Exc mal+marg tal 1.1-2 cm 11602 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$324.80
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.
$928.00
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.
$121.09 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 | $121.09 | ↓ -63% |
| Wellpoint | Medicaid|CHIP | $131.22 | ↓ -60% |
| TCHP | Medicaid|STARKIDS | $131.22 | ↓ -60% |
| TCHP | Medicaid|All Other Plans | $131.22 | ↓ -60% |
| Wellpoint | Medicaid|STARKIDS | $131.22 | ↓ -60% |
| Wellpoint | Medicaid|All Other Plans | $131.22 | ↓ -60% |
| UHC | Medicaid|CHIP | $133.84 | ↓ -59% |
| UHC | Medicaid|STARKIDS | $133.84 | ↓ -59% |
| UNITED | Medicaid|All Other Plans | $133.84 | ↓ -59% |
| BCBS | Medicaid|All Plans | $137.78 | ↓ -58% |
| CHC | Medicaid|All Other Plans | $150.90 | ↓ -54% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $154.99 | ↓ -52% |
| Wellpoint | Medicaid|STAR | $175.83 | ↓ -46% |
| TCHP | Medicaid|STAR | $175.83 | ↓ -46% |
| UNITED | Medicaid|STAR | $179.77 | ↓ -45% |
| CHC | Medicaid|STAR | $202.08 | ↓ -38% |
| BCBS-TX | Commercial|Blue Premier | $234.10 | ↓ -28% |
| OPTUM | Medicare|All Plans | $250.56 | ↓ -23% |
| BCBS-TX | Commercial|HMO | $277.69 | ↓ -15% |
| Renaissance | Commercial|All Plans | $288.13 | ↓ -11% |
| KELSEY | Medicare|All Plans | $305.58 | ↓ -6% |
| BCBS-TX | Commercial|PPO | $309.98 | ↓ -5% |
| TCHPCHIP | Medicaid|HMO | $324.80 | ↑ +0% |
| OPTUM | Medicaid|STAR | $335.76 | ↑ +3% |
| BCBS | Medicare|All Plans | $400.18 | ↑ +23% |
| SELECTCARE | Medicare|All Plans | $400.18 | ↑ +23% |
| HUMANA | Medicare|All Other Plans | $400.18 | ↑ +23% |
| HUMANA | Medicare|TRANSPLANT | $400.18 | ↑ +23% |
| CIGNA HEALTHSPRING | Medicare|HMO | $400.18 | ↑ +23% |
| CIGNA HEALTHSPRING | Medicare|PPO | $404.18 | ↑ +24% |
| UHC-SecureHorizons | Medicare|All Plans | $408.18 | ↑ +26% |
| AETNA | Medicare|All Plans | $408.18 | ↑ +26% |
| UHC | Medicaid|STARPLUS | $409.41 | ↑ +26% |
| UNITED | Medicaid|STARPLUS | $409.41 | ↑ +26% |
| Amerivantage | Medicare|All Plans | $412.19 | ↑ +27% |
| DEVOTED | Medicare|All Plans | $428.19 | ↑ +32% |
| SCANHealth | Medicare|All Plans | $428.19 | ↑ +32% |
| United | Commercial|Optum | $436.16 | ↑ +34% |
| KINDRED | Medicare|All Plans | $440.20 | ↑ +36% |
| CHC | Medicaid|HMO | $510.40 | ↑ +57% |
| CHC | Medicaid|CHIP | $510.40 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $510.40 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $540.24 | ↑ +66% |
| Independent Med System | Commercial|All Plans | $556.80 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $556.80 | ↑ +71% |
| Bright Health | Commercial|All Plans | $578.01 | ↑ +78% |
| Community Health Choice | Commercial|All Other Plans | $600.27 | ↑ +85% |
| Wellpoint | Commercial|Exchange | $600.27 | ↑ +85% |
| Community Health Choice | Commercial|Exchange | $600.27 | ↑ +85% |
| Superior Health Plan | Commercial|All Plans | $600.27 | ↑ +85% |
| Humana | Commercial|Transplant | $603.20 | ↑ +86% |
| Coventry | Commercial|PPO | $603.20 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $603.20 | ↑ +86% |
| First Health | Commercial|All Plans | $603.20 | ↑ +86% |
| PHCS | Commercial|All Plans | $603.20 | ↑ +86% |
| Aetna | Commercial|Exchange | $616.28 | ↑ +90% |
| Aetna | Commercial|PPO | $631.04 | ↑ +94% |
| Cigna | Commercial|Transplant | $649.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $649.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $649.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $696.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $705.28 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $766.72 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $788.80 | ↑ +143% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +148% |
| MHealth Network | Commercial|PPO | $928.00 | ↑ +186% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +190% |
| Aetna | Commercial|HMO | $972.00 | ↑ +199% |
| NX Health | Commercial|PPO | $1,300.59 | ↑ +300% |
| United | Commercial|Exchange | $1,676.00 | ↑ +416% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +474% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +532% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +648% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +648% |
| United | Commercial|Charter | $2,474.00 | ↑ +662% |
| United | Commercial|PPO | $2,749.00 | ↑ +746% |
| United | Commercial|HMO | $2,749.00 | ↑ +746% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +1489% |
Visitor-reported prices
Comments
Exc mal+marg tal 1.1-2 cm 11602 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,327.15 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,030.42 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,327.15 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,327.15 | $131.22 – $1,990.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,030.42 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,327.15 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,327.15 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,030.42 | $71.00 – $2,975.00 |