Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$163.20
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.
$466.28
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.
$1.05 with BCBS-TX vs $97.93 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 | $1.05 | ↓ -99% |
| BCBS-TX | Commercial|Exchange | $1.18 | ↓ -99% |
| BCBS-TX | Commercial|Blue Premier | $2.04 | ↓ -99% |
| BCBS-TX | Commercial|HMO | $2.55 | ↓ -98% |
| United | Commercial|Exchange | $2.57 | ↓ -98% |
| BCBS-TX | Commercial|PPO | $3.12 | ↓ -98% |
| United | Commercial|Charter | $3.87 | ↓ -98% |
| United | Commercial|PPO | $3.87 | ↓ -98% |
| United | Commercial|HMO | $3.87 | ↓ -98% |
| Cigna | Commercial|PPO | $4.01 | ↓ -98% |
| Cigna | Commercial|Surefit | $4.23 | ↓ -97% |
| Cigna | Commercial|HMO | $4.23 | ↓ -97% |
| Aetna-Kelsey Care | Commercial|HMO | $21.55 | ↓ -87% |
| Aetna | Commercial|HMO | $25.47 | ↓ -84% |
| Aetna | Commercial|PPO | $25.47 | ↓ -84% |
| OPTUM | Medicare|All Plans | $26.45 | ↓ -84% |
| Aetna | Commercial|Transplant | $31.34 | ↓ -81% |
| Bright Health | Commercial|All Plans | $32.32 | ↓ -80% |
| TCHPCHIP | Medicaid|HMO | $34.28 | ↓ -79% |
| OPTUM | Medicaid|STAR | $35.44 | ↓ -78% |
| United | Commercial|Optum | $46.03 | ↓ -72% |
| Humana | Commercial|HMO | $47.01 | ↓ -71% |
| Humana | Commercial|PPO | $47.01 | ↓ -71% |
| KelseyCare | Commercial|All Other Plans | $47.99 | ↓ -71% |
| TEXASTRUECHOICE | Medicaid|CHIP | $53.87 | ↓ -67% |
| CHC | Medicaid|HMO | $53.87 | ↓ -67% |
| CHC | Medicaid|CHIP | $53.87 | ↓ -67% |
| Cigna Lifesource | Commercial|Transplant | $58.76 | ↓ -64% |
| Independent Med System | Commercial|All Plans | $58.76 | ↓ -64% |
| First Health | Commercial|All Plans | $63.66 | ↓ -61% |
| Coventry | Commercial|PPO | $63.66 | ↓ -61% |
| Humana | Commercial|Transplant | $63.66 | ↓ -61% |
| Cigna | Commercial|Transplant | $68.56 | ↓ -58% |
| Healthsmart | Commercial|PPO | $68.56 | ↓ -58% |
| PHCS Savility | Commercial|PPO | $68.56 | ↓ -58% |
| PHCS | Commercial|All Plans | $68.56 | ↓ -58% |
| Interlink | Commercial|Transplant | $68.56 | ↓ -58% |
| Healthsmart | Commercial|AP3-PPO | $70.51 | ↓ -57% |
| MultiPlan | Commercial|All Plans | $73.45 | ↓ -55% |
| OPTUM | Medicaid|STARPLUS | $80.91 | ↓ -50% |
| USA Health Network | Commercial|All Plans | $83.25 | ↓ -49% |
| MHealth Network | Commercial|PPO | $97.93 | ↓ -40% |
Visitor-reported prices
Comments
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $893.13 | $3.70 – $3.70 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $432.83 | $3.07 – $613.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $432.83 | $3.07 – $649.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $432.83 | $3.07 – $541.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $432.83 | $3.07 – $613.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $432.83 | $3.07 – $649.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $432.83 | $3.07 – $649.25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $432.83 | $3.07 – $649.25 |