Ghs simple repair 7.6 - 12.5 cm - 12004 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$594.30
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.
$1,698.00
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.
$131.05 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 | $131.05 | ↓ -78% |
| TCHP | Medicaid|All Other Plans | $135.84 | ↓ -77% |
| CHC | Medicaid|All Other Plans | $135.84 | ↓ -77% |
| Wellpoint | Medicaid|CHIP | $135.84 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $135.84 | ↓ -77% |
| Wellpoint | Medicaid|STARKIDS | $135.84 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $135.84 | ↓ -77% |
| UHC | Medicaid|STARKIDS | $138.56 | ↓ -77% |
| UHC | Medicaid|CHIP | $138.56 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $138.56 | ↓ -77% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -76% |
| BCBS | Medicaid|All Plans | $142.64 | ↓ -76% |
| Renaissance | Commercial|All Plans | $143.29 | ↓ -76% |
| Cigna | Commercial|HMO | $154.00 | ↓ -74% |
| KELSEY | Medicare|All Plans | $166.11 | ↓ -72% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $167.74 | ↓ -72% |
| Wellpoint | Medicaid|STAR | $182.03 | ↓ -69% |
| TCHP | Medicaid|STAR | $182.03 | ↓ -69% |
| CHC | Medicaid|STAR | $182.03 | ↓ -69% |
| UNITED | Medicaid|STAR | $186.11 | ↓ -69% |
| CIGNA HEALTHSPRING | Medicare|HMO | $199.02 | ↓ -67% |
| SELECTCARE | Medicare|All Plans | $199.02 | ↓ -67% |
| HUMANA | Medicare|All Other Plans | $199.02 | ↓ -67% |
| HUMANA | Medicare|TRANSPLANT | $199.02 | ↓ -67% |
| BCBS | Medicare|All Plans | $199.02 | ↓ -67% |
| CIGNA HEALTHSPRING | Medicare|PPO | $201.01 | ↓ -66% |
| UHC-SecureHorizons | Medicare|All Plans | $203.00 | ↓ -66% |
| AETNA | Medicare|All Plans | $203.00 | ↓ -66% |
| Amerivantage | Medicare|All Plans | $204.99 | ↓ -66% |
| DEVOTED | Medicare|All Plans | $212.95 | ↓ -64% |
| SCANHealth | Medicare|All Plans | $212.95 | ↓ -64% |
| KINDRED | Medicare|All Plans | $218.92 | ↓ -63% |
| BCBS-TX | Commercial|Blue Premier | $253.36 | ↓ -57% |
| KelseyCare | Commercial|Exchange | $268.68 | ↓ -55% |
| Community Health Choice | Commercial|Exchange | $298.53 | ↓ -50% |
| Community Health Choice | Commercial|All Other Plans | $298.53 | ↓ -50% |
| Superior Health Plan | Commercial|All Plans | $298.53 | ↓ -50% |
| Wellpoint | Commercial|Exchange | $298.53 | ↓ -50% |
| Bright Health | Commercial|All Plans | $300.30 | ↓ -49% |
| BCBS-TX | Commercial|HMO | $300.54 | ↓ -49% |
| Aetna | Commercial|Exchange | $306.49 | ↓ -48% |
| BCBS-TX | Commercial|PPO | $335.48 | ↓ -44% |
| Cigna | Commercial|PPO | $387.00 | ↓ -35% |
| UNITED | Medicaid|STARPLUS | $423.83 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $423.83 | ↓ -29% |
| OPTUM | Medicare|All Plans | $458.46 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $594.30 | ↑ +0% |
| OPTUM | Medicaid|STAR | $614.34 | ↑ +3% |
| NX Health | Commercial|PPO | $646.82 | ↑ +9% |
| United | Commercial|Optum | $798.06 | ↑ +34% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +36% |
| CHC | Medicaid|HMO | $933.90 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $933.90 | ↑ +57% |
| CHC | Medicaid|CHIP | $933.90 | ↑ +57% |
| Aetna | Commercial|HMO | $972.00 | ↑ +64% |
| Cigna Lifesource | Commercial|Transplant | $1,018.80 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $1,018.80 | ↑ +71% |
| PHCS | Commercial|All Plans | $1,103.70 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $1,103.70 | ↑ +86% |
| First Health | Commercial|All Plans | $1,103.70 | ↑ +86% |
| Coventry | Commercial|PPO | $1,103.70 | ↑ +86% |
| Humana | Commercial|Transplant | $1,103.70 | ↑ +86% |
| Aetna | Commercial|PPO | $1,154.64 | ↑ +94% |
| Healthsmart | Commercial|PPO | $1,188.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,188.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,188.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,273.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,290.48 | ↑ +117% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↑ +129% |
| OPTUM | Medicaid|STARPLUS | $1,402.89 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,443.30 | ↑ +143% |
| United | Commercial|Exchange | $1,676.00 | ↑ +182% |
| MHealth Network | Commercial|PPO | $1,698.00 | ↑ +186% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +309% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +309% |
| United | Commercial|Charter | $2,474.00 | ↑ +316% |
| United | Commercial|PPO | $2,749.00 | ↑ +363% |
| United | Commercial|HMO | $2,749.00 | ↑ +363% |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,142.40 | $218.41 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $569.06 | $111.00 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $470.47 | $71.00 – $705.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $545.35 | $71.00 – $681.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $569.06 | $151.75 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $470.47 | $85.00 – $705.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $470.47 | $243.08 – $705.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $545.35 | $71.00 – $818.02 |