Inj, micafungin (par pharm) at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$42.05
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.
$120.12
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.
$26.43 with Aetna-Kelsey Care vs $120.12 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $26.43 | ↓ -37% |
| United | Commercial|Exchange | $31.24 | ↓ -26% |
| Aetna | Commercial|PPO | $31.24 | ↓ -26% |
| Aetna | Commercial|HMO | $31.24 | ↓ -26% |
| OPTUM | Medicare|All Plans | $32.44 | ↓ -23% |
| Aetna | Commercial|Transplant | $38.44 | ↓ -9% |
| Bright Health | Commercial|All Plans | $39.64 | ↓ -6% |
| United | Commercial|Charter | $40.85 | ↓ -3% |
| TCHPCHIP | Medicaid|HMO | $42.05 | ↑ +0% |
| Cigna | Commercial|PPO | $43.25 | ↑ +3% |
| Cigna | Commercial|Surefit | $43.25 | ↑ +3% |
| Cigna | Commercial|HMO | $43.25 | ↑ +3% |
| OPTUM | Medicaid|STAR | $43.46 | ↑ +3% |
| United | Commercial|PPO | $45.65 | ↑ +9% |
| United | Commercial|HMO | $45.65 | ↑ +9% |
| United | Commercial|Optum | $56.46 | ↑ +34% |
| Humana | Commercial|HMO | $57.66 | ↑ +37% |
| Humana | Commercial|PPO | $57.66 | ↑ +37% |
| KelseyCare | Commercial|All Other Plans | $58.86 | ↑ +40% |
| CHC | Medicaid|CHIP | $66.07 | ↑ +57% |
| CHC | Medicaid|HMO | $66.07 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $66.07 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $72.08 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $72.08 | ↑ +71% |
| Coventry | Commercial|PPO | $78.08 | ↑ +86% |
| First Health | Commercial|All Plans | $78.08 | ↑ +86% |
| Humana | Commercial|Transplant | $78.08 | ↑ +86% |
| Interlink | Commercial|Transplant | $84.09 | ↑ +100% |
| Cigna | Commercial|Transplant | $84.09 | ↑ +100% |
| PHCS | Commercial|All Plans | $84.09 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $84.09 | ↑ +100% |
| Healthsmart | Commercial|PPO | $84.09 | ↑ +100% |
| Healthsmart | Commercial|AP3-PPO | $86.49 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $90.09 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $99.25 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $102.11 | ↑ +143% |
| MHealth Network | Commercial|PPO | $120.12 | ↑ +186% |
Visitor-reported prices
Comments
Inj, micafungin (par pharm) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $252.43 | $0.31 – $0.87 |
| HCA HOUSTON MEDICAL CENTER | Houston | $408.67 | $0.31 – $0.87 |
| Covenant Children's Hospital | Lubbock | $337.52 | $1.01 – $1.29 |
| HCA HOUSTON KINGWOOD | HUMBLE | $491.59 | $0.22 – $0.87 |
| HCA HOUSTON NORTHWEST | SPRING | $511.16 | $0.31 – $0.87 |
| Baylor St Luke's Medical Center | Houston | $42.05 | $26.43 – $120.12 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $42.05 | $26.43 – $120.12 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $42.05 | $26.43 – $120.12 |