercial|Charter | $4,631.00 | — |
| KelseyCare | Commercial|Exchange | $4,663.66 | — |
| Bright Health | Commercial|All Plans | $5,141.58 | — |
| United | Commercial|HMO | $5,145.00 | — |
| United | Commercial|PPO | $5,145.00 | — |
| Cigna | Commercial|PPO | $5,160.00 | — |
| Wellpoint | Commercial|Exchange | $5,181.84 | — |
| Superior Health Plan | Commercial|All Plans | $5,181.84 | — |
| Community Health Choice | Commercial|Exchange | $5,181.84 | — |
| Community Health Choice | Commercial|All Other Plans | $5,181.84 | — |
| Aetna | Commercial|Exchange | $5,320.02 | — |
| NX Health | Commercial|PPO | $11,227.32 | — |
| USA Health Network | Commercial|All Plans | not published by hospital | — |
| Cigna Lifesource | Commercial|Transplant | not published by hospital | — |
| Humana | Commercial|Transplant | not published by hospital | — |
| OPTUM | Medicare|All Plans | not published by hospital | — |
| OPTUM | Medicaid|STAR | not published by hospital | — |
| OPTUM | Medicaid|STARPLUS | not published by hospital | — |
| Healthsmart | Commercial|PPO | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Aetna | Commercial|PPO | not published by hospital | — |
| Aetna | Commercial|Transplant | not published by hospital | — |
| Coventry | Commercial|PPO | not published by hospital | — |
| Interlink | Commercial|Transplant | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Optum | not published by hospital | — |
| Cigna | Commercial|Transplant | not published by hospital | — |
| CHC | Medicaid|CHIP | not published by hospital | — |
| CHC | Medicaid|HMO | not published by hospital | — |
| MHealth Network | Commercial|PPO | not published by hospital | — |
| TCHPCHIP | Medicaid|HMO | not published by hospital | — |
| TEXASTRUECHOICE | Medicaid|CHIP | not published by hospital | — |
Visitor-reported prices
Comments
Drainage of prostate abscess at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,260.09 | $1,142.90 – $8,636.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,260.09 | $1,142.90 – $8,636.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,260.09 | $1,142.90 – $8,636.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $2,260.09 | $1,142.90 – $8,636.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $2,260.09 | $1,142.90 – $8,636.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $2,260.09 | $1,142.90 – $8,636.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,260.09 | $1,142.90 – $8,636.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,260.09 | $1,142.90 – $7,613.24 |