Fem/popl revasc w/stent at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$13,989.15
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.
$39,969.00
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.
$1,528.00 with Aetna-Kelsey Care vs $39,969.00 with MHealth Network — 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | ↓ -89% |
| Aetna | Commercial|HMO | $1,842.00 | ↓ -87% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -83% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -83% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -83% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -76% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -74% |
| United | Commercial|Exchange | $4,969.00 | ↓ -64% |
| TCHP | Medicaid|STARKIDS | $5,338.09 | ↓ -62% |
| TCHP | Medicaid|All Other Plans | $5,338.09 | ↓ -62% |
| Wellpoint | Medicaid|STARKIDS | $5,338.09 | ↓ -62% |
| Wellpoint | Medicaid|CHIP | $5,338.09 | ↓ -62% |
| Wellpoint | Medicaid|All Other Plans | $5,338.09 | ↓ -62% |
| UHC | Medicaid|STARKIDS | $5,444.85 | ↓ -61% |
| UNITED | Medicaid|All Other Plans | $5,444.85 | ↓ -61% |
| UHC | Medicaid|CHIP | $5,444.85 | ↓ -61% |
| BCBS | Medicaid|All Plans | $5,604.99 | ↓ -60% |
| CHC | Medicaid|All Other Plans | $6,138.80 | ↓ -56% |
| TCHP | Medicaid|STAR | $7,153.04 | ↓ -49% |
| Wellpoint | Medicaid|STAR | $7,153.04 | ↓ -49% |
| UNITED | Medicaid|STAR | $7,313.18 | ↓ -48% |
| United | Commercial|Charter | $7,337.00 | ↓ -48% |
| BCBS-TX | Commercial|Exchange | $7,431.36 | ↓ -47% |
| United | Commercial|PPO | $8,150.00 | ↓ -42% |
| United | Commercial|HMO | $8,150.00 | ↓ -42% |
| Renaissance | Commercial|All Plans | $8,178.44 | ↓ -42% |
| CHC | Medicaid|STAR | $8,220.66 | ↓ -41% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -35% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $9,512.14 | ↓ -32% |
| KELSEY | Medicare|All Plans | $10,333.88 | ↓ -26% |
| OPTUM | Medicare|All Plans | $10,791.63 | ↓ -23% |
| HUMANA | Medicare|TRANSPLANT | $11,358.94 | ↓ -19% |
| SELECTCARE | Medicare|All Plans | $11,358.94 | ↓ -19% |
| HUMANA | Medicare|All Other Plans | $11,358.94 | ↓ -19% |
| CIGNA HEALTHSPRING | Medicare|HMO | $11,358.94 | ↓ -19% |
| BCBS | Medicare|All Plans | $11,358.94 | ↓ -19% |
| CIGNA HEALTHSPRING | Medicare|PPO | $11,472.53 | ↓ -18% |
| UHC-SecureHorizons | Medicare|All Plans | $11,586.12 | ↓ -17% |
| AETNA | Medicare|All Plans | $11,586.12 | ↓ -17% |
| Amerivantage | Medicare|All Plans | $11,699.71 | ↓ -16% |
| SCANHealth | Medicare|All Plans | $12,154.07 | ↓ -13% |
| DEVOTED | Medicare|All Plans | $12,154.07 | ↓ -13% |
| KINDRED | Medicare|All Plans | $12,494.83 | ↓ -11% |
| TCHPCHIP | Medicaid|HMO | $13,989.15 | ↑ +0% |
| BCBS-TX | Commercial|Blue Premier | $14,367.30 | ↑ +3% |
| OPTUM | Medicaid|STAR | $14,460.79 | ↑ +3% |
| KelseyCare | Commercial|Exchange | $15,334.57 | ↑ +10% |
| UHC | Medicaid|STARPLUS | $16,654.84 | ↑ +19% |
| UNITED | Medicaid|STARPLUS | $16,654.84 | ↑ +19% |
| Bright Health | Commercial|All Plans | $16,797.53 | ↑ +20% |
| Wellpoint | Commercial|Exchange | $17,038.41 | ↑ +22% |
| Superior Health Plan | Commercial|All Plans | $17,038.41 | ↑ +22% |
| Community Health Choice | Commercial|All Other Plans | $17,038.41 | ↑ +22% |
| Community Health Choice | Commercial|Exchange | $17,038.41 | ↑ +22% |
| BCBS-TX | Commercial|HMO | $17,042.59 | ↑ +22% |
| Aetna | Commercial|Exchange | $17,492.77 | ↑ +25% |
| United | Commercial|Optum | $18,785.43 | ↑ +34% |
| BCBS-TX | Commercial|PPO | $19,024.28 | ↑ +36% |
| CHC | Medicaid|CHIP | $21,982.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $21,982.95 | ↑ +57% |
| CHC | Medicaid|HMO | $21,982.95 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $23,981.40 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $23,981.40 | ↑ +71% |
| PHCS Savility | Commercial|PPO | $25,979.85 | ↑ +86% |
| Coventry | Commercial|PPO | $25,979.85 | ↑ +86% |
| Humana | Commercial|Transplant | $25,979.85 | ↑ +86% |
| First Health | Commercial|All Plans | $25,979.85 | ↑ +86% |
| PHCS | Commercial|All Plans | $25,979.85 | ↑ +86% |
| Aetna | Commercial|PPO | $27,178.92 | ↑ +94% |
| Cigna | Commercial|Transplant | $27,978.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $27,978.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $27,978.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $29,976.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $30,376.44 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $33,022.39 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $33,973.65 | ↑ +143% |
| NX Health | Commercial|PPO | $36,916.56 | ↑ +164% |
| MHealth Network | Commercial|PPO | $39,969.00 | ↑ +186% |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $25,228.15 | $6,299.00 – $35,739.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $21,553.12 | $71.00 – $32,329.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,308.99 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $25,228.15 | $6,727.51 – $35,739.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $21,553.12 | $85.00 – $32,329.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $21,553.12 | $11,135.78 – $32,329.67 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $21,308.99 | $71.00 – $31,963.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $25,228.15 | $6,727.51 – $35,739.87 |