Injection, caplacizumab-yhdp at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$16,745.11
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.
$47,843.16
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.
$751.44 with BCBS-TX vs $47,843.16 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 | $751.44 | ↓ -96% |
| BCBS-TX | Commercial|Exchange | $847.95 | ↓ -95% |
| Bright Health | Commercial|All Plans | $1,177.64 | ↓ -93% |
| BCBS-TX | Commercial|Blue Premier | $1,461.51 | ↓ -91% |
| BCBS-TX | Commercial|HMO | $1,833.78 | ↓ -89% |
| BCBS-TX | Commercial|PPO | $2,240.52 | ↓ -87% |
| Cigna | Commercial|PPO | $2,254.57 | ↓ -87% |
| Cigna | Commercial|Surefit | $2,376.85 | ↓ -86% |
| Cigna | Commercial|HMO | $2,376.85 | ↓ -86% |
| Aetna-Kelsey Care | Commercial|HMO | $10,525.50 | ↓ -37% |
| United | Commercial|Exchange | $12,439.23 | ↓ -26% |
| Aetna | Commercial|PPO | $12,439.23 | ↓ -26% |
| Aetna | Commercial|HMO | $12,439.23 | ↓ -26% |
| OPTUM | Medicare|All Plans | $12,917.66 | ↓ -23% |
| Aetna | Commercial|Transplant | $15,309.82 | ↓ -9% |
| United | Commercial|Charter | $16,266.68 | ↓ -3% |
| TCHPCHIP | Medicaid|HMO | $16,745.11 | ↑ +0% |
| OPTUM | Medicaid|STAR | $17,309.66 | ↑ +3% |
| United | Commercial|PPO | $18,180.41 | ↑ +9% |
| United | Commercial|HMO | $18,180.41 | ↑ +9% |
| United | Commercial|Optum | $22,486.29 | ↑ +34% |
| Humana | Commercial|PPO | $22,964.72 | ↑ +37% |
| Humana | Commercial|HMO | $22,964.72 | ↑ +37% |
| KelseyCare | Commercial|All Other Plans | $23,443.15 | ↑ +40% |
| TEXASTRUECHOICE | Medicaid|CHIP | $26,313.74 | ↑ +57% |
| CHC | Medicaid|CHIP | $26,313.74 | ↑ +57% |
| CHC | Medicaid|HMO | $26,313.74 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $28,705.90 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $28,705.90 | ↑ +71% |
| Coventry | Commercial|PPO | $31,098.06 | ↑ +86% |
| Humana | Commercial|Transplant | $31,098.06 | ↑ +86% |
| First Health | Commercial|All Plans | $31,098.06 | ↑ +86% |
| Interlink | Commercial|Transplant | $33,490.22 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $33,490.22 | ↑ +100% |
| Healthsmart | Commercial|PPO | $33,490.22 | ↑ +100% |
| Cigna | Commercial|Transplant | $33,490.22 | ↑ +100% |
| PHCS | Commercial|All Plans | $33,490.22 | ↑ +100% |
| Healthsmart | Commercial|AP3-PPO | $34,447.08 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $35,882.37 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $39,528.02 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $40,666.69 | ↑ +143% |
| MHealth Network | Commercial|PPO | $47,843.16 | ↑ +186% |
Visitor-reported prices
Comments
Injection, caplacizumab-yhdp at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $16,745.11 | $620.45 – $47,843.16 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $16,745.11 | $751.44 – $47,843.16 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $16,745.11 | $751.44 – $47,843.16 |
| St. Luke's Health - The Vintage Hospital | Houston | $16,745.11 | $751.44 – $47,843.16 |
| Covenant Medical Center | Lubbock | $47,821.09 | $801.26 – $2,999.57 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $14,289.03 | $744.95 – $744.95 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $14,289.03 | $744.95 – $744.95 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $14,289.03 | $744.95 – $2,888.54 |