Ins cath ren art 1st uni at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$4,712.05
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.
?
What you pay up front if you don't use insurance.
$13,463.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,076.00 with Aetna-Kelsey Care vs $13,463.00 with MHealth Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,076.00 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $1,077.04 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $1,077.04 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $1,098.59 | ↓ -77% |
| Aetna | Commercial|HMO | $1,298.00 | ↓ -72% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↓ -71% |
| TCHP | Medicaid|STAR | $1,443.24 | ↓ -69% |
| UNITED | Medicaid|STAR | $1,475.55 | ↓ -69% |
| BCBS-TX | Commercial|Exchange | $2,078.46 | ↓ -56% |
| Renaissance | Commercial|All Plans | $2,269.87 | ↓ -52% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -48% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -48% |
| KELSEY | Medicare|All Plans | $2,450.86 | ↓ -48% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $2,660.43 | ↓ -44% |
| HUMANA | Medicare|All Other Plans | $3,152.60 | ↓ -33% |
| SELECTCARE | Medicare|All Plans | $3,152.60 | ↓ -33% |
| BCBS | Medicare|All Plans | $3,152.60 | ↓ -33% |
| CIGNA HEALTHSPRING | Medicare|HMO | $3,152.60 | ↓ -33% |
| HUMANA | Medicare|TRANSPLANT | $3,152.60 | ↓ -33% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,184.13 | ↓ -32% |
| UHC-SecureHorizons | Medicare|All Plans | $3,215.65 | ↓ -32% |
| AETNA | Medicare|All Plans | $3,215.65 | ↓ -32% |
| Amerivantage | Medicare|All Plans | $3,247.18 | ↓ -31% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -30% |
| UHC | Medicaid|STARPLUS | $3,360.37 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $3,360.37 | ↓ -29% |
| SCANHealth | Medicare|All Plans | $3,373.28 | ↓ -28% |
| DEVOTED | Medicare|All Plans | $3,373.28 | ↓ -28% |
| KINDRED | Medicare|All Plans | $3,467.86 | ↓ -26% |
| OPTUM | Medicare|All Plans | $3,635.01 | ↓ -23% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -23% |
| United | Commercial|Exchange | $3,677.00 | ↓ -22% |
| BCBS-TX | Commercial|Blue Premier | $4,018.36 | ↓ -15% |
| KelseyCare | Commercial|Exchange | $4,256.01 | ↓ -10% |
| TCHPCHIP | Medicaid|HMO | $4,712.05 | ↑ +0% |
| Wellpoint | Commercial|Exchange | $4,728.90 | ↑ +0% |
| Community Health Choice | Commercial|Exchange | $4,728.90 | ↑ +0% |
| Superior Health Plan | Commercial|All Plans | $4,728.90 | ↑ +0% |
| Community Health Choice | Commercial|All Other Plans | $4,728.90 | ↑ +0% |
| BCBS-TX | Commercial|HMO | $4,766.60 | ↑ +1% |
| Bright Health | Commercial|All Plans | $4,787.23 | ↑ +2% |
| Aetna | Commercial|Exchange | $4,855.00 | ↑ +3% |
| OPTUM | Medicaid|STAR | $4,870.92 | ↑ +3% |
| BCBS-TX | Commercial|PPO | $5,320.86 | ↑ +13% |
| United | Commercial|Charter | $5,428.00 | ↑ +15% |
| United | Commercial|PPO | $6,032.00 | ↑ +28% |
| United | Commercial|HMO | $6,032.00 | ↑ +28% |
| United | Commercial|Optum | $6,327.61 | ↑ +34% |
| CHC | Medicaid|CHIP | $7,404.65 | ↑ +57% |
| CHC | Medicaid|HMO | $7,404.65 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $7,404.65 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $8,077.80 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $8,077.80 | ↑ +71% |
| Coventry | Commercial|PPO | $8,750.95 | ↑ +86% |
| PHCS | Commercial|All Plans | $8,750.95 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $8,750.95 | ↑ +86% |
| First Health | Commercial|All Plans | $8,750.95 | ↑ +86% |
| Humana | Commercial|Transplant | $8,750.95 | ↑ +86% |
| Aetna | Commercial|PPO | $9,154.84 | ↑ +94% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +94% |
| Interlink | Commercial|Transplant | $9,424.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $9,424.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $9,424.10 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $10,097.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $10,231.88 | ↑ +117% |
| NX Health | Commercial|PPO | $10,245.95 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $11,123.14 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $11,443.55 | ↑ +143% |
| MHealth Network | Commercial|PPO | $13,463.00 | ↑ +186% |
Visitor-reported prices
Comments
Ins cath ren art 1st uni at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,879.64 | $1,382.56 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,667.63 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $7,640.49 | $71.00 – $9,550.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,879.64 | $1,301.24 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,667.63 | $85.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,667.63 | $2,411.61 – $7,896.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $7,640.49 | $71.00 – $11,460.74 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,879.64 | $1,301.24 – $7,896.23 |