Ghs simple repair 12.6 - 20.0 cm - 12016 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$894.60
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.
$2,556.00
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.
$143.08 with Wellpoint vs $7,221.00 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|STARKIDS | $143.08 | ↓ -84% |
| Wellpoint | Medicaid|CHIP | $143.08 | ↓ -84% |
| Wellpoint | Medicaid|All Other Plans | $143.08 | ↓ -84% |
| TCHP | Medicaid|All Other Plans | $143.08 | ↓ -84% |
| TCHP | Medicaid|STARKIDS | $143.08 | ↓ -84% |
| UHC | Medicaid|CHIP | $145.94 | ↓ -84% |
| UHC | Medicaid|STARKIDS | $145.94 | ↓ -84% |
| UNITED | Medicaid|All Other Plans | $145.94 | ↓ -84% |
| BCBS | Medicaid|All Plans | $150.23 | ↓ -83% |
| CHC | Medicaid|All Other Plans | $164.54 | ↓ -82% |
| TCHP | Medicaid|STAR | $191.73 | ↓ -79% |
| Wellpoint | Medicaid|STAR | $191.73 | ↓ -79% |
| UNITED | Medicaid|STAR | $196.02 | ↓ -78% |
| CHC | Medicaid|STAR | $220.34 | ↓ -75% |
| BCBS-TX | Commercial|Exchange | $239.63 | ↓ -73% |
| Renaissance | Commercial|All Plans | $288.13 | ↓ -68% |
| KELSEY | Medicare|All Plans | $305.58 | ↓ -66% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $306.73 | ↓ -66% |
| HUMANA | Medicare|TRANSPLANT | $400.18 | ↓ -55% |
| BCBS | Medicare|All Plans | $400.18 | ↓ -55% |
| CIGNA HEALTHSPRING | Medicare|HMO | $400.18 | ↓ -55% |
| SELECTCARE | Medicare|All Plans | $400.18 | ↓ -55% |
| HUMANA | Medicare|All Other Plans | $400.18 | ↓ -55% |
| CIGNA HEALTHSPRING | Medicare|PPO | $404.18 | ↓ -55% |
| AETNA | Medicare|All Plans | $408.18 | ↓ -54% |
| UHC-SecureHorizons | Medicare|All Plans | $408.18 | ↓ -54% |
| Amerivantage | Medicare|All Plans | $412.19 | ↓ -54% |
| SCANHealth | Medicare|All Plans | $428.19 | ↓ -52% |
| DEVOTED | Medicare|All Plans | $428.19 | ↓ -52% |
| KINDRED | Medicare|All Plans | $440.20 | ↓ -51% |
| UNITED | Medicaid|STARPLUS | $446.41 | ↓ -50% |
| UHC | Medicaid|STARPLUS | $446.41 | ↓ -50% |
| BCBS-TX | Commercial|Blue Premier | $463.29 | ↓ -48% |
| KelseyCare | Commercial|Exchange | $540.24 | ↓ -40% |
| BCBS-TX | Commercial|HMO | $549.56 | ↓ -39% |
| Bright Health | Commercial|All Plans | $578.01 | ↓ -35% |
| Community Health Choice | Commercial|All Other Plans | $600.27 | ↓ -33% |
| Superior Health Plan | Commercial|All Plans | $600.27 | ↓ -33% |
| Wellpoint | Commercial|Exchange | $600.27 | ↓ -33% |
| Community Health Choice | Commercial|Exchange | $600.27 | ↓ -33% |
| BCBS-TX | Commercial|PPO | $613.46 | ↓ -31% |
| Aetna | Commercial|Exchange | $616.28 | ↓ -31% |
| OPTUM | Medicare|All Plans | $690.12 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $894.60 | ↑ +0% |
| OPTUM | Medicaid|STAR | $924.77 | ↑ +3% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↑ +20% |
| United | Commercial|Optum | $1,201.32 | ↑ +34% |
| Healthsmart | Commercial|AP3-PPO | $1,285.00 | ↑ +44% |
| Aetna | Commercial|HMO | $1,298.00 | ↑ +45% |
| NX Health | Commercial|PPO | $1,300.59 | ↑ +45% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↑ +52% |
| CHC | Medicaid|HMO | $1,405.80 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,405.80 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,405.80 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $1,533.60 | ↑ +71% |
| Coventry | Commercial|PPO | $1,661.40 | ↑ +86% |
| Humana | Commercial|Transplant | $1,661.40 | ↑ +86% |
| First Health | Commercial|All Plans | $1,661.40 | ↑ +86% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +87% |
| United | Commercial|Exchange | $1,676.00 | ↑ +87% |
| Aetna | Commercial|PPO | $1,738.08 | ↑ +94% |
| Humana | Commercial|HMO | $1,782.00 | ↑ +99% |
| Humana | Commercial|PPO | $1,782.00 | ↑ +99% |
| Cigna | Commercial|Transplant | $1,789.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,789.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,789.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,917.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,942.56 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $2,111.77 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,172.60 | ↑ +143% |
| United | Commercial|Charter | $2,474.00 | ↑ +177% |
| MHealth Network | Commercial|PPO | $2,556.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +192% |
| United | Commercial|HMO | $2,749.00 | ↑ +207% |
| United | Commercial|PPO | $2,749.00 | ↑ +207% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +221% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +480% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↑ +480% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +707% |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12016 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $875.44 | $143.08 – $1,094.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $563.75 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $430.77 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $875.44 | $143.08 – $1,094.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $563.75 | $85.00 – $987.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $563.75 | $143.08 – $987.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $430.77 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $875.44 | $143.08 – $1,094.30 |