Ghs i and d pilonidal cyst complex at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$882.00
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.
$2,520.00
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.
$140.00 with Cigna vs $2,749.00 with United — 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 |
|---|---|---|---|
| Cigna | Commercial|Surefit | $140.00 | ↓ -84% |
| Cigna | Commercial|HMO | $154.00 | ↓ -83% |
| BCBS-TX | Commercial|Exchange | $156.45 | ↓ -82% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $200.26 | ↓ -77% |
| Wellpoint | Medicaid|STARKIDS | $209.30 | ↓ -76% |
| Wellpoint | Medicaid|All Other Plans | $209.30 | ↓ -76% |
| Wellpoint | Medicaid|CHIP | $209.30 | ↓ -76% |
| TCHP | Medicaid|All Other Plans | $209.30 | ↓ -76% |
| TCHP | Medicaid|STARKIDS | $209.30 | ↓ -76% |
| UHC | Medicaid|CHIP | $213.49 | ↓ -76% |
| UHC | Medicaid|STARKIDS | $213.49 | ↓ -76% |
| UNITED | Medicaid|All Other Plans | $213.49 | ↓ -76% |
| BCBS | Medicaid|All Plans | $219.76 | ↓ -75% |
| CHC | Medicaid|All Other Plans | $240.69 | ↓ -73% |
| Wellpoint | Medicaid|STAR | $280.46 | ↓ -68% |
| TCHP | Medicaid|STAR | $280.46 | ↓ -68% |
| UNITED | Medicaid|STAR | $286.74 | ↓ -67% |
| BCBS-TX | Commercial|Blue Premier | $302.47 | ↓ -66% |
| CHC | Medicaid|STAR | $322.32 | ↓ -63% |
| BCBS-TX | Commercial|HMO | $358.79 | ↓ -59% |
| Cigna | Commercial|PPO | $387.00 | ↓ -56% |
| BCBS-TX | Commercial|PPO | $400.51 | ↓ -55% |
| Renaissance | Commercial|All Plans | $507.41 | ↓ -42% |
| KELSEY | Medicare|All Plans | $563.23 | ↓ -36% |
| UHC | Medicaid|STARPLUS | $653.02 | ↓ -26% |
| UNITED | Medicaid|STARPLUS | $653.02 | ↓ -26% |
| OPTUM | Medicare|All Plans | $680.40 | ↓ -23% |
| BCBS | Medicare|All Plans | $704.73 | ↓ -20% |
| SELECTCARE | Medicare|All Plans | $704.73 | ↓ -20% |
| HUMANA | Medicare|All Other Plans | $704.73 | ↓ -20% |
| HUMANA | Medicare|TRANSPLANT | $704.73 | ↓ -20% |
| CIGNA HEALTHSPRING | Medicare|HMO | $704.73 | ↓ -20% |
| CIGNA HEALTHSPRING | Medicare|PPO | $711.78 | ↓ -19% |
| AETNA | Medicare|All Plans | $718.82 | ↓ -19% |
| UHC-SecureHorizons | Medicare|All Plans | $718.82 | ↓ -19% |
| Amerivantage | Medicare|All Plans | $725.87 | ↓ -18% |
| SCANHealth | Medicare|All Plans | $754.06 | ↓ -15% |
| DEVOTED | Medicare|All Plans | $754.06 | ↓ -15% |
| KINDRED | Medicare|All Plans | $775.20 | ↓ -12% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -9% |
| TCHPCHIP | Medicaid|HMO | $882.00 | ↑ +0% |
| OPTUM | Medicaid|STAR | $911.74 | ↑ +3% |
| KelseyCare | Commercial|Exchange | $951.39 | ↑ +8% |
| Aetna | Commercial|HMO | $972.00 | ↑ +10% |
| Bright Health | Commercial|All Plans | $1,040.66 | ↑ +18% |
| Community Health Choice | Commercial|All Other Plans | $1,057.10 | ↑ +20% |
| Community Health Choice | Commercial|Exchange | $1,057.10 | ↑ +20% |
| Superior Health Plan | Commercial|All Plans | $1,057.10 | ↑ +20% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +20% |
| Aetna | Commercial|Exchange | $1,085.28 | ↑ +23% |
| United | Commercial|Optum | $1,184.40 | ↑ +34% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↑ +54% |
| CHC | Medicaid|HMO | $1,386.00 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,386.00 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,386.00 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $1,512.00 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $1,512.00 | ↑ +71% |
| PHCS Savility | Commercial|PPO | $1,638.00 | ↑ +86% |
| PHCS | Commercial|All Plans | $1,638.00 | ↑ +86% |
| Humana | Commercial|Transplant | $1,638.00 | ↑ +86% |
| First Health | Commercial|All Plans | $1,638.00 | ↑ +86% |
| Coventry | Commercial|PPO | $1,638.00 | ↑ +86% |
| United | Commercial|Exchange | $1,676.00 | ↑ +90% |
| Aetna | Commercial|PPO | $1,713.60 | ↑ +94% |
| Cigna | Commercial|Transplant | $1,764.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,764.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,764.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,890.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,915.20 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $2,082.03 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,142.00 | ↑ +143% |
| NX Health | Commercial|PPO | $2,290.37 | ↑ +160% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +176% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +176% |
| United | Commercial|Charter | $2,474.00 | ↑ +180% |
| MHealth Network | Commercial|PPO | $2,520.00 | ↑ +186% |
| United | Commercial|HMO | $2,749.00 | ↑ +212% |
| United | Commercial|PPO | $2,749.00 | ↑ +212% |
Visitor-reported prices
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Ghs i and d pilonidal cyst complex at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,876.52 | $260.75 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,191.57 | $111.00 – $2,739.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,363.20 | $71.00 – $3,544.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,255.78 | $71.00 – $2,819.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,191.57 | $209.30 – $2,739.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,363.20 | $85.00 – $3,544.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,363.20 | $209.30 – $3,544.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,255.78 | $71.00 – $3,383.68 |