Excision of anal lesion(s) at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$2,327.85
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.
$6,651.00
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.
$807.00 with Aetna-Kelsey Care vs $8,927.20 with NX Health — 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -65% |
| TCHP | Medicaid|All Other Plans | $939.93 | ↓ -60% |
| Wellpoint | Medicaid|All Other Plans | $939.93 | ↓ -60% |
| Wellpoint | Medicaid|STARKIDS | $939.93 | ↓ -60% |
| TCHP | Medicaid|STARKIDS | $939.93 | ↓ -60% |
| Wellpoint | Medicaid|CHIP | $939.93 | ↓ -60% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↓ -60% |
| Healthsmart | Commercial|AP3-PPO | $958.00 | ↓ -59% |
| UNITED | Medicaid|All Other Plans | $958.73 | ↓ -59% |
| UHC | Medicaid|CHIP | $958.73 | ↓ -59% |
| UHC | Medicaid|STARKIDS | $958.73 | ↓ -59% |
| Aetna | Commercial|HMO | $972.00 | ↓ -58% |
| BCBS | Medicaid|All Plans | $986.93 | ↓ -58% |
| CHC | Medicaid|All Other Plans | $1,080.92 | ↓ -54% |
| TCHP | Medicaid|STAR | $1,259.51 | ↓ -46% |
| Wellpoint | Medicaid|STAR | $1,259.51 | ↓ -46% |
| UNITED | Medicaid|STAR | $1,287.70 | ↓ -45% |
| Humana | Commercial|HMO | $1,345.00 | ↓ -42% |
| Humana | Commercial|PPO | $1,345.00 | ↓ -42% |
| CHC | Medicaid|STAR | $1,447.49 | ↓ -38% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↓ -28% |
| BCBS-TX | Commercial|Exchange | $1,758.14 | ↓ -24% |
| OPTUM | Medicare|All Plans | $1,795.77 | ↓ -23% |
| Cigna | Commercial|Surefit | $1,864.00 | ↓ -20% |
| Renaissance | Commercial|All Plans | $1,977.72 | ↓ -15% |
| Cigna | Commercial|HMO | $2,054.00 | ↓ -12% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $2,250.41 | ↓ -3% |
| KELSEY | Medicare|All Plans | $2,276.73 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $2,327.85 | ↑ +0% |
| OPTUM | Medicaid|STAR | $2,406.34 | ↑ +3% |
| HUMANA | Medicare|All Other Plans | $2,746.83 | ↑ +18% |
| CIGNA HEALTHSPRING | Medicare|HMO | $2,746.83 | ↑ +18% |
| HUMANA | Medicare|TRANSPLANT | $2,746.83 | ↑ +18% |
| BCBS | Medicare|All Plans | $2,746.83 | ↑ +18% |
| SELECTCARE | Medicare|All Plans | $2,746.83 | ↑ +18% |
| CIGNA HEALTHSPRING | Medicare|PPO | $2,774.30 | ↑ +19% |
| UHC-SecureHorizons | Medicare|All Plans | $2,801.77 | ↑ +20% |
| AETNA | Medicare|All Plans | $2,801.77 | ↑ +20% |
| Amerivantage | Medicare|All Plans | $2,829.23 | ↑ +22% |
| UNITED | Medicaid|STARPLUS | $2,932.58 | ↑ +26% |
| UHC | Medicaid|STARPLUS | $2,932.58 | ↑ +26% |
| SCANHealth | Medicare|All Plans | $2,939.11 | ↑ +26% |
| DEVOTED | Medicare|All Plans | $2,939.11 | ↑ +26% |
| KINDRED | Medicare|All Plans | $3,021.51 | ↑ +30% |
| United | Commercial|Optum | $3,125.97 | ↑ +34% |
| United | Commercial|Exchange | $3,137.00 | ↑ +35% |
| BCBS-TX | Commercial|Blue Premier | $3,399.06 | ↑ +46% |
| CHC | Medicaid|HMO | $3,658.05 | ↑ +57% |
| CHC | Medicaid|CHIP | $3,658.05 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $3,658.05 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $3,708.22 | ↑ +59% |
| Cigna Lifesource | Commercial|Transplant | $3,990.60 | ↑ +71% |
| BCBS-TX | Commercial|HMO | $4,031.99 | ↑ +73% |
| Bright Health | Commercial|All Plans | $4,085.45 | ↑ +76% |
| Superior Health Plan | Commercial|All Plans | $4,120.24 | ↑ +77% |
| Community Health Choice | Commercial|All Other Plans | $4,120.24 | ↑ +77% |
| Wellpoint | Commercial|Exchange | $4,120.24 | ↑ +77% |
| Community Health Choice | Commercial|Exchange | $4,120.24 | ↑ +77% |
| Aetna | Commercial|Exchange | $4,230.12 | ↑ +82% |
| Humana | Commercial|Transplant | $4,323.15 | ↑ +86% |
| First Health | Commercial|All Plans | $4,323.15 | ↑ +86% |
| Coventry | Commercial|PPO | $4,323.15 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $4,487.00 | ↑ +93% |
| PHCS | Commercial|All Plans | $4,487.00 | ↑ +93% |
| BCBS-TX | Commercial|PPO | $4,500.83 | ↑ +93% |
| Aetna | Commercial|PPO | $4,522.68 | ↑ +94% |
| United | Commercial|Charter | $4,631.00 | ↑ +99% |
| Cigna | Commercial|Transplant | $4,655.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $4,655.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $4,655.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $4,988.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $5,054.76 | ↑ +117% |
| United | Commercial|HMO | $5,145.00 | ↑ +121% |
| United | Commercial|PPO | $5,145.00 | ↑ +121% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +122% |
| OPTUM | Medicaid|STARPLUS | $5,495.06 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $5,653.35 | ↑ +143% |
| MHealth Network | Commercial|PPO | $6,651.00 | ↑ +186% |
| NX Health | Commercial|PPO | $8,927.20 | ↑ +283% |
Visitor-reported prices
Comments
Excision of anal lesion(s) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,878.86 | $798.40 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,292.47 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,878.86 | $1,005.73 – $6,955.62 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,878.86 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,292.47 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $3,878.86 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $3,878.86 | $939.93 – $6,955.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $3,292.47 | $939.93 – $6,955.62 |