Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$8,144.15
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.
$23,269.00
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 $23,269.00 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | ↓ -81% |
| Aetna | Commercial|HMO | $1,842.00 | ↓ -77% |
| KelseyCare | Commercial|All Other Plans | $1,848.60 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $1,861.52 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $1,861.52 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $1,898.76 | ↓ -77% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -70% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -70% |
| TCHP | Medicaid|STAR | $2,494.44 | ↓ -69% |
| UNITED | Medicaid|STAR | $2,550.29 | ↓ -69% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -59% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -55% |
| UNITED | Medicaid|STARPLUS | $5,807.95 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $5,807.95 | ↓ -29% |
| OPTUM | Medicare|All Plans | $6,282.63 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $8,144.15 | ↑ +0% |
| OPTUM | Medicaid|STAR | $8,418.73 | ↑ +3% |
| United | Commercial|Exchange | $8,773.00 | ↑ +8% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +12% |
| United | Commercial|Optum | $10,936.43 | ↑ +34% |
| CHC | Medicaid|CHIP | $12,797.95 | ↑ +57% |
| CHC | Medicaid|HMO | $12,797.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $12,797.95 | ↑ +57% |
| United | Commercial|Charter | $12,952.00 | ↑ +59% |
| Independent Med System | Commercial|All Plans | $13,961.40 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $13,961.40 | ↑ +71% |
| United | Commercial|HMO | $14,390.00 | ↑ +77% |
| United | Commercial|PPO | $14,390.00 | ↑ +77% |
| Humana | Commercial|Transplant | $15,124.85 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $15,124.85 | ↑ +86% |
| Coventry | Commercial|PPO | $15,124.85 | ↑ +86% |
| First Health | Commercial|All Plans | $15,124.85 | ↑ +86% |
| PHCS | Commercial|All Plans | $15,124.85 | ↑ +86% |
| Aetna | Commercial|PPO | $15,822.92 | ↑ +94% |
| Healthsmart | Commercial|PPO | $16,288.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $16,288.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $16,288.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $17,451.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $17,684.44 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $19,224.85 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $19,778.65 | ↑ +143% |
| MHealth Network | Commercial|PPO | $23,269.00 | ↑ +186% |
Visitor-reported prices
Comments
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18,479.83 | $5,235.95 – $26,179.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $17,706.20 | $3,644.53 – $26,559.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $18,940.37 | $3,788.07 – $23,675.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $18,479.83 | $4,927.96 – $26,179.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $17,706.20 | $5,683.69 – $26,559.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $17,706.20 | $9,148.20 – $26,559.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $18,940.37 | $6,313.46 – $28,410.56 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $18,479.83 | $4,927.96 – $26,179.76 |