Ins/rpl ldless pm right vent w img & eval at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$14,670.25
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.
$41,915.00
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.
$1,528.00 with Aetna-Kelsey Care vs $62,081.69 with NX Health — 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 | $1,528.00 | ↓ -90% |
| Aetna | Commercial|HMO | $1,842.00 | ↓ -87% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $3,353.20 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $3,353.20 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $3,420.27 | ↓ -77% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -75% |
| TCHP | Medicaid|STAR | $4,493.29 | ↓ -69% |
| UNITED | Medicaid|STAR | $4,593.89 | ↓ -69% |
| United | Commercial|Exchange | $5,560.00 | ↓ -62% |
| United | Commercial|Charter | $8,210.00 | ↓ -44% |
| United | Commercial|PPO | $9,121.00 | ↓ -38% |
| United | Commercial|HMO | $9,121.00 | ↓ -38% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -38% |
| UHC | Medicaid|STARPLUS | $10,461.99 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $10,461.99 | ↓ -29% |
| OPTUM | Medicare|All Plans | $11,317.05 | ↓ -23% |
| BCBS-TX | Commercial|Exchange | $11,954.98 | ↓ -19% |
| Renaissance | Commercial|All Plans | $13,753.48 | ↓ -6% |
| TCHPCHIP | Medicaid|HMO | $14,670.25 | ↑ +0% |
| OPTUM | Medicaid|STAR | $15,164.85 | ↑ +3% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $15,302.37 | ↑ +4% |
| BCBS | Medicare|All Plans | $19,102.06 | ↑ +30% |
| CIGNA HEALTHSPRING | Medicare|HMO | $19,102.06 | ↑ +30% |
| HUMANA | Medicare|All Other Plans | $19,102.06 | ↑ +30% |
| HUMANA | Medicare|TRANSPLANT | $19,102.06 | ↑ +30% |
| SELECTCARE | Medicare|All Plans | $19,102.06 | ↑ +30% |
| CIGNA HEALTHSPRING | Medicare|PPO | $19,293.08 | ↑ +32% |
| UHC-SecureHorizons | Medicare|All Plans | $19,484.10 | ↑ +33% |
| AETNA | Medicare|All Plans | $19,484.10 | ↑ +33% |
| Amerivantage | Medicare|All Plans | $19,675.12 | ↑ +34% |
| United | Commercial|Optum | $19,700.05 | ↑ +34% |
| DEVOTED | Medicare|All Plans | $20,439.20 | ↑ +39% |
| SCANHealth | Medicare|All Plans | $20,439.20 | ↑ +39% |
| KINDRED | Medicare|All Plans | $21,012.27 | ↑ +43% |
| CHC | Medicaid|HMO | $23,053.25 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $23,053.25 | ↑ +57% |
| CHC | Medicaid|CHIP | $23,053.25 | ↑ +57% |
| BCBS-TX | Commercial|Blue Premier | $23,112.96 | ↑ +58% |
| Cigna Lifesource | Commercial|Transplant | $25,149.00 | ↑ +71% |
| KelseyCare | Commercial|Exchange | $25,787.78 | ↑ +76% |
| Bright Health | Commercial|All Plans | $26,857.58 | ↑ +83% |
| Humana | Commercial|Transplant | $27,244.75 | ↑ +86% |
| Coventry | Commercial|PPO | $27,244.75 | ↑ +86% |
| First Health | Commercial|All Plans | $27,244.75 | ↑ +86% |
| BCBS-TX | Commercial|HMO | $27,416.75 | ↑ +87% |
| Aetna | Commercial|PPO | $28,502.20 | ↑ +94% |
| Superior Health Plan | Commercial|All Plans | $28,653.09 | ↑ +95% |
| Community Health Choice | Commercial|All Other Plans | $28,653.09 | ↑ +95% |
| Wellpoint | Commercial|Exchange | $28,653.09 | ↑ +95% |
| Community Health Choice | Commercial|Exchange | $28,653.09 | ↑ +95% |
| Healthsmart | Commercial|PPO | $29,340.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $29,340.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $29,340.50 | ↑ +100% |
| Aetna | Commercial|Exchange | $29,417.17 | ↑ +101% |
| BCBS-TX | Commercial|PPO | $30,604.74 | ↑ +109% |
| MultiPlan | Commercial|All Plans | $31,436.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $34,630.18 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $35,627.75 | ↑ +143% |
| MHealth Network | Commercial|PPO | $41,915.00 | ↑ +186% |
| NX Health | Commercial|PPO | $62,081.69 | ↑ +323% |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $29,327.76 | $6,299.00 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $29,327.76 | $6,036.63 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $26,661.60 | $5,332.32 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $29,327.76 | $7,820.74 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $29,327.76 | $9,414.21 – $48,269.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $29,327.76 | $15,152.68 – $48,269.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $26,661.60 | $8,887.20 – $48,269.91 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $29,327.76 | $7,820.74 – $48,269.91 |