Ghs fish hybrid in situ 100-300 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$26.60
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.
$76.00
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.
$20.52 with OPTUM vs $184.46 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $20.52 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $26.60 | ↑ +0% |
| OPTUM | Medicaid|STAR | $27.50 | ↑ +3% |
| United | Commercial|Optum | $35.72 | ↑ +34% |
| Renaissance | Commercial|All Plans | $36.86 | ↑ +39% |
| TEXASTRUECHOICE | Medicaid|CHIP | $41.80 | ↑ +57% |
| CHC | Medicaid|HMO | $41.80 | ↑ +57% |
| CHC | Medicaid|CHIP | $41.80 | ↑ +57% |
| TCHP | Medicaid|STARKIDS | $43.00 | ↑ +62% |
| Wellpoint | Medicaid|STARKIDS | $43.00 | ↑ +62% |
| TCHP | Medicaid|All Other Plans | $43.00 | ↑ +62% |
| Wellpoint | Medicaid|CHIP | $43.00 | ↑ +62% |
| Wellpoint | Medicaid|All Other Plans | $43.00 | ↑ +62% |
| UNITED | Medicaid|All Other Plans | $43.86 | ↑ +65% |
| UHC | Medicaid|STARKIDS | $43.86 | ↑ +65% |
| UHC | Medicaid|CHIP | $43.86 | ↑ +65% |
| Aetna-Kelsey Care | Commercial|HMO | $44.84 | ↑ +69% |
| BCBS | Medicaid|All Plans | $45.15 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $45.60 | ↑ +71% |
| First Health | Commercial|All Plans | $49.40 | ↑ +86% |
| Humana | Commercial|Transplant | $49.40 | ↑ +86% |
| Coventry | Commercial|PPO | $49.40 | ↑ +86% |
| CHC | Medicaid|All Other Plans | $49.45 | ↑ +86% |
| CIGNA HEALTHSPRING | Medicare|HMO | $51.19 | ↑ +92% |
| SELECTCARE | Medicare|All Plans | $51.19 | ↑ +92% |
| BCBS | Medicare|All Plans | $51.19 | ↑ +92% |
| KELSEY | Medicare|All Plans | $51.19 | ↑ +92% |
| HUMANA | Medicare|All Other Plans | $51.19 | ↑ +92% |
| HUMANA | Medicare|TRANSPLANT | $51.19 | ↑ +92% |
| Aetna | Commercial|HMO | $51.68 | ↑ +94% |
| CIGNA HEALTHSPRING | Medicare|PPO | $51.70 | ↑ +94% |
| UHC-SecureHorizons | Medicare|All Plans | $52.21 | ↑ +96% |
| AETNA | Medicare|All Plans | $52.21 | ↑ +96% |
| Amerivantage | Medicare|All Plans | $52.73 | ↑ +98% |
| Cigna | Commercial|Transplant | $53.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $53.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $53.20 | ↑ +100% |
| SCANHealth | Medicare|All Plans | $54.77 | ↑ +106% |
| DEVOTED | Medicare|All Plans | $54.77 | ↑ +106% |
| KINDRED | Medicare|All Plans | $56.31 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $57.00 | ↑ +114% |
| Wellpoint | Medicaid|STAR | $57.62 | ↑ +117% |
| TCHP | Medicaid|STAR | $57.62 | ↑ +117% |
| UNITED | Medicaid|STAR | $58.91 | ↑ +121% |
| OPTUM | Medicaid|STARPLUS | $62.80 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $64.60 | ↑ +143% |
| CHC | Medicaid|STAR | $66.22 | ↑ +149% |
| KelseyCare | Commercial|Exchange | $69.11 | ↑ +160% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $74.74 | ↑ +181% |
| BCBS-TX | Commercial|Exchange | $76.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $76.00 | ↑ +186% |
| BCBS-TX | Commercial|PPO | $76.00 | ↑ +186% |
| BCBS-TX | Commercial|Blue Premier | $76.00 | ↑ +186% |
| BCBS-TX | Commercial|HMO | $76.00 | ↑ +186% |
| Community Health Choice | Commercial|All Other Plans | $76.78 | ↑ +189% |
| Community Health Choice | Commercial|Exchange | $76.78 | ↑ +189% |
| Superior Health Plan | Commercial|All Plans | $76.78 | ↑ +189% |
| Wellpoint | Commercial|Exchange | $76.78 | ↑ +189% |
| United | Commercial|HMO | $76.79 | ↑ +189% |
| United | Commercial|Charter | $76.79 | ↑ +189% |
| United | Commercial|Exchange | $76.79 | ↑ +189% |
| United | Commercial|PPO | $76.79 | ↑ +189% |
| Aetna | Commercial|Exchange | $78.83 | ↑ +196% |
| Bright Health | Commercial|All Plans | $84.46 | ↑ +218% |
| Cigna | Commercial|Surefit | $122.26 | ↑ +360% |
| UNITED | Medicaid|STARPLUS | $134.16 | ↑ +404% |
| UHC | Medicaid|STARPLUS | $134.16 | ↑ +404% |
| Cigna | Commercial|HMO | $134.91 | ↑ +407% |
| NX Health | Commercial|PPO | $166.37 | ↑ +525% |
| Cigna | Commercial|PPO | $184.46 | ↑ +593% |
Visitor-reported prices
Comments
Ghs fish hybrid in situ 100-300 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $492.77 | $23.57 – $122.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $492.77 | $8.08 – $122.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $492.77 | $30.37 – $122.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $492.77 | $30.77 – $122.86 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $492.77 | $30.37 – $122.86 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $492.77 | $26.00 – $122.86 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $492.77 | $30.37 – $122.86 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $492.77 | $30.77 – $122.86 |