Ghs i and d perirectal abscess 46040 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$830.20
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.
$2,372.00
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.
$429.26 with Wellpoint vs $9,029.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $429.26 | ↓ -48% |
| TCHP | Medicaid|STARKIDS | $429.26 | ↓ -48% |
| TCHP | Medicaid|All Other Plans | $429.26 | ↓ -48% |
| Wellpoint | Medicaid|STARKIDS | $429.26 | ↓ -48% |
| Wellpoint | Medicaid|CHIP | $429.26 | ↓ -48% |
| UHC | Medicaid|CHIP | $437.85 | ↓ -47% |
| UHC | Medicaid|STARKIDS | $437.85 | ↓ -47% |
| UNITED | Medicaid|All Other Plans | $437.85 | ↓ -47% |
| BCBS | Medicaid|All Plans | $450.72 | ↓ -46% |
| CHC | Medicaid|All Other Plans | $493.65 | ↓ -41% |
| Wellpoint | Medicaid|STAR | $575.21 | ↓ -31% |
| TCHP | Medicaid|STAR | $575.21 | ↓ -31% |
| UNITED | Medicaid|STAR | $588.09 | ↓ -29% |
| OPTUM | Medicare|All Plans | $640.44 | ↓ -23% |
| CHC | Medicaid|STAR | $661.06 | ↓ -20% |
| BCBS-TX | Commercial|Exchange | $753.17 | ↓ -9% |
| TCHPCHIP | Medicaid|HMO | $830.20 | ↑ +0% |
| Renaissance | Commercial|All Plans | $850.31 | ↑ +2% |
| OPTUM | Medicaid|STAR | $858.19 | ↑ +3% |
| KELSEY | Medicare|All Plans | $920.66 | ↑ +11% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $964.05 | ↑ +16% |
| United | Commercial|Optum | $1,114.84 | ↑ +34% |
| BCBS | Medicare|All Plans | $1,180.99 | ↑ +42% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,180.99 | ↑ +42% |
| HUMANA | Medicare|All Other Plans | $1,180.99 | ↑ +42% |
| SELECTCARE | Medicare|All Plans | $1,180.99 | ↑ +42% |
| HUMANA | Medicare|TRANSPLANT | $1,180.99 | ↑ +42% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,192.80 | ↑ +44% |
| UHC-SecureHorizons | Medicare|All Plans | $1,204.61 | ↑ +45% |
| AETNA | Medicare|All Plans | $1,204.61 | ↑ +45% |
| Amerivantage | Medicare|All Plans | $1,216.42 | ↑ +47% |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↑ +49% |
| DEVOTED | Medicare|All Plans | $1,263.66 | ↑ +52% |
| SCANHealth | Medicare|All Plans | $1,263.66 | ↑ +52% |
| KINDRED | Medicare|All Plans | $1,299.09 | ↑ +56% |
| CHC | Medicaid|HMO | $1,304.60 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,304.60 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,304.60 | ↑ +57% |
| UNITED | Medicaid|STARPLUS | $1,339.29 | ↑ +61% |
| UHC | Medicaid|STARPLUS | $1,339.29 | ↑ +61% |
| Cigna Lifesource | Commercial|Transplant | $1,423.20 | ↑ +71% |
| BCBS-TX | Commercial|Blue Premier | $1,456.12 | ↑ +75% |
| Aetna | Commercial|HMO | $1,488.00 | ↑ +79% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↑ +83% |
| Humana | Commercial|Transplant | $1,541.80 | ↑ +86% |
| Coventry | Commercial|PPO | $1,541.80 | ↑ +86% |
| First Health | Commercial|All Plans | $1,541.80 | ↑ +86% |
| KelseyCare | Commercial|Exchange | $1,594.34 | ↑ +92% |
| Healthsmart | Commercial|AP3-PPO | $1,609.00 | ↑ +94% |
| Aetna | Commercial|PPO | $1,612.96 | ↑ +94% |
| Cigna | Commercial|Transplant | $1,660.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,660.40 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,660.40 | ↑ +100% |
| BCBS-TX | Commercial|HMO | $1,727.26 | ↑ +108% |
| Bright Health | Commercial|All Plans | $1,734.13 | ↑ +109% |
| Wellpoint | Commercial|Exchange | $1,771.48 | ↑ +113% |
| Superior Health Plan | Commercial|All Plans | $1,771.48 | ↑ +113% |
| Community Health Choice | Commercial|All Other Plans | $1,771.48 | ↑ +113% |
| Community Health Choice | Commercial|Exchange | $1,771.48 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $1,779.00 | ↑ +114% |
| Independent Med System | Commercial|All Plans | $1,795.00 | ↑ +116% |
| Aetna | Commercial|Transplant | $1,802.72 | ↑ +117% |
| Aetna | Commercial|Exchange | $1,818.72 | ↑ +119% |
| BCBS-TX | Commercial|PPO | $1,928.10 | ↑ +132% |
| OPTUM | Medicaid|STARPLUS | $1,959.75 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,016.20 | ↑ +143% |
| Humana | Commercial|HMO | $2,025.00 | ↑ +144% |
| Humana | Commercial|PPO | $2,025.00 | ↑ +144% |
| United | Commercial|Exchange | $2,303.00 | ↑ +177% |
| MHealth Network | Commercial|PPO | $2,372.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $3,262.00 | ↑ +293% |
| United | Commercial|Charter | $3,400.00 | ↑ +310% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +333% |
| United | Commercial|HMO | $3,778.00 | ↑ +355% |
| United | Commercial|PPO | $3,778.00 | ↑ +355% |
| NX Health | Commercial|PPO | $3,838.22 | ↑ +362% |
| PHCS | Commercial|All Plans | $5,252.00 | ↑ +533% |
| PHCS Savility | Commercial|PPO | $5,252.00 | ↑ +533% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +988% |
Visitor-reported prices
Comments
Ghs i and d perirectal abscess 46040 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $6,545.71 | $1,255.28 – $2,991.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,267.70 | $429.26 – $4,084.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,078.12 | $459.31 – $6,117.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,668.87 | $429.26 – $4,586.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,267.70 | $429.26 – $4,084.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,078.12 | $459.31 – $6,117.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,078.12 | $429.26 – $6,117.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,668.87 | $429.26 – $5,503.31 |