Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$588.00
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.
$1,680.00
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.
$93.65 with BCBS-TX vs $5,160.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $93.65 | ↓ -84% |
| Wellpoint | Medicaid|CHIP | $105.20 | ↓ -82% |
| Wellpoint | Medicaid|All Other Plans | $105.20 | ↓ -82% |
| Wellpoint | Medicaid|STARKIDS | $105.20 | ↓ -82% |
| TCHP | Medicaid|STARKIDS | $105.20 | ↓ -82% |
| TCHP | Medicaid|All Other Plans | $105.20 | ↓ -82% |
| UHC | Medicaid|STARKIDS | $107.30 | ↓ -82% |
| UHC | Medicaid|CHIP | $107.30 | ↓ -82% |
| UNITED | Medicaid|All Other Plans | $107.30 | ↓ -82% |
| BCBS | Medicaid|All Plans | $110.46 | ↓ -81% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $119.88 | ↓ -80% |
| CHC | Medicaid|All Other Plans | $120.98 | ↓ -79% |
| Wellpoint | Medicaid|STAR | $140.97 | ↓ -76% |
| TCHP | Medicaid|STAR | $140.97 | ↓ -76% |
| UNITED | Medicaid|STAR | $144.12 | ↓ -75% |
| CHC | Medicaid|STAR | $162.01 | ↓ -72% |
| BCBS-TX | Commercial|Blue Premier | $181.06 | ↓ -69% |
| BCBS-TX | Commercial|HMO | $214.78 | ↓ -63% |
| BCBS-TX | Commercial|PPO | $239.75 | ↓ -59% |
| UNITED | Medicaid|STARPLUS | $328.22 | ↓ -44% |
| UHC | Medicaid|STARPLUS | $328.22 | ↓ -44% |
| OPTUM | Medicare|All Plans | $453.60 | ↓ -23% |
| Renaissance | Commercial|All Plans | $507.41 | ↓ -14% |
| KELSEY | Medicare|All Plans | $563.23 | ↓ -4% |
| TCHPCHIP | Medicaid|HMO | $588.00 | ↑ +0% |
| OPTUM | Medicaid|STAR | $607.83 | ↑ +3% |
| SELECTCARE | Medicare|All Plans | $704.73 | ↑ +20% |
| CIGNA HEALTHSPRING | Medicare|HMO | $704.73 | ↑ +20% |
| HUMANA | Medicare|All Other Plans | $704.73 | ↑ +20% |
| HUMANA | Medicare|TRANSPLANT | $704.73 | ↑ +20% |
| BCBS | Medicare|All Plans | $704.73 | ↑ +20% |
| CIGNA HEALTHSPRING | Medicare|PPO | $711.78 | ↑ +21% |
| AETNA | Medicare|All Plans | $718.82 | ↑ +22% |
| UHC-SecureHorizons | Medicare|All Plans | $718.82 | ↑ +22% |
| Amerivantage | Medicare|All Plans | $725.87 | ↑ +23% |
| DEVOTED | Medicare|All Plans | $754.06 | ↑ +28% |
| SCANHealth | Medicare|All Plans | $754.06 | ↑ +28% |
| KINDRED | Medicare|All Plans | $775.20 | ↑ +32% |
| United | Commercial|Optum | $789.60 | ↑ +34% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +37% |
| CHC | Medicaid|HMO | $924.00 | ↑ +57% |
| CHC | Medicaid|CHIP | $924.00 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $924.00 | ↑ +57% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +60% |
| KelseyCare | Commercial|Exchange | $951.39 | ↑ +62% |
| Aetna | Commercial|HMO | $972.00 | ↑ +65% |
| Independent Med System | Commercial|All Plans | $1,008.00 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $1,008.00 | ↑ +71% |
| Bright Health | Commercial|All Plans | $1,040.66 | ↑ +77% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +80% |
| Community Health Choice | Commercial|All Other Plans | $1,057.10 | ↑ +80% |
| Community Health Choice | Commercial|Exchange | $1,057.10 | ↑ +80% |
| Superior Health Plan | Commercial|All Plans | $1,057.10 | ↑ +80% |
| Aetna | Commercial|Exchange | $1,085.28 | ↑ +85% |
| Humana | Commercial|Transplant | $1,092.00 | ↑ +86% |
| First Health | Commercial|All Plans | $1,092.00 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $1,092.00 | ↑ +86% |
| PHCS | Commercial|All Plans | $1,092.00 | ↑ +86% |
| Coventry | Commercial|PPO | $1,092.00 | ↑ +86% |
| Aetna | Commercial|PPO | $1,142.40 | ↑ +94% |
| Cigna | Commercial|Transplant | $1,176.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,176.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,176.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,260.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,276.80 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $1,388.02 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,428.00 | ↑ +143% |
| United | Commercial|Exchange | $1,676.00 | ↑ +185% |
| MHealth Network | Commercial|PPO | $1,680.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +217% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +249% |
| NX Health | Commercial|PPO | $2,290.37 | ↑ +290% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +313% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +313% |
| United | Commercial|Charter | $2,474.00 | ↑ +321% |
| United | Commercial|PPO | $2,749.00 | ↑ +368% |
| United | Commercial|HMO | $2,749.00 | ↑ +368% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +778% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,466.01 | $105.20 – $1,832.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,343.00 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,691.11 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,466.01 | $105.20 – $1,832.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,343.00 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,343.00 | $105.20 – $2,014.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,691.11 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,466.01 | $105.20 – $1,832.51 |