Ins/rpl pm gen exist dual lead at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$9,112.95
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.
$26,037.00
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.
$1,233.00 with Aetna-Kelsey Care vs $34,067.41 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 | $1,233.00 | ↓ -86% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -84% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↓ -83% |
| Healthsmart | Commercial|AP3-PPO | $1,609.00 | ↓ -82% |
| Independent Med System | Commercial|All Plans | $1,795.00 | ↓ -80% |
| Humana | Commercial|HMO | $2,025.00 | ↓ -78% |
| Humana | Commercial|PPO | $2,025.00 | ↓ -78% |
| Cigna | Commercial|Surefit | $3,262.00 | ↓ -64% |
| Cigna | Commercial|HMO | $3,594.00 | ↓ -61% |
| PHCS Savility | Commercial|PPO | $5,252.00 | ↓ -42% |
| PHCS | Commercial|All Plans | $5,252.00 | ↓ -42% |
| TCHP | Medicaid|STARKIDS | $6,437.50 | ↓ -29% |
| Wellpoint | Medicaid|CHIP | $6,437.50 | ↓ -29% |
| Wellpoint | Medicaid|STARKIDS | $6,437.50 | ↓ -29% |
| Wellpoint | Medicaid|All Other Plans | $6,437.50 | ↓ -29% |
| TCHP | Medicaid|All Other Plans | $6,437.50 | ↓ -29% |
| UHC | Medicaid|CHIP | $6,566.25 | ↓ -28% |
| UHC | Medicaid|STARKIDS | $6,566.25 | ↓ -28% |
| UNITED | Medicaid|All Other Plans | $6,566.25 | ↓ -28% |
| BCBS | Medicaid|All Plans | $6,759.38 | ↓ -26% |
| OPTUM | Medicare|All Plans | $7,029.99 | ↓ -23% |
| CHC | Medicaid|All Other Plans | $7,403.13 | ↓ -19% |
| Renaissance | Commercial|All Plans | $7,547.24 | ↓ -17% |
| BCBS-TX | Commercial|Exchange | $7,688.96 | ↓ -16% |
| Wellpoint | Medicaid|STAR | $8,626.25 | ↓ -5% |
| TCHP | Medicaid|STAR | $8,626.25 | ↓ -5% |
| United | Commercial|Exchange | $8,773.00 | ↓ -4% |
| UNITED | Medicaid|STAR | $8,819.38 | ↓ -3% |
| Cigna | Commercial|PPO | $9,029.00 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $9,112.95 | ↑ +0% |
| OPTUM | Medicaid|STAR | $9,420.19 | ↑ +3% |
| KELSEY | Medicare|All Plans | $9,584.22 | ↑ +5% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $9,841.86 | ↑ +8% |
| CHC | Medicaid|STAR | $9,913.75 | ↑ +9% |
| BCBS | Medicare|All Plans | $10,482.28 | ↑ +15% |
| HUMANA | Medicare|TRANSPLANT | $10,482.28 | ↑ +15% |
| SELECTCARE | Medicare|All Plans | $10,482.28 | ↑ +15% |
| HUMANA | Medicare|All Other Plans | $10,482.28 | ↑ +15% |
| CIGNA HEALTHSPRING | Medicare|HMO | $10,482.28 | ↑ +15% |
| CIGNA HEALTHSPRING | Medicare|PPO | $10,587.10 | ↑ +16% |
| UHC-SecureHorizons | Medicare|All Plans | $10,691.93 | ↑ +17% |
| AETNA | Medicare|All Plans | $10,691.93 | ↑ +17% |
| Amerivantage | Medicare|All Plans | $10,796.75 | ↑ +18% |
| DEVOTED | Medicare|All Plans | $11,216.04 | ↑ +23% |
| SCANHealth | Medicare|All Plans | $11,216.04 | ↑ +23% |
| KINDRED | Medicare|All Plans | $11,530.51 | ↑ +27% |
| United | Commercial|Optum | $12,237.39 | ↑ +34% |
| United | Commercial|Charter | $12,952.00 | ↑ +42% |
| KelseyCare | Commercial|Exchange | $14,151.08 | ↑ +55% |
| CHC | Medicaid|HMO | $14,320.35 | ↑ +57% |
| CHC | Medicaid|CHIP | $14,320.35 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $14,320.35 | ↑ +57% |
| United | Commercial|HMO | $14,390.00 | ↑ +58% |
| United | Commercial|PPO | $14,390.00 | ↑ +58% |
| BCBS-TX | Commercial|Blue Premier | $14,865.31 | ↑ +63% |
| Cigna Lifesource | Commercial|Transplant | $15,622.20 | ↑ +71% |
| Superior Health Plan | Commercial|All Plans | $15,723.42 | ↑ +73% |
| Wellpoint | Commercial|Exchange | $15,723.42 | ↑ +73% |
| Community Health Choice | Commercial|Exchange | $15,723.42 | ↑ +73% |
| Community Health Choice | Commercial|All Other Plans | $15,723.42 | ↑ +73% |
| Aetna | Commercial|Exchange | $16,142.71 | ↑ +77% |
| Humana | Commercial|Transplant | $16,924.05 | ↑ +86% |
| First Health | Commercial|All Plans | $16,924.05 | ↑ +86% |
| Coventry | Commercial|PPO | $16,924.05 | ↑ +86% |
| Bright Health | Commercial|All Plans | $17,388.36 | ↑ +91% |
| BCBS-TX | Commercial|HMO | $17,633.34 | ↑ +93% |
| Aetna | Commercial|PPO | $17,705.16 | ↑ +94% |
| Interlink | Commercial|Transplant | $18,225.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $18,225.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $18,225.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $19,527.75 | ↑ +114% |
| BCBS-TX | Commercial|PPO | $19,683.72 | ↑ +116% |
| Aetna | Commercial|Transplant | $19,788.12 | ↑ +117% |
| UNITED | Medicaid|STARPLUS | $20,085.00 | ↑ +120% |
| UHC | Medicaid|STARPLUS | $20,085.00 | ↑ +120% |
| OPTUM | Medicaid|STARPLUS | $21,511.77 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $22,131.45 | ↑ +143% |
| MHealth Network | Commercial|PPO | $26,037.00 | ↑ +186% |
| NX Health | Commercial|PPO | $34,067.41 | ↑ +274% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11,936.76 | $2,763.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $9,089.75 | $1,870.97 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $10,930.91 | $6,022.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $11,936.76 | $2,763.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $9,089.75 | $2,763.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $9,089.75 | $2,763.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $10,930.91 | $2,763.00 – $26,452.82 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $11,936.76 | $2,763.00 – $26,452.82 |