Icd crtp serena MRI at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$30,484.13
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.
$87,097.50
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.
$7,827.75 with BCBS-TX vs $37,275.00 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|Exchange | $7,827.75 | ↓ -74% |
| BCBS-TX | Commercial|Blue Premier | $8,200.50 | ↓ -73% |
| United | Commercial|Exchange | $8,946.00 | ↓ -71% |
| Aetna-Kelsey Care | Commercial|HMO | $9,318.75 | ↓ -69% |
| Bright Health | Commercial|All Plans | $9,691.50 | ↓ -68% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $9,691.50 | ↓ -68% |
| BCBS-TX | Commercial|HMO | $10,064.25 | ↓ -67% |
| OPTUM | Medicare|All Plans | $10,064.25 | ↓ -67% |
| United | Commercial|Charter | $10,437.00 | ↓ -66% |
| Aetna | Commercial|HMO | $10,809.75 | ↓ -65% |
| Aetna | Commercial|PPO | $10,809.75 | ↓ -65% |
| Cigna | Commercial|Surefit | $11,182.50 | ↓ -63% |
| BCBS-TX | Commercial|PPO | $11,182.50 | ↓ -63% |
| Cigna | Commercial|HMO | $11,182.50 | ↓ -63% |
| Cigna | Commercial|PPO | $11,182.50 | ↓ -63% |
| United | Commercial|HMO | $11,555.25 | ↓ -62% |
| United | Commercial|PPO | $11,555.25 | ↓ -62% |
| TCHPCHIP | Medicaid|HMO | $13,046.25 | ↓ -57% |
| OPTUM | Medicaid|STAR | $13,486.10 | ↓ -56% |
| Aetna | Commercial|Transplant | $13,791.75 | ↓ -55% |
| KelseyCare | Commercial|All Other Plans | $15,282.75 | ↓ -50% |
| Humana | Commercial|HMO | $15,655.50 | ↓ -49% |
| Humana | Commercial|PPO | $15,655.50 | ↓ -49% |
| United | Commercial|Optum | $17,519.25 | ↓ -43% |
| TEXASTRUECHOICE | Medicaid|CHIP | $20,501.25 | ↓ -33% |
| CHC | Medicaid|CHIP | $20,501.25 | ↓ -33% |
| CHC | Medicaid|HMO | $20,501.25 | ↓ -33% |
| Cigna Lifesource | Commercial|Transplant | $22,365.00 | ↓ -27% |
| Interlink | Commercial|Transplant | $22,365.00 | ↓ -27% |
| Independent Med System | Commercial|All Plans | $22,365.00 | ↓ -27% |
| Coventry | Commercial|PPO | $24,228.75 | ↓ -21% |
| PHCS Savility | Commercial|PPO | $24,228.75 | ↓ -21% |
| First Health | Commercial|All Plans | $24,228.75 | ↓ -21% |
| Humana | Commercial|Transplant | $24,228.75 | ↓ -21% |
| PHCS | Commercial|All Plans | $24,228.75 | ↓ -21% |
| Cigna | Commercial|Transplant | $26,092.50 | ↓ -14% |
| Healthsmart | Commercial|PPO | $26,092.50 | ↓ -14% |
| Healthsmart | Commercial|AP3-PPO | $26,838.00 | ↓ -12% |
| MultiPlan | Commercial|All Plans | $27,956.25 | ↓ -8% |
| OPTUM | Medicaid|STARPLUS | $30,796.61 | ↑ +1% |
| USA Health Network | Commercial|All Plans | $31,683.75 | ↑ +4% |
| MHealth Network | Commercial|PPO | $37,275.00 | ↑ +22% |
Visitor-reported prices
Comments
Icd crtp serena MRI at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $11,566.80 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $15,750.00 | $4,820.80 – $17,217.12 |
| Baylor St Luke's Medical Center | Houston | $30,484.13 | $7,827.75 – $37,275.00 |
| St. Joseph Health Madison Hospital | Madisonville | $15,680.18 | $3,359.03 – $23,729.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $16,854.24 | $16,854.24 – $101,125.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $30,484.13 | $7,827.75 – $37,275.00 |
| St. Joseph Health College Station Hospital | College Station | $15,680.18 | $5,273.20 – $22,411.10 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $30,484.13 | $7,827.75 – $37,275.00 |