Ghs ed rmvl or bivalving cast at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$221.55
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.
$633.00
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.
$30.32 with BCBS-TX vs $4,000.00 with Humana — 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 | $30.32 | ↓ -86% |
| Wellpoint | Medicaid|CHIP | $31.56 | ↓ -86% |
| TCHP | Medicaid|STARKIDS | $31.56 | ↓ -86% |
| Wellpoint | Medicaid|All Other Plans | $31.56 | ↓ -86% |
| Wellpoint | Medicaid|STARKIDS | $31.56 | ↓ -86% |
| TCHP | Medicaid|All Other Plans | $31.56 | ↓ -86% |
| UNITED | Medicaid|All Other Plans | $32.19 | ↓ -85% |
| UHC | Medicaid|STARKIDS | $32.19 | ↓ -85% |
| UHC | Medicaid|CHIP | $32.19 | ↓ -85% |
| BCBS | Medicaid|All Plans | $33.14 | ↓ -85% |
| CHC | Medicaid|All Other Plans | $36.29 | ↓ -84% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $38.80 | ↓ -82% |
| Wellpoint | Medicaid|STAR | $42.29 | ↓ -81% |
| TCHP | Medicaid|STAR | $42.29 | ↓ -81% |
| UNITED | Medicaid|STAR | $43.24 | ↓ -80% |
| CHC | Medicaid|STAR | $48.60 | ↓ -78% |
| BCBS-TX | Commercial|Blue Premier | $58.61 | ↓ -74% |
| BCBS-TX | Commercial|HMO | $69.52 | ↓ -69% |
| BCBS-TX | Commercial|PPO | $77.61 | ↓ -65% |
| UNITED | Medicaid|STARPLUS | $98.47 | ↓ -56% |
| UHC | Medicaid|STARPLUS | $98.47 | ↓ -56% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -37% |
| Cigna | Commercial|HMO | $154.00 | ↓ -30% |
| OPTUM | Medicare|All Plans | $170.91 | ↓ -23% |
| Renaissance | Commercial|All Plans | $191.53 | ↓ -14% |
| TCHPCHIP | Medicaid|HMO | $221.55 | ↑ +0% |
| OPTUM | Medicaid|STAR | $229.02 | ↑ +3% |
| KELSEY | Medicare|All Plans | $233.29 | ↑ +5% |
| HUMANA | Medicare|TRANSPLANT | $266.01 | ↑ +20% |
| SELECTCARE | Medicare|All Plans | $266.01 | ↑ +20% |
| BCBS | Medicare|All Plans | $266.01 | ↑ +20% |
| HUMANA | Medicare|All Other Plans | $266.01 | ↑ +20% |
| CIGNA HEALTHSPRING | Medicare|HMO | $266.01 | ↑ +20% |
| CIGNA HEALTHSPRING | Medicare|PPO | $268.67 | ↑ +21% |
| AETNA | Medicare|All Plans | $271.33 | ↑ +22% |
| UHC-SecureHorizons | Medicare|All Plans | $271.33 | ↑ +22% |
| Amerivantage | Medicare|All Plans | $273.99 | ↑ +24% |
| SCANHealth | Medicare|All Plans | $284.63 | ↑ +28% |
| DEVOTED | Medicare|All Plans | $284.63 | ↑ +28% |
| KINDRED | Medicare|All Plans | $292.61 | ↑ +32% |
| United | Commercial|Optum | $297.51 | ↑ +34% |
| TEXASTRUECHOICE | Medicaid|CHIP | $348.15 | ↑ +57% |
| CHC | Medicaid|CHIP | $348.15 | ↑ +57% |
| CHC | Medicaid|HMO | $348.15 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $359.11 | ↑ +62% |
| Independent Med System | Commercial|All Plans | $379.80 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $379.80 | ↑ +71% |
| Cigna | Commercial|PPO | $387.00 | ↑ +75% |
| Wellpoint | Commercial|Exchange | $399.01 | ↑ +80% |
| Community Health Choice | Commercial|All Other Plans | $399.01 | ↑ +80% |
| Community Health Choice | Commercial|Exchange | $399.01 | ↑ +80% |
| Superior Health Plan | Commercial|All Plans | $399.01 | ↑ +80% |
| Bright Health | Commercial|All Plans | $403.43 | ↑ +82% |
| Aetna | Commercial|Exchange | $409.66 | ↑ +85% |
| PHCS | Commercial|All Plans | $411.45 | ↑ +86% |
| Coventry | Commercial|PPO | $411.45 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $411.45 | ↑ +86% |
| First Health | Commercial|All Plans | $411.45 | ↑ +86% |
| Humana | Commercial|Transplant | $411.45 | ↑ +86% |
| Aetna | Commercial|PPO | $430.44 | ↑ +94% |
| Cigna | Commercial|Transplant | $443.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $443.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $443.10 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $474.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $481.08 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $522.99 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $538.05 | ↑ +143% |
| MHealth Network | Commercial|PPO | $633.00 | ↑ +186% |
| NX Health | Commercial|PPO | $864.53 | ↑ +290% |
| United | Commercial|Exchange | $1,676.00 | ↑ +656% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +985% |
| United | Commercial|Charter | $2,474.00 | ↑ +1017% |
| United | Commercial|HMO | $2,749.00 | ↑ +1141% |
| United | Commercial|PPO | $2,749.00 | ↑ +1141% |
| Humana | Commercial|HMO | $4,000.00 | ↑ +1705% |
| Humana | Commercial|PPO | $4,000.00 | ↑ +1705% |
Visitor-reported prices
Comments
Ghs ed rmvl or bivalving cast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $368.83 | $31.56 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $351.46 | $33.77 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $282.53 | $31.56 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $368.83 | $31.56 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $351.46 | $33.77 – $665.29 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $351.46 | $31.56 – $665.29 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $282.53 | $31.56 – $665.29 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $368.83 | $31.56 – $665.29 |