Lithotripsy transluminal coronary percutaneous at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$4,824.75
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.
$13,785.00
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.
$100.00 with Cigna vs $13,785.00 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 |
|---|---|---|---|
| Cigna | Commercial|PPO | $100.00 | ↓ -98% |
| Cigna | Commercial|HMO | $100.00 | ↓ -98% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -98% |
| TCHP | Medicaid|All Other Plans | $1,102.80 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $1,102.80 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $1,124.86 | ↓ -77% |
| TCHP | Medicaid|STAR | $1,477.76 | ↓ -69% |
| UNITED | Medicaid|STAR | $1,510.84 | ↓ -69% |
| UNITED | Medicaid|STARPLUS | $3,440.74 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $3,440.74 | ↓ -29% |
| OPTUM | Medicare|All Plans | $3,721.95 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $4,824.75 | ↑ +0% |
| OPTUM | Medicaid|STAR | $4,987.42 | ↑ +3% |
| United | Commercial|Optum | $6,478.95 | ↑ +34% |
| TEXASTRUECHOICE | Medicaid|CHIP | $7,581.75 | ↑ +57% |
| CHC | Medicaid|CHIP | $7,581.75 | ↑ +57% |
| CHC | Medicaid|HMO | $7,581.75 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $8,271.00 | ↑ +71% |
| First Health | Commercial|All Plans | $8,960.25 | ↑ +86% |
| Coventry | Commercial|PPO | $8,960.25 | ↑ +86% |
| Humana | Commercial|Transplant | $8,960.25 | ↑ +86% |
| Healthsmart | Commercial|PPO | $9,649.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $9,649.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $9,649.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $10,338.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $11,389.17 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $11,717.25 | ↑ +143% |
| MHealth Network | Commercial|PPO | $13,785.00 | ↑ +186% |
Visitor-reported prices
Comments
Lithotripsy transluminal coronary percutaneous at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $12,380.88 | $3,507.92 – $17,539.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $12,380.88 | $2,548.40 – $18,571.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $12,380.88 | $2,476.18 – $15,476.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $12,380.88 | $3,301.57 – $17,539.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $12,380.88 | $3,974.26 – $18,571.32 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $12,380.88 | $6,396.79 – $18,571.32 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $12,380.88 | $4,126.96 – $18,571.32 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $12,380.88 | $3,301.57 – $17,539.58 |