Graft impl ult thck 6x12cm -cost per sq cm at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$40,917.45
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.
$116,907.00
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.
$38.47 with BCBS-TX vs $1,554.00 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 | $38.47 | ↓ -100% |
| BCBS-TX | Commercial|Exchange | $43.41 | ↓ -100% |
| BCBS-TX | Commercial|Blue Premier | $74.81 | ↓ -100% |
| Cigna | Commercial|PPO | $91.77 | ↓ -100% |
| BCBS-TX | Commercial|HMO | $93.87 | ↓ -100% |
| Cigna | Commercial|HMO | $96.75 | ↓ -100% |
| Cigna | Commercial|Surefit | $96.75 | ↓ -100% |
| BCBS-TX | Commercial|PPO | $114.69 | ↓ -100% |
| United | Commercial|Exchange | $372.96 | ↓ -99% |
| Aetna-Kelsey Care | Commercial|HMO | $388.50 | ↓ -99% |
| Bright Health | Commercial|All Plans | $404.04 | ↓ -99% |
| OPTUM | Medicare|All Plans | $419.58 | ↓ -99% |
| United | Commercial|Charter | $435.12 | ↓ -99% |
| Aetna | Commercial|PPO | $450.66 | ↓ -99% |
| Aetna | Commercial|HMO | $450.66 | ↓ -99% |
| United | Commercial|HMO | $481.74 | ↓ -99% |
| United | Commercial|PPO | $481.74 | ↓ -99% |
| TCHPCHIP | Medicaid|HMO | $543.90 | ↓ -99% |
| OPTUM | Medicaid|STAR | $562.24 | ↓ -99% |
| Aetna | Commercial|Transplant | $574.98 | ↓ -99% |
| KelseyCare | Commercial|All Other Plans | $637.14 | ↓ -98% |
| Humana | Commercial|HMO | $652.68 | ↓ -98% |
| Humana | Commercial|PPO | $652.68 | ↓ -98% |
| United | Commercial|Optum | $730.38 | ↓ -98% |
| TEXASTRUECHOICE | Medicaid|CHIP | $854.70 | ↓ -98% |
| CHC | Medicaid|CHIP | $854.70 | ↓ -98% |
| CHC | Medicaid|HMO | $854.70 | ↓ -98% |
| Cigna Lifesource | Commercial|Transplant | $932.40 | ↓ -98% |
| Interlink | Commercial|Transplant | $932.40 | ↓ -98% |
| Independent Med System | Commercial|All Plans | $932.40 | ↓ -98% |
| Coventry | Commercial|PPO | $1,010.10 | ↓ -98% |
| PHCS Savility | Commercial|PPO | $1,010.10 | ↓ -98% |
| First Health | Commercial|All Plans | $1,010.10 | ↓ -98% |
| Humana | Commercial|Transplant | $1,010.10 | ↓ -98% |
| PHCS | Commercial|All Plans | $1,010.10 | ↓ -98% |
| Cigna | Commercial|Transplant | $1,087.80 | ↓ -97% |
| Healthsmart | Commercial|PPO | $1,087.80 | ↓ -97% |
| Healthsmart | Commercial|AP3-PPO | $1,118.88 | ↓ -97% |
| MultiPlan | Commercial|All Plans | $1,165.50 | ↓ -97% |
| OPTUM | Medicaid|STARPLUS | $1,283.92 | ↓ -97% |
| USA Health Network | Commercial|All Plans | $1,320.90 | ↓ -97% |
| MHealth Network | Commercial|PPO | $1,554.00 | ↓ -96% |
Visitor-reported prices
Comments
Graft impl ult thck 6x12cm -cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $34,943.93 | $131.98 – $140.90 |
| HCA HOUSTON KINGWOOD | HUMBLE | $2,109.00 | $51.33 – $303.01 |
| St. Luke's Health - Patients Medical Center | Pasadena | $7,763.07 | $10.17 – $34.65 |
| Baylor St Luke's Medical Center | Houston | $40,917.45 | $31.76 – $1,554.00 |
| St. Joseph Health Madison Hospital | Madisonville | $23,253.65 | $35.15 – $10,909.80 |
| St. Luke's Health Memorial Lufkin | Lufkin | $17,536.05 | $21.49 – $138.11 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $40,917.45 | $38.47 – $1,554.00 |
| St. Joseph Health College Station Hospital | College Station | $23,253.65 | $35.15 – $28,591.50 |