Melphalan oral 2 mg at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$152.81
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.
$436.60
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.
$7.66 with BCBS-TX vs $436.60 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 |
|---|---|---|---|
| BCBS-TX | Commercial|MyBlue Health Exchange | $7.66 | ↓ -95% |
| BCBS-TX | Commercial|Exchange | $8.65 | ↓ -94% |
| BCBS-TX | Commercial|Blue Premier | $14.90 | ↓ -90% |
| United | Commercial|Exchange | $18.42 | ↓ -88% |
| BCBS-TX | Commercial|HMO | $18.70 | ↓ -88% |
| BCBS-TX | Commercial|PPO | $22.85 | ↓ -85% |
| Cigna | Commercial|PPO | $27.55 | ↓ -82% |
| United | Commercial|Charter | $27.74 | ↓ -82% |
| United | Commercial|PPO | $27.74 | ↓ -82% |
| United | Commercial|HMO | $27.74 | ↓ -82% |
| Cigna | Commercial|Surefit | $29.05 | ↓ -81% |
| Cigna | Commercial|HMO | $29.05 | ↓ -81% |
| Aetna-Kelsey Care | Commercial|HMO | $96.06 | ↓ -37% |
| Aetna | Commercial|PPO | $113.52 | ↓ -26% |
| Aetna | Commercial|HMO | $113.52 | ↓ -26% |
| OPTUM | Medicare|All Plans | $117.89 | ↓ -23% |
| Aetna | Commercial|Transplant | $139.72 | ↓ -9% |
| Bright Health | Commercial|All Plans | $144.08 | ↓ -6% |
| TCHPCHIP | Medicaid|HMO | $152.81 | ↑ +0% |
| OPTUM | Medicaid|STAR | $157.97 | ↑ +3% |
| United | Commercial|Optum | $205.21 | ↑ +34% |
| Humana | Commercial|HMO | $209.57 | ↑ +37% |
| Humana | Commercial|PPO | $209.57 | ↑ +37% |
| KelseyCare | Commercial|All Other Plans | $213.94 | ↑ +40% |
| TEXASTRUECHOICE | Medicaid|CHIP | $240.13 | ↑ +57% |
| CHC | Medicaid|HMO | $240.13 | ↑ +57% |
| CHC | Medicaid|CHIP | $240.13 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $261.96 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $261.96 | ↑ +71% |
| First Health | Commercial|All Plans | $283.79 | ↑ +86% |
| Coventry | Commercial|PPO | $283.79 | ↑ +86% |
| Humana | Commercial|Transplant | $283.79 | ↑ +86% |
| Cigna | Commercial|Transplant | $305.62 | ↑ +100% |
| Healthsmart | Commercial|PPO | $305.62 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $305.62 | ↑ +100% |
| PHCS | Commercial|All Plans | $305.62 | ↑ +100% |
| Interlink | Commercial|Transplant | $305.62 | ↑ +100% |
| Healthsmart | Commercial|AP3-PPO | $314.36 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $327.45 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $360.72 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $371.11 | ↑ +143% |
| MHealth Network | Commercial|PPO | $436.60 | ↑ +186% |
Visitor-reported prices
Comments
Melphalan oral 2 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $16.58 | $4.70 – $23.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $16.58 | $3.41 – $24.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $16.58 | $3.32 – $20.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $16.58 | $4.42 – $23.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $16.58 | $5.32 – $24.88 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $16.58 | $8.57 – $24.88 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $16.58 | $5.53 – $24.88 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $16.58 | $4.42 – $23.49 |