Exam of vagina w/scope 57420 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$224.35
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.
$641.00
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.
$47.37 with BCBS-TX vs $5,160.00 with Cigna — 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $47.37 | ↓ -79% |
| Wellpoint | Medicaid|CHIP | $57.86 | ↓ -74% |
| TCHP | Medicaid|STARKIDS | $57.86 | ↓ -74% |
| TCHP | Medicaid|All Other Plans | $57.86 | ↓ -74% |
| Wellpoint | Medicaid|STARKIDS | $57.86 | ↓ -74% |
| Wellpoint | Medicaid|All Other Plans | $57.86 | ↓ -74% |
| UHC | Medicaid|CHIP | $59.02 | ↓ -74% |
| UHC | Medicaid|STARKIDS | $59.02 | ↓ -74% |
| UNITED | Medicaid|All Other Plans | $59.02 | ↓ -74% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $60.63 | ↓ -73% |
| BCBS | Medicaid|All Plans | $60.75 | ↓ -73% |
| CHC | Medicaid|All Other Plans | $66.54 | ↓ -70% |
| TCHP | Medicaid|STAR | $77.53 | ↓ -65% |
| Wellpoint | Medicaid|STAR | $77.53 | ↓ -65% |
| UNITED | Medicaid|STAR | $79.27 | ↓ -65% |
| CHC | Medicaid|STAR | $89.10 | ↓ -60% |
| BCBS-TX | Commercial|Blue Premier | $91.58 | ↓ -59% |
| BCBS-TX | Commercial|HMO | $108.64 | ↓ -52% |
| BCBS-TX | Commercial|PPO | $121.27 | ↓ -46% |
| OPTUM | Medicare|All Plans | $173.07 | ↓ -23% |
| UHC | Medicaid|STARPLUS | $180.52 | ↓ -20% |
| UNITED | Medicaid|STARPLUS | $180.52 | ↓ -20% |
| Renaissance | Commercial|All Plans | $219.37 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $224.35 | ↑ +0% |
| OPTUM | Medicaid|STAR | $231.92 | ↑ +3% |
| KELSEY | Medicare|All Plans | $263.84 | ↑ +18% |
| United | Commercial|Optum | $301.27 | ↑ +34% |
| HUMANA | Medicare|TRANSPLANT | $304.68 | ↑ +36% |
| SELECTCARE | Medicare|All Plans | $304.68 | ↑ +36% |
| BCBS | Medicare|All Plans | $304.68 | ↑ +36% |
| HUMANA | Medicare|All Other Plans | $304.68 | ↑ +36% |
| CIGNA HEALTHSPRING | Medicare|HMO | $304.68 | ↑ +36% |
| CIGNA HEALTHSPRING | Medicare|PPO | $307.73 | ↑ +37% |
| UHC-SecureHorizons | Medicare|All Plans | $310.77 | ↑ +39% |
| AETNA | Medicare|All Plans | $310.77 | ↑ +39% |
| Amerivantage | Medicare|All Plans | $313.82 | ↑ +40% |
| SCANHealth | Medicare|All Plans | $326.01 | ↑ +45% |
| DEVOTED | Medicare|All Plans | $326.01 | ↑ +45% |
| KINDRED | Medicare|All Plans | $335.15 | ↑ +49% |
| CHC | Medicaid|HMO | $352.55 | ↑ +57% |
| CHC | Medicaid|CHIP | $352.55 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $352.55 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $384.60 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $384.60 | ↑ +71% |
| KelseyCare | Commercial|Exchange | $411.32 | ↑ +83% |
| First Health | Commercial|All Plans | $416.65 | ↑ +86% |
| Coventry | Commercial|PPO | $416.65 | ↑ +86% |
| Humana | Commercial|Transplant | $416.65 | ↑ +86% |
| PHCS | Commercial|All Plans | $416.65 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $416.65 | ↑ +86% |
| Aetna | Commercial|PPO | $435.88 | ↑ +94% |
| Cigna | Commercial|Transplant | $448.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $448.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $448.70 | ↑ +100% |
| Community Health Choice | Commercial|Exchange | $457.02 | ↑ +104% |
| Superior Health Plan | Commercial|All Plans | $457.02 | ↑ +104% |
| Wellpoint | Commercial|Exchange | $457.02 | ↑ +104% |
| Community Health Choice | Commercial|All Other Plans | $457.02 | ↑ +104% |
| Aetna | Commercial|Exchange | $469.21 | ↑ +109% |
| Bright Health | Commercial|All Plans | $471.65 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $480.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $487.16 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $529.60 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $544.85 | ↑ +143% |
| MHealth Network | Commercial|PPO | $641.00 | ↑ +186% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +260% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +320% |
| Aetna | Commercial|HMO | $972.00 | ↑ +333% |
| NX Health | Commercial|PPO | $990.21 | ↑ +341% |
| United | Commercial|Exchange | $1,676.00 | ↑ +647% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +731% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +816% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +983% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +983% |
| United | Commercial|Charter | $2,474.00 | ↑ +1003% |
| United | Commercial|HMO | $2,749.00 | ↑ +1125% |
| United | Commercial|PPO | $2,749.00 | ↑ +1125% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +2200% |
Visitor-reported prices
Comments
Exam of vagina w/scope 57420 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $841.88 | $61.91 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $758.98 | $57.86 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $841.88 | $61.91 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $841.88 | $57.86 – $1,262.83 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $758.98 | $57.86 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $841.88 | $57.86 – $2,975.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $841.88 | $57.86 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $758.98 | $57.86 – $2,975.00 |