Inj. herceptin hylecta, 10mg at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$12,149.65
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.
$34,713.28
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.
$45.42 with Renaissance vs $34,713.28 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $45.42 | ↓ -100% |
| HUMANA | Medicare|TRANSPLANT | $63.02 | ↓ -99% |
| CIGNA HEALTHSPRING | Medicare|HMO | $63.08 | ↓ -99% |
| BCBS | Medicare|All Plans | $63.08 | ↓ -99% |
| HUMANA | Medicare|All Other Plans | $63.08 | ↓ -99% |
| SELECTCARE | Medicare|All Plans | $63.08 | ↓ -99% |
| CIGNA HEALTHSPRING | Medicare|PPO | $63.71 | ↓ -99% |
| AETNA | Medicare|All Plans | $64.34 | ↓ -99% |
| UHC-SecureHorizons | Medicare|All Plans | $64.34 | ↓ -99% |
| Amerivantage | Medicare|All Plans | $64.97 | ↓ -99% |
| SCANHealth | Medicare|All Plans | $67.50 | ↓ -99% |
| DEVOTED | Medicare|All Plans | $67.50 | ↓ -99% |
| KINDRED | Medicare|All Plans | $69.39 | ↓ -99% |
| KelseyCare | Commercial|Exchange | $85.16 | ↓ -99% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $87.45 | ↓ -99% |
| United | Commercial|Exchange | $90.05 | ↓ -99% |
| Community Health Choice | Commercial|Exchange | $94.62 | ↓ -99% |
| Superior Health Plan | Commercial|All Plans | $94.62 | ↓ -99% |
| Wellpoint | Commercial|Exchange | $94.62 | ↓ -99% |
| Community Health Choice | Commercial|All Other Plans | $94.62 | ↓ -99% |
| Aetna | Commercial|Exchange | $97.14 | ↓ -99% |
| BCBS-TX | Commercial|Exchange | $98.68 | ↓ -99% |
| Bright Health | Commercial|All Plans | $111.05 | ↓ -99% |
| United | Commercial|PPO | $135.58 | ↓ -99% |
| United | Commercial|HMO | $135.58 | ↓ -99% |
| United | Commercial|Charter | $135.58 | ↓ -99% |
| BCBS-TX | Commercial|Blue Premier | $170.09 | ↓ -99% |
| Cigna | Commercial|PPO | $188.18 | ↓ -98% |
| Cigna | Commercial|HMO | $198.39 | ↓ -98% |
| Cigna | Commercial|Surefit | $198.39 | ↓ -98% |
| NX Health | Commercial|PPO | $205.01 | ↓ -98% |
| BCBS-TX | Commercial|HMO | $213.41 | ↓ -98% |
| BCBS-TX | Commercial|PPO | $260.75 | ↓ -98% |
| Aetna-Kelsey Care | Commercial|HMO | $7,636.93 | ↓ -37% |
| Aetna | Commercial|PPO | $9,025.46 | ↓ -26% |
| Aetna | Commercial|HMO | $9,025.46 | ↓ -26% |
| OPTUM | Medicare|All Plans | $9,372.59 | ↓ -23% |
| Aetna | Commercial|Transplant | $11,108.25 | ↓ -9% |
| TCHPCHIP | Medicaid|HMO | $12,149.65 | ↑ +0% |
| OPTUM | Medicaid|STAR | $12,559.27 | ↑ +3% |
| United | Commercial|Optum | $16,315.25 | ↑ +34% |
| Humana | Commercial|HMO | $16,662.38 | ↑ +37% |
| Humana | Commercial|PPO | $16,662.38 | ↑ +37% |
| KelseyCare | Commercial|All Other Plans | $17,009.51 | ↑ +40% |
| TEXASTRUECHOICE | Medicaid|CHIP | $19,092.31 | ↑ +57% |
| CHC | Medicaid|CHIP | $19,092.31 | ↑ +57% |
| CHC | Medicaid|HMO | $19,092.31 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $20,827.97 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $20,827.97 | ↑ +71% |
| Coventry | Commercial|PPO | $22,563.64 | ↑ +86% |
| Humana | Commercial|Transplant | $22,563.64 | ↑ +86% |
| First Health | Commercial|All Plans | $22,563.64 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $24,299.30 | ↑ +100% |
| PHCS | Commercial|All Plans | $24,299.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $24,299.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $24,299.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $24,299.30 | ↑ +100% |
| Healthsmart | Commercial|AP3-PPO | $24,993.57 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $26,034.96 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $28,680.12 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $29,506.29 | ↑ +143% |
| MHealth Network | Commercial|PPO | $34,713.28 | ↑ +186% |
Visitor-reported prices
Comments
Inj. herceptin hylecta, 10mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $12,149.65 | $72.21 – $34,713.28 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $12,149.65 | $87.45 – $34,713.28 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $12,149.65 | $87.45 – $34,713.28 |
| St. Luke's Health - The Vintage Hospital | Houston | $12,149.65 | $87.45 – $34,713.28 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $403.92 | $65.58 – $336.16 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $403.92 | $65.58 – $336.16 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $403.92 | $65.58 – $336.16 |
| Adventhealth Rollins Brook | Lampasas | not published | $308.89 – $308.89 |