Kit lead specify 5-6-5 at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$36,731.63
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.
$104,947.50
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.
$0.27 with OPTUM vs $1,021.80 with PHCS Savility — 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $0.27 | ↓ -100% |
| TCHPCHIP | Medicaid|HMO | $0.35 | ↓ -100% |
| OPTUM | Medicaid|STAR | $0.37 | ↓ -100% |
| KelseyCare | Commercial|All Other Plans | $0.41 | ↓ -100% |
| United | Commercial|Optum | $0.47 | ↓ -100% |
| TEXASTRUECHOICE | Medicaid|CHIP | $0.55 | ↓ -100% |
| CHC | Medicaid|HMO | $0.55 | ↓ -100% |
| CHC | Medicaid|CHIP | $0.55 | ↓ -100% |
| Interlink | Commercial|Transplant | $0.60 | ↓ -100% |
| Cigna Lifesource | Commercial|Transplant | $0.60 | ↓ -100% |
| Independent Med System | Commercial|All Plans | $0.60 | ↓ -100% |
| First Health | Commercial|All Plans | $0.65 | ↓ -100% |
| Coventry | Commercial|PPO | $0.65 | ↓ -100% |
| Humana | Commercial|Transplant | $0.65 | ↓ -100% |
| Cigna | Commercial|Transplant | $0.70 | ↓ -100% |
| Healthsmart | Commercial|PPO | $0.70 | ↓ -100% |
| Healthsmart | Commercial|AP3-PPO | $0.72 | ↓ -100% |
| MultiPlan | Commercial|All Plans | $0.75 | ↓ -100% |
| OPTUM | Medicaid|STARPLUS | $0.83 | ↓ -100% |
| USA Health Network | Commercial|All Plans | $0.85 | ↓ -100% |
| Bright Health | Commercial|All Plans | $1.00 | ↓ -100% |
| Cigna | Commercial|PPO | $1.00 | ↓ -100% |
| Cigna | Commercial|HMO | $1.00 | ↓ -100% |
| Cigna | Commercial|Surefit | $1.00 | ↓ -100% |
| MHealth Network | Commercial|PPO | $1.00 | ↓ -100% |
| BCBS-TX | Commercial|Exchange | $330.12 | ↓ -99% |
| BCBS-TX | Commercial|Blue Premier | $345.84 | ↓ -99% |
| United | Commercial|Exchange | $377.28 | ↓ -99% |
| Aetna-Kelsey Care | Commercial|HMO | $393.00 | ↓ -99% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $408.72 | ↓ -99% |
| BCBS-TX | Commercial|HMO | $424.44 | ↓ -99% |
| United | Commercial|Charter | $440.16 | ↓ -99% |
| Aetna | Commercial|HMO | $455.88 | ↓ -99% |
| Aetna | Commercial|PPO | $455.88 | ↓ -99% |
| BCBS-TX | Commercial|PPO | $471.60 | ↓ -99% |
| United | Commercial|HMO | $487.32 | ↓ -99% |
| United | Commercial|PPO | $487.32 | ↓ -99% |
| Aetna | Commercial|Transplant | $581.64 | ↓ -98% |
| Humana | Commercial|PPO | $660.24 | ↓ -98% |
| Humana | Commercial|HMO | $660.24 | ↓ -98% |
| PHCS | Commercial|All Plans | $1,021.80 | ↓ -97% |
| PHCS Savility | Commercial|PPO | $1,021.80 | ↓ -97% |
Visitor-reported prices
Comments
Kit lead specify 5-6-5 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $34,886.25 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $7,868.91 | $75.64 – $270.12 |
| Baylor St Luke's Medical Center | Houston | $36,731.63 | $0.27 – $1,021.80 |
| St. Joseph Health Madison Hospital | Madisonville | $12,358.15 | $35.80 – $252.90 |
| St. Luke's Health Memorial Lufkin | Lufkin | $7,910.13 | $3,624.24 – $21,745.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $36,731.63 | $0.27 – $1,021.80 |
| St. Joseph Health College Station Hospital | College Station | $12,358.15 | $56.20 – $238.85 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $36,731.63 | $0.27 – $1,021.80 |