Factor ix complex at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$126.36
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.
$361.02
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.
$1.02 with BCBS-TX vs $361.02 with MHealth Network — 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|MyBlue Health Exchange | $1.02 | ↓ -99% |
| BCBS-TX | Commercial|Exchange | $1.16 | ↓ -99% |
| Renaissance | Commercial|All Plans | $1.22 | ↓ -99% |
| KELSEY | Medicare|All Plans | $1.38 | ↓ -99% |
| HUMANA | Medicare|TRANSPLANT | $1.65 | ↓ -99% |
| HUMANA | Medicare|All Other Plans | $1.70 | ↓ -99% |
| BCBS | Medicare|All Plans | $1.70 | ↓ -99% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1.70 | ↓ -99% |
| SELECTCARE | Medicare|All Plans | $1.70 | ↓ -99% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1.72 | ↓ -99% |
| AETNA | Medicare|All Plans | $1.73 | ↓ -99% |
| UHC-SecureHorizons | Medicare|All Plans | $1.73 | ↓ -99% |
| Amerivantage | Medicare|All Plans | $1.75 | ↓ -99% |
| DEVOTED | Medicare|All Plans | $1.82 | ↓ -99% |
| SCANHealth | Medicare|All Plans | $1.82 | ↓ -99% |
| KINDRED | Medicare|All Plans | $1.87 | ↓ -99% |
| BCBS-TX | Commercial|Blue Premier | $1.99 | ↓ -98% |
| KelseyCare | Commercial|Exchange | $2.29 | ↓ -98% |
| United | Commercial|Exchange | $2.37 | ↓ -98% |
| BCBS-TX | Commercial|HMO | $2.50 | ↓ -98% |
| Wellpoint | Commercial|Exchange | $2.55 | ↓ -98% |
| Superior Health Plan | Commercial|All Plans | $2.55 | ↓ -98% |
| Community Health Choice | Commercial|All Other Plans | $2.55 | ↓ -98% |
| Community Health Choice | Commercial|Exchange | $2.55 | ↓ -98% |
| Bright Health | Commercial|All Plans | $2.57 | ↓ -98% |
| Aetna | Commercial|Exchange | $2.62 | ↓ -98% |
| BCBS-TX | Commercial|PPO | $3.06 | ↓ -98% |
| United | Commercial|Charter | $3.57 | ↓ -97% |
| United | Commercial|HMO | $3.57 | ↓ -97% |
| United | Commercial|PPO | $3.57 | ↓ -97% |
| Cigna | Commercial|PPO | $4.87 | ↓ -96% |
| Cigna | Commercial|HMO | $5.13 | ↓ -96% |
| Cigna | Commercial|Surefit | $5.13 | ↓ -96% |
| NX Health | Commercial|PPO | $5.53 | ↓ -96% |
| Aetna-Kelsey Care | Commercial|HMO | $79.43 | ↓ -37% |
| Aetna | Commercial|HMO | $93.87 | ↓ -26% |
| Aetna | Commercial|PPO | $93.87 | ↓ -26% |
| OPTUM | Medicare|All Plans | $97.48 | ↓ -23% |
| Aetna | Commercial|Transplant | $115.53 | ↓ -9% |
| TCHPCHIP | Medicaid|HMO | $126.36 | ↑ +0% |
| OPTUM | Medicaid|STAR | $130.62 | ↑ +3% |
| United | Commercial|Optum | $169.68 | ↑ +34% |
| Humana | Commercial|PPO | $173.29 | ↑ +37% |
| Humana | Commercial|HMO | $173.29 | ↑ +37% |
| KelseyCare | Commercial|All Other Plans | $176.90 | ↑ +40% |
| TEXASTRUECHOICE | Medicaid|CHIP | $198.57 | ↑ +57% |
| CHC | Medicaid|CHIP | $198.57 | ↑ +57% |
| CHC | Medicaid|HMO | $198.57 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $216.62 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $216.62 | ↑ +71% |
| First Health | Commercial|All Plans | $234.67 | ↑ +86% |
| Coventry | Commercial|PPO | $234.67 | ↑ +86% |
| Humana | Commercial|Transplant | $234.67 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $252.72 | ↑ +100% |
| PHCS | Commercial|All Plans | $252.72 | ↑ +100% |
| Cigna | Commercial|Transplant | $252.72 | ↑ +100% |
| Interlink | Commercial|Transplant | $252.72 | ↑ +100% |
| Healthsmart | Commercial|PPO | $252.72 | ↑ +100% |
| Healthsmart | Commercial|AP3-PPO | $259.94 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $270.77 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $298.28 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $306.87 | ↑ +143% |
| MHealth Network | Commercial|PPO | $361.02 | ↑ +186% |
Visitor-reported prices
Comments
Factor ix complex at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $22.13 | $1.44 – $27.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $22.13 | $1.46 – $32.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $22.13 | $1.46 – $27.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $22.13 | $1.44 – $27.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $22.13 | $1.46 – $32.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $22.13 | $1.87 – $32.49 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $22.13 | $1.46 – $32.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $22.13 | $1.44 – $27.07 |