Egd w/transmural drain cyst 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.
$1,076.00 with Aetna-Kelsey Care vs $19,377.96 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 | $1,076.00 | — |
| Healthsmart | Commercial|AP3-PPO | $1,285.00 | — |
| Aetna | Commercial|HMO | $1,298.00 | — |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | — |
| Independent Med System | Commercial|All Plans | $1,675.00 | — |
| Humana | Commercial|PPO | $1,782.00 | — |
| Humana | Commercial|HMO | $1,782.00 | — |
| BCBS-TX | Commercial|Exchange | $2,249.31 | — |
| Cigna | Commercial|Surefit | $2,609.00 | — |
| KELSEY | Medicare|All Plans | $2,697.35 | — |
| Wellpoint | Medicaid|CHIP | $2,814.82 | — |
| TCHP | Medicaid|All Other Plans | $2,814.82 | — |
| TCHP | Medicaid|STARKIDS | $2,814.82 | — |
| Wellpoint | Medicaid|All Other Plans | $2,814.82 | — |
| Wellpoint | Medicaid|STARKIDS | $2,814.82 | — |
| UNITED | Medicaid|All Other Plans | $2,871.12 | — |
| UHC | Medicaid|STARKIDS | $2,871.12 | — |
| UHC | Medicaid|CHIP | $2,871.12 | — |
| Cigna | Commercial|HMO | $2,875.00 | — |
| BCBS-TX | Commercial|MyBlue Health Exchange | $2,879.12 | — |
| BCBS | Medicaid|All Plans | $2,955.56 | — |
| United | Commercial|Exchange | $3,137.00 | — |
| CHC | Medicaid|All Other Plans | $3,237.04 | — |
| TCHP | Medicaid|STAR | $3,771.86 | — |
| Wellpoint | Medicaid|STAR | $3,771.86 | — |
| UNITED | Medicaid|STAR | $3,856.30 | — |
| Renaissance | Commercial|All Plans | $4,292.96 | — |
| CHC | Medicaid|STAR | $4,334.82 | — |
| BCBS-TX | Commercial|Blue Premier | $4,348.67 | — |
| United | Commercial|Charter | $4,631.00 | — |
| United | Commercial|HMO | $5,145.00 | — |
| United | Commercial|PPO | $5,145.00 | — |
| BCBS-TX | Commercial|HMO | $5,158.42 | — |
| PHCS | Commercial|All Plans | $5,185.00 | — |
| PHCS Savility | Commercial|PPO | $5,185.00 | — |
| BCBS-TX | Commercial|PPO | $5,758.23 | — |
| CIGNA HEALTHSPRING | Medicare|HMO | $5,962.45 | — |
| HUMANA | Medicare|All Other Plans | $5,962.45 | — |
| HUMANA | Medicare|TRANSPLANT | $5,962.45 | — |
| SELECTCARE | Medicare|All Plans | $5,962.45 | — |
| BCBS | Medicare|All Plans | $5,962.45 | — |
| CIGNA HEALTHSPRING | Medicare|PPO | $6,022.07 | — |
| AETNA | Medicare|All Plans | $6,081.70 | — |
| UHC-SecureHorizons | Medicare|All Plans | $6,081.70 | — |
| Amerivantage | Medicare|All Plans | $6,141.32 | — |
| DEVOTED | Medicare|All Plans | $6,379.82 | — |
| SCANHealth | Medicare|All Plans | $6,379.82 | — |
| KINDRED | Medicare|All Plans | $6,558.69 | — |
| Cigna | Commercial|PPO | $7,221.00 | — |
| KelseyCare | Commercial|Exchange | $8,049.31 | — |
| Bright Health | Commercial|All Plans | $8,417.77 | — |
| UNITED | Medicaid|STARPLUS | $8,782.24 | — |
| UHC | Medicaid|STARPLUS | $8,782.24 | — |
| Wellpoint | Commercial|Exchange | $8,943.67 | — |
| Superior Health Plan | Commercial|All Plans | $8,943.67 | — |
| Community Health Choice | Commercial|Exchange | $8,943.67 | — |
| Community Health Choice | Commercial|All Other Plans | $8,943.67 | — |
| Aetna | Commercial|Exchange | $9,182.17 | — |
| NX Health | Commercial|PPO | $19,377.96 | — |
| 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
Egd w/transmural drain cyst at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $700.80 | $420.48 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $700.80 | $144.25 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $786.71 | $517.13 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $700.80 | $548.96 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $700.80 | $460.66 – $14,118.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $700.80 | $642.40 – $14,118.49 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $786.71 | $517.13 – $14,118.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $700.80 | $548.96 – $14,118.49 |