Ghs i and d pilonidal cyst simple at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$264.25
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.
$755.00
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.
$123.97 with BCBS-TX 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $123.97 | ↓ -53% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -47% |
| Cigna | Commercial|HMO | $154.00 | ↓ -42% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $158.68 | ↓ -40% |
| TCHP | Medicaid|STARKIDS | $174.14 | ↓ -34% |
| TCHP | Medicaid|All Other Plans | $174.14 | ↓ -34% |
| Wellpoint | Medicaid|STARKIDS | $174.14 | ↓ -34% |
| Wellpoint | Medicaid|CHIP | $174.14 | ↓ -34% |
| Wellpoint | Medicaid|All Other Plans | $174.14 | ↓ -34% |
| UHC | Medicaid|STARKIDS | $177.62 | ↓ -33% |
| UHC | Medicaid|CHIP | $177.62 | ↓ -33% |
| UNITED | Medicaid|All Other Plans | $177.62 | ↓ -33% |
| BCBS | Medicaid|All Plans | $182.85 | ↓ -31% |
| CHC | Medicaid|All Other Plans | $200.26 | ↓ -24% |
| OPTUM | Medicare|All Plans | $203.85 | ↓ -23% |
| Wellpoint | Medicaid|STAR | $233.35 | ↓ -12% |
| TCHP | Medicaid|STAR | $233.35 | ↓ -12% |
| UNITED | Medicaid|STAR | $238.57 | ↓ -10% |
| BCBS-TX | Commercial|Blue Premier | $239.67 | ↓ -9% |
| TCHPCHIP | Medicaid|HMO | $264.25 | ↑ +0% |
| CHC | Medicaid|STAR | $268.18 | ↑ +1% |
| OPTUM | Medicaid|STAR | $273.16 | ↑ +3% |
| BCBS-TX | Commercial|HMO | $284.30 | ↑ +8% |
| BCBS-TX | Commercial|PPO | $317.36 | ↑ +20% |
| United | Commercial|Optum | $354.85 | ↑ +34% |
| Cigna | Commercial|PPO | $387.00 | ↑ +46% |
| TEXASTRUECHOICE | Medicaid|CHIP | $415.25 | ↑ +57% |
| CHC | Medicaid|CHIP | $415.25 | ↑ +57% |
| CHC | Medicaid|HMO | $415.25 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $453.00 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $453.00 | ↑ +71% |
| PHCS | Commercial|All Plans | $490.75 | ↑ +86% |
| Humana | Commercial|Transplant | $490.75 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $490.75 | ↑ +86% |
| Coventry | Commercial|PPO | $490.75 | ↑ +86% |
| First Health | Commercial|All Plans | $490.75 | ↑ +86% |
| Renaissance | Commercial|All Plans | $507.41 | ↑ +92% |
| Aetna | Commercial|PPO | $513.40 | ↑ +94% |
| Cigna | Commercial|Transplant | $528.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $528.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $528.50 | ↑ +100% |
| UNITED | Medicaid|STARPLUS | $543.32 | ↑ +106% |
| UHC | Medicaid|STARPLUS | $543.32 | ↑ +106% |
| KELSEY | Medicare|All Plans | $563.23 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $566.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $573.80 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $623.79 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $641.75 | ↑ +143% |
| CIGNA HEALTHSPRING | Medicare|HMO | $704.73 | ↑ +167% |
| BCBS | Medicare|All Plans | $704.73 | ↑ +167% |
| SELECTCARE | Medicare|All Plans | $704.73 | ↑ +167% |
| HUMANA | Medicare|All Other Plans | $704.73 | ↑ +167% |
| HUMANA | Medicare|TRANSPLANT | $704.73 | ↑ +167% |
| CIGNA HEALTHSPRING | Medicare|PPO | $711.78 | ↑ +169% |
| UHC-SecureHorizons | Medicare|All Plans | $718.82 | ↑ +172% |
| AETNA | Medicare|All Plans | $718.82 | ↑ +172% |
| Amerivantage | Medicare|All Plans | $725.87 | ↑ +175% |
| DEVOTED | Medicare|All Plans | $754.06 | ↑ +185% |
| SCANHealth | Medicare|All Plans | $754.06 | ↑ +185% |
| MHealth Network | Commercial|PPO | $755.00 | ↑ +186% |
| KINDRED | Medicare|All Plans | $775.20 | ↑ +193% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +205% |
| KelseyCare | Commercial|Exchange | $951.39 | ↑ +260% |
| Aetna | Commercial|HMO | $972.00 | ↑ +268% |
| Bright Health | Commercial|All Plans | $1,040.66 | ↑ +294% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +300% |
| Community Health Choice | Commercial|All Other Plans | $1,057.10 | ↑ +300% |
| Superior Health Plan | Commercial|All Plans | $1,057.10 | ↑ +300% |
| Community Health Choice | Commercial|Exchange | $1,057.10 | ↑ +300% |
| Aetna | Commercial|Exchange | $1,085.28 | ↑ +311% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↑ +415% |
| United | Commercial|Exchange | $1,676.00 | ↑ +534% |
| NX Health | Commercial|PPO | $2,290.37 | ↑ +767% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +820% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +820% |
| United | Commercial|Charter | $2,474.00 | ↑ +836% |
| United | Commercial|HMO | $2,749.00 | ↑ +940% |
| United | Commercial|PPO | $2,749.00 | ↑ +940% |
Visitor-reported prices
Comments
Ghs i and d pilonidal cyst simple at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,890.29 | $206.61 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $888.10 | $111.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $925.84 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $962.84 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $888.10 | $174.14 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $925.84 | $85.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $925.84 | $174.14 – $1,742.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $962.84 | $71.00 – $1,742.94 |