Mayo alpha 1 antitrypsin at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$131.25
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.
$375.00
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.
$9.68 with Renaissance vs $375.00 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $9.68 | ↓ -93% |
| TCHP | Medicaid|STARKIDS | $11.29 | ↓ -91% |
| Wellpoint | Medicaid|STARKIDS | $11.29 | ↓ -91% |
| Wellpoint | Medicaid|CHIP | $11.29 | ↓ -91% |
| TCHP | Medicaid|All Other Plans | $11.29 | ↓ -91% |
| Wellpoint | Medicaid|All Other Plans | $11.29 | ↓ -91% |
| UHC | Medicaid|STARKIDS | $11.52 | ↓ -91% |
| UHC | Medicaid|CHIP | $11.52 | ↓ -91% |
| UNITED | Medicaid|All Other Plans | $11.52 | ↓ -91% |
| BCBS | Medicaid|All Plans | $11.85 | ↓ -91% |
| CHC | Medicaid|All Other Plans | $12.98 | ↓ -90% |
| HUMANA | Medicare|TRANSPLANT | $13.44 | ↓ -90% |
| SELECTCARE | Medicare|All Plans | $13.44 | ↓ -90% |
| BCBS | Medicare|All Plans | $13.44 | ↓ -90% |
| CIGNA HEALTHSPRING | Medicare|HMO | $13.44 | ↓ -90% |
| HUMANA | Medicare|All Other Plans | $13.44 | ↓ -90% |
| CIGNA HEALTHSPRING | Medicare|PPO | $13.57 | ↓ -90% |
| AETNA | Medicare|All Plans | $13.71 | ↓ -90% |
| UHC-SecureHorizons | Medicare|All Plans | $13.71 | ↓ -90% |
| Amerivantage | Medicare|All Plans | $13.84 | ↓ -89% |
| SCANHealth | Medicare|All Plans | $14.38 | ↓ -89% |
| DEVOTED | Medicare|All Plans | $14.38 | ↓ -89% |
| KINDRED | Medicare|All Plans | $14.78 | ↓ -89% |
| Wellpoint | Medicaid|STAR | $15.13 | ↓ -88% |
| TCHP | Medicaid|STAR | $15.13 | ↓ -88% |
| UNITED | Medicaid|STAR | $15.47 | ↓ -88% |
| KELSEY | Medicare|All Plans | $16.59 | ↓ -87% |
| CHC | Medicaid|STAR | $17.39 | ↓ -87% |
| KelseyCare | Commercial|Exchange | $18.14 | ↓ -86% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $19.62 | ↓ -85% |
| Community Health Choice | Commercial|Exchange | $20.16 | ↓ -85% |
| Superior Health Plan | Commercial|All Plans | $20.16 | ↓ -85% |
| Community Health Choice | Commercial|All Other Plans | $20.16 | ↓ -85% |
| Wellpoint | Commercial|Exchange | $20.16 | ↓ -85% |
| Aetna | Commercial|Exchange | $20.70 | ↓ -84% |
| Bright Health | Commercial|All Plans | $22.18 | ↓ -83% |
| United | Commercial|PPO | $24.89 | ↓ -81% |
| United | Commercial|Exchange | $24.89 | ↓ -81% |
| United | Commercial|HMO | $24.89 | ↓ -81% |
| United | Commercial|Charter | $24.89 | ↓ -81% |
| BCBS-TX | Commercial|Exchange | $25.54 | ↓ -81% |
| Cigna | Commercial|Surefit | $32.22 | ↓ -75% |
| UNITED | Medicaid|STARPLUS | $35.22 | ↓ -73% |
| UHC | Medicaid|STARPLUS | $35.22 | ↓ -73% |
| Cigna | Commercial|HMO | $35.56 | ↓ -73% |
| NX Health | Commercial|PPO | $43.68 | ↓ -67% |
| BCBS-TX | Commercial|Blue Premier | $43.81 | ↓ -67% |
| Cigna | Commercial|PPO | $48.61 | ↓ -63% |
| BCBS-TX | Commercial|HMO | $58.87 | ↓ -55% |
| BCBS-TX | Commercial|PPO | $68.95 | ↓ -47% |
| OPTUM | Medicare|All Plans | $101.25 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $131.25 | ↑ +0% |
| OPTUM | Medicaid|STAR | $135.68 | ↑ +3% |
| United | Commercial|Optum | $176.25 | ↑ +34% |
| CHC | Medicaid|CHIP | $206.25 | ↑ +57% |
| CHC | Medicaid|HMO | $206.25 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $206.25 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $225.00 | ↑ +71% |
| First Health | Commercial|All Plans | $243.75 | ↑ +86% |
| Coventry | Commercial|PPO | $243.75 | ↑ +86% |
| Humana | Commercial|Transplant | $243.75 | ↑ +86% |
| Aetna | Commercial|HMO | $255.00 | ↑ +94% |
| Healthsmart | Commercial|PPO | $262.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $262.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $262.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $281.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $309.83 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $318.75 | ↑ +143% |
| MHealth Network | Commercial|PPO | $375.00 | ↑ +186% |
Visitor-reported prices
Comments
Mayo alpha 1 antitrypsin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $194.48 | $12.10 – $51.74 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $115.67 | $10.00 – $144.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $120.67 | $12.00 – $181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $109.99 | $11.29 – $137.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $115.67 | $10.00 – $144.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $120.67 | $12.00 – $181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $120.67 | $8.00 – $181.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $109.99 | $11.29 – $164.98 |