Duplex scan bilateral study 93985 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$421.40
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.
?
What you pay up front if you don't use insurance.
$1,204.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$174.32 with Renaissance vs $1,204.00 with MHealth Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $174.32 | ↓ -59% |
| HUMANA | Medicare|All Other Plans | $242.11 | ↓ -43% |
| BCBS | Medicare|All Plans | $242.11 | ↓ -43% |
| SELECTCARE | Medicare|All Plans | $242.11 | ↓ -43% |
| CIGNA HEALTHSPRING | Medicare|HMO | $242.11 | ↓ -43% |
| HUMANA | Medicare|TRANSPLANT | $242.11 | ↓ -43% |
| CIGNA HEALTHSPRING | Medicare|PPO | $244.53 | ↓ -42% |
| United | Commercial|Exchange | $245.00 | ↓ -42% |
| AETNA | Medicare|All Plans | $246.95 | ↓ -41% |
| UHC-SecureHorizons | Medicare|All Plans | $246.95 | ↓ -41% |
| Amerivantage | Medicare|All Plans | $249.37 | ↓ -41% |
| SCANHealth | Medicare|All Plans | $259.06 | ↓ -39% |
| DEVOTED | Medicare|All Plans | $259.06 | ↓ -39% |
| KINDRED | Medicare|All Plans | $266.32 | ↓ -37% |
| OPTUM | Medicare|All Plans | $325.08 | ↓ -23% |
| BCBS-TX | Commercial|Exchange | $326.74 | ↓ -22% |
| KelseyCare | Commercial|Exchange | $326.85 | ↓ -22% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $338.33 | ↓ -20% |
| United | Commercial|Charter | $361.00 | ↓ -14% |
| Community Health Choice | Commercial|Exchange | $363.17 | ↓ -14% |
| Superior Health Plan | Commercial|All Plans | $363.17 | ↓ -14% |
| Community Health Choice | Commercial|All Other Plans | $363.17 | ↓ -14% |
| Wellpoint | Commercial|Exchange | $363.17 | ↓ -14% |
| Aetna | Commercial|Exchange | $372.85 | ↓ -12% |
| Bright Health | Commercial|All Plans | $384.80 | ↓ -9% |
| United | Commercial|HMO | $401.00 | ↓ -5% |
| United | Commercial|PPO | $401.00 | ↓ -5% |
| TCHPCHIP | Medicaid|HMO | $421.40 | ↑ +0% |
| OPTUM | Medicaid|STAR | $435.61 | ↑ +3% |
| United | Commercial|Optum | $565.88 | ↑ +34% |
| BCBS-TX | Commercial|Blue Premier | $593.23 | ↑ +41% |
| CHC | Medicaid|CHIP | $662.20 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $662.20 | ↑ +57% |
| CHC | Medicaid|HMO | $662.20 | ↑ +57% |
| Cigna | Commercial|Surefit | $677.22 | ↑ +61% |
| BCBS-TX | Commercial|HMO | $695.19 | ↑ +65% |
| Cigna Lifesource | Commercial|Transplant | $722.40 | ↑ +71% |
| Cigna | Commercial|HMO | $745.86 | ↑ +77% |
| BCBS-TX | Commercial|PPO | $780.93 | ↑ +85% |
| First Health | Commercial|All Plans | $782.60 | ↑ +86% |
| Humana | Commercial|Transplant | $782.60 | ↑ +86% |
| Coventry | Commercial|PPO | $782.60 | ↑ +86% |
| NX Health | Commercial|PPO | $786.86 | ↑ +87% |
| Cigna | Commercial|Transplant | $842.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $842.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $842.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $903.00 | ↑ +114% |
| Cigna | Commercial|PPO | $915.17 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $994.75 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,023.40 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,204.00 | ↑ +186% |
Visitor-reported prices
Comments
Duplex scan bilateral study 93985 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $403.69 | $114.38 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $338.83 | $69.74 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $332.18 | $66.44 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $403.69 | $107.65 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $338.83 | $108.76 – $1,117.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $338.83 | $175.06 – $607.02 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $332.18 | $110.73 – $607.02 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $403.69 | $107.65 – $607.02 |