Endo abl/incom vein/ext/rad fre/#1 36475 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$3,310.30
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.
$9,458.00
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.
$1,118.22 with Wellpoint vs $20,636.00 with Cigna — 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|CHIP | $1,118.22 | ↓ -66% |
| TCHP | Medicaid|STARKIDS | $1,118.22 | ↓ -66% |
| TCHP | Medicaid|All Other Plans | $1,118.22 | ↓ -66% |
| Wellpoint | Medicaid|STARKIDS | $1,118.22 | ↓ -66% |
| Wellpoint | Medicaid|All Other Plans | $1,118.22 | ↓ -66% |
| UHC | Medicaid|CHIP | $1,140.58 | ↓ -66% |
| UHC | Medicaid|STARKIDS | $1,140.58 | ↓ -66% |
| UNITED | Medicaid|All Other Plans | $1,140.58 | ↓ -66% |
| BCBS | Medicaid|All Plans | $1,174.13 | ↓ -65% |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↓ -63% |
| CHC | Medicaid|All Other Plans | $1,285.95 | ↓ -61% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -55% |
| TCHP | Medicaid|STAR | $1,498.41 | ↓ -55% |
| Wellpoint | Medicaid|STAR | $1,498.41 | ↓ -55% |
| UNITED | Medicaid|STAR | $1,531.96 | ↓ -54% |
| CHC | Medicaid|STAR | $1,722.06 | ↓ -48% |
| BCBS-TX | Commercial|Exchange | $2,078.46 | ↓ -37% |
| Renaissance | Commercial|All Plans | $2,269.87 | ↓ -31% |
| KELSEY | Medicare|All Plans | $2,450.86 | ↓ -26% |
| OPTUM | Medicare|All Plans | $2,553.66 | ↓ -23% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $2,660.43 | ↓ -20% |
| KelseyCare | Commercial|All Other Plans | $3,054.60 | ↓ -8% |
| CIGNA HEALTHSPRING | Medicare|HMO | $3,152.60 | ↓ -5% |
| BCBS | Medicare|All Plans | $3,152.60 | ↓ -5% |
| SELECTCARE | Medicare|All Plans | $3,152.60 | ↓ -5% |
| HUMANA | Medicare|TRANSPLANT | $3,152.60 | ↓ -5% |
| HUMANA | Medicare|All Other Plans | $3,152.60 | ↓ -5% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,184.13 | ↓ -4% |
| UHC-SecureHorizons | Medicare|All Plans | $3,215.65 | ↓ -3% |
| AETNA | Medicare|All Plans | $3,215.65 | ↓ -3% |
| Amerivantage | Medicare|All Plans | $3,247.18 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $3,310.30 | ↑ +0% |
| SCANHealth | Medicare|All Plans | $3,373.28 | ↑ +2% |
| DEVOTED | Medicare|All Plans | $3,373.28 | ↑ +2% |
| OPTUM | Medicaid|STAR | $3,421.91 | ↑ +3% |
| KINDRED | Medicare|All Plans | $3,467.86 | ↑ +5% |
| UHC | Medicaid|STARPLUS | $3,488.85 | ↑ +5% |
| UNITED | Medicaid|STARPLUS | $3,488.85 | ↑ +5% |
| United | Commercial|Exchange | $3,677.00 | ↑ +11% |
| BCBS-TX | Commercial|Blue Premier | $4,018.36 | ↑ +21% |
| KelseyCare | Commercial|Exchange | $4,256.01 | ↑ +29% |
| United | Commercial|Optum | $4,445.26 | ↑ +34% |
| Independent Med System | Commercial|All Plans | $4,611.00 | ↑ +39% |
| Wellpoint | Commercial|Exchange | $4,728.90 | ↑ +43% |
| Superior Health Plan | Commercial|All Plans | $4,728.90 | ↑ +43% |
| Community Health Choice | Commercial|Exchange | $4,728.90 | ↑ +43% |
| Community Health Choice | Commercial|All Other Plans | $4,728.90 | ↑ +43% |
| BCBS-TX | Commercial|HMO | $4,766.60 | ↑ +44% |
| Bright Health | Commercial|All Plans | $4,787.23 | ↑ +45% |
| Aetna | Commercial|Exchange | $4,855.00 | ↑ +47% |
| CHC | Medicaid|HMO | $5,201.90 | ↑ +57% |
| CHC | Medicaid|CHIP | $5,201.90 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5,201.90 | ↑ +57% |
| Humana | Commercial|PPO | $5,265.00 | ↑ +59% |
| Humana | Commercial|HMO | $5,265.00 | ↑ +59% |
| BCBS-TX | Commercial|PPO | $5,320.86 | ↑ +61% |
| United | Commercial|Charter | $5,428.00 | ↑ +64% |
| Healthsmart | Commercial|AP3-PPO | $5,460.00 | ↑ +65% |
| Cigna Lifesource | Commercial|Transplant | $5,674.80 | ↑ +71% |
| United | Commercial|HMO | $6,032.00 | ↑ +82% |
| United | Commercial|PPO | $6,032.00 | ↑ +82% |
| Coventry | Commercial|PPO | $6,147.70 | ↑ +86% |
| First Health | Commercial|All Plans | $6,147.70 | ↑ +86% |
| Humana | Commercial|Transplant | $6,147.70 | ↑ +86% |
| Aetna | Commercial|PPO | $6,431.44 | ↑ +94% |
| Healthsmart | Commercial|PPO | $6,620.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $6,620.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $6,620.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $7,093.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $7,188.08 | ↑ +117% |
| Cigna | Commercial|Surefit | $7,455.00 | ↑ +125% |
| OPTUM | Medicaid|STARPLUS | $7,814.20 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $8,039.30 | ↑ +143% |
| Cigna | Commercial|HMO | $8,215.00 | ↑ +148% |
| MHealth Network | Commercial|PPO | $9,458.00 | ↑ +186% |
| PHCS Savility | Commercial|PPO | $10,216.00 | ↑ +209% |
| PHCS | Commercial|All Plans | $10,216.00 | ↑ +209% |
| NX Health | Commercial|PPO | $10,245.95 | ↑ +210% |
| Cigna | Commercial|PPO | $20,636.00 | ↑ +523% |
Visitor-reported prices
Comments
Endo abl/incom vein/ext/rad fre/#1 36475 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,686.47 | $71.00 – $11,529.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,207.63 | $71.00 – $9,009.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,686.47 | $85.00 – $11,529.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,686.47 | $1,118.22 – $11,529.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,207.63 | $71.00 – $10,811.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $7,686.47 | $71.00 – $9,608.09 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $7,686.47 | $71.00 – $11,529.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $7,207.63 | $71.00 – $10,811.44 |