Endoluminl ivus oct c 1st at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$2,818.90
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.
?
What you pay up front if you don't use insurance.
$8,054.00
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.
$100.00 with Cigna vs $8,054.00 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 |
|---|---|---|---|
| Cigna | Commercial|HMO | $100.00 | ↓ -96% |
| Cigna | Commercial|PPO | $100.00 | ↓ -96% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -96% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $146.80 | ↓ -95% |
| BCBS-TX | Commercial|Exchange | $169.93 | ↓ -94% |
| BCBS-TX | Commercial|Blue Premier | $213.17 | ↓ -92% |
| BCBS-TX | Commercial|HMO | $281.54 | ↓ -90% |
| BCBS-TX | Commercial|PPO | $319.75 | ↓ -89% |
| TCHP | Medicaid|STARKIDS | $644.32 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $644.32 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $657.21 | ↓ -77% |
| TCHP | Medicaid|STAR | $863.39 | ↓ -69% |
| UNITED | Medicaid|STAR | $882.72 | ↓ -69% |
| United | Commercial|Exchange | $1,676.00 | ↓ -41% |
| UHC | Medicaid|STARPLUS | $2,010.28 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $2,010.28 | ↓ -29% |
| OPTUM | Medicare|All Plans | $2,174.58 | ↓ -23% |
| United | Commercial|Charter | $2,474.00 | ↓ -12% |
| United | Commercial|HMO | $2,749.00 | ↓ -2% |
| United | Commercial|PPO | $2,749.00 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $2,818.90 | ↑ +0% |
| OPTUM | Medicaid|STAR | $2,913.94 | ↑ +3% |
| United | Commercial|Optum | $3,785.38 | ↑ +34% |
| CHC | Medicaid|CHIP | $4,429.70 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $4,429.70 | ↑ +57% |
| CHC | Medicaid|HMO | $4,429.70 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $4,832.40 | ↑ +71% |
| First Health | Commercial|All Plans | $5,235.10 | ↑ +86% |
| Humana | Commercial|Transplant | $5,235.10 | ↑ +86% |
| Coventry | Commercial|PPO | $5,235.10 | ↑ +86% |
| Aetna | Commercial|PPO | $5,476.72 | ↑ +94% |
| Healthsmart | Commercial|PPO | $5,637.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $5,637.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $5,637.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $6,040.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $6,121.04 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $6,654.22 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $6,845.90 | ↑ +143% |
| MHealth Network | Commercial|PPO | $8,054.00 | ↑ +186% |
Visitor-reported prices
Comments
Endoluminl ivus oct c 1st at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,332.07 | $308.69 – $7,553.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,067.48 | $303.66 – $7,601.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,067.48 | $303.66 – $6,334.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,332.07 | $235.29 – $7,553.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,067.48 | $371.03 – $7,601.22 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,067.48 | $2,618.20 – $7,601.22 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,067.48 | $303.66 – $7,601.22 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $5,332.07 | $308.69 – $7,553.76 |