Ins mark abd/pel for right perq at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$477.40
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.
$1,364.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$272.03 with BCBS-TX vs $7,221.00 with Cigna — 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 | $272.03 | ↓ -43% |
| TCHP | Medicaid|All Other Plans | $296.23 | ↓ -38% |
| Wellpoint | Medicaid|CHIP | $296.23 | ↓ -38% |
| TCHP | Medicaid|STARKIDS | $296.23 | ↓ -38% |
| Wellpoint | Medicaid|All Other Plans | $296.23 | ↓ -38% |
| Wellpoint | Medicaid|STARKIDS | $296.23 | ↓ -38% |
| UHC | Medicaid|STARKIDS | $302.15 | ↓ -37% |
| UNITED | Medicaid|All Other Plans | $302.15 | ↓ -37% |
| UHC | Medicaid|CHIP | $302.15 | ↓ -37% |
| BCBS | Medicaid|All Plans | $311.04 | ↓ -35% |
| CHC | Medicaid|All Other Plans | $340.66 | ↓ -29% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $348.19 | ↓ -27% |
| OPTUM | Medicare|All Plans | $368.28 | ↓ -23% |
| Wellpoint | Medicaid|STAR | $396.95 | ↓ -17% |
| TCHP | Medicaid|STAR | $396.95 | ↓ -17% |
| UNITED | Medicaid|STAR | $405.84 | ↓ -15% |
| CHC | Medicaid|STAR | $456.19 | ↓ -4% |
| TCHPCHIP | Medicaid|HMO | $477.40 | ↑ +0% |
| OPTUM | Medicaid|STAR | $493.50 | ↑ +3% |
| BCBS-TX | Commercial|Blue Premier | $525.92 | ↑ +10% |
| BCBS-TX | Commercial|HMO | $623.84 | ↑ +31% |
| United | Commercial|Optum | $641.08 | ↑ +34% |
| BCBS-TX | Commercial|PPO | $696.38 | ↑ +46% |
| CHC | Medicaid|HMO | $750.20 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $750.20 | ↑ +57% |
| CHC | Medicaid|CHIP | $750.20 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $818.40 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $818.40 | ↑ +71% |
| PHCS Savility | Commercial|PPO | $886.60 | ↑ +86% |
| Humana | Commercial|Transplant | $886.60 | ↑ +86% |
| Coventry | Commercial|PPO | $886.60 | ↑ +86% |
| First Health | Commercial|All Plans | $886.60 | ↑ +86% |
| PHCS | Commercial|All Plans | $886.60 | ↑ +86% |
| UNITED | Medicaid|STARPLUS | $924.24 | ↑ +94% |
| UHC | Medicaid|STARPLUS | $924.24 | ↑ +94% |
| Aetna | Commercial|PPO | $927.52 | ↑ +94% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +97% |
| Cigna | Commercial|Transplant | $954.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $954.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $954.80 | ↑ +100% |
| Aetna | Commercial|HMO | $972.00 | ↑ +104% |
| Renaissance | Commercial|All Plans | $986.75 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $1,023.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,036.64 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $1,126.94 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,159.40 | ↑ +143% |
| KELSEY | Medicare|All Plans | $1,166.74 | ↑ +144% |
| MHealth Network | Commercial|PPO | $1,364.00 | ↑ +186% |
| SELECTCARE | Medicare|All Plans | $1,370.48 | ↑ +187% |
| HUMANA | Medicare|All Other Plans | $1,370.48 | ↑ +187% |
| BCBS | Medicare|All Plans | $1,370.48 | ↑ +187% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,370.48 | ↑ +187% |
| HUMANA | Medicare|TRANSPLANT | $1,370.48 | ↑ +187% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,384.18 | ↑ +190% |
| UHC-SecureHorizons | Medicare|All Plans | $1,397.89 | ↑ +193% |
| AETNA | Medicare|All Plans | $1,397.89 | ↑ +193% |
| Amerivantage | Medicare|All Plans | $1,411.59 | ↑ +196% |
| SCANHealth | Medicare|All Plans | $1,466.41 | ↑ +207% |
| DEVOTED | Medicare|All Plans | $1,466.41 | ↑ +207% |
| KINDRED | Medicare|All Plans | $1,507.53 | ↑ +216% |
| KelseyCare | Commercial|Exchange | $1,850.15 | ↑ +288% |
| Wellpoint | Commercial|Exchange | $2,055.72 | ↑ +331% |
| Community Health Choice | Commercial|Exchange | $2,055.72 | ↑ +331% |
| Community Health Choice | Commercial|All Other Plans | $2,055.72 | ↑ +331% |
| Superior Health Plan | Commercial|All Plans | $2,055.72 | ↑ +331% |
| Aetna | Commercial|Exchange | $2,110.54 | ↑ +342% |
| Bright Health | Commercial|All Plans | $2,111.74 | ↑ +342% |
| United | Commercial|Exchange | $2,303.00 | ↑ +382% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +409% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +409% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +447% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +502% |
| United | Commercial|Charter | $3,400.00 | ↑ +612% |
| United | Commercial|PPO | $3,778.00 | ↑ +691% |
| United | Commercial|HMO | $3,778.00 | ↑ +691% |
| NX Health | Commercial|PPO | $4,454.06 | ↑ +833% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +1413% |
Visitor-reported prices
Comments
Ins mark abd/pel for right perq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,000.78 | $296.23 – $3,432.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,220.12 | $71.00 – $4,830.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,220.12 | $71.00 – $4,025.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,000.78 | $296.23 – $3,432.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,220.12 | $85.00 – $4,830.18 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,220.12 | $296.23 – $4,830.18 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,220.12 | $71.00 – $4,830.18 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,000.78 | $296.23 – $3,432.55 |