Ghs musc tst done w/nerv tst lim at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$253.40
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.
$724.00
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.
$62.62 with BCBS-TX vs $724.00 with MHealth Network — 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|MyBlue Health Exchange | $62.62 | ↓ -75% |
| BCBS-TX | Commercial|Exchange | $72.48 | ↓ -71% |
| BCBS-TX | Commercial|Blue Premier | $90.93 | ↓ -64% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -61% |
| Cigna | Commercial|HMO | $100.00 | ↓ -61% |
| Cigna | Commercial|PPO | $100.00 | ↓ -61% |
| BCBS-TX | Commercial|HMO | $120.09 | ↓ -53% |
| BCBS-TX | Commercial|PPO | $136.39 | ↓ -46% |
| OPTUM | Medicare|All Plans | $195.48 | ↓ -23% |
| United | Commercial|Exchange | $217.00 | ↓ -14% |
| TCHPCHIP | Medicaid|HMO | $253.40 | ↑ +0% |
| OPTUM | Medicaid|STAR | $261.95 | ↑ +3% |
| United | Commercial|Charter | $322.00 | ↑ +27% |
| United | Commercial|Optum | $340.28 | ↑ +34% |
| United | Commercial|PPO | $355.00 | ↑ +40% |
| United | Commercial|HMO | $355.00 | ↑ +40% |
| TEXASTRUECHOICE | Medicaid|CHIP | $398.20 | ↑ +57% |
| CHC | Medicaid|HMO | $398.20 | ↑ +57% |
| CHC | Medicaid|CHIP | $398.20 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $434.40 | ↑ +71% |
| Coventry | Commercial|PPO | $470.60 | ↑ +86% |
| Humana | Commercial|Transplant | $470.60 | ↑ +86% |
| First Health | Commercial|All Plans | $470.60 | ↑ +86% |
| Cigna | Commercial|Transplant | $506.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $506.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $506.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $543.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $598.17 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $615.40 | ↑ +143% |
| MHealth Network | Commercial|PPO | $724.00 | ↑ +186% |
Visitor-reported prices
Comments
Ghs musc tst done w/nerv tst lim at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $277.25 | $78.55 – $392.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $243.43 | $50.11 – $365.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $300.96 | $60.19 – $376.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $277.25 | $73.93 – $392.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $243.43 | $78.14 – $365.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $243.43 | $125.77 – $365.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $300.96 | $100.32 – $451.44 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $277.25 | $73.93 – $392.77 |