Mra, without dye, spinal canal at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$192.85
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.
$551.00
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.
$148.77 with OPTUM vs $2,812.00 with Cigna — 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 | $148.77 | ↓ -23% |
| Renaissance | Commercial|All Plans | $174.32 | ↓ -10% |
| TCHPCHIP | Medicaid|HMO | $192.85 | ↑ +0% |
| OPTUM | Medicaid|STAR | $199.36 | ↑ +3% |
| KELSEY | Medicare|All Plans | $228.41 | ↑ +18% |
| HUMANA | Medicare|All Other Plans | $242.11 | ↑ +26% |
| SELECTCARE | Medicare|All Plans | $242.11 | ↑ +26% |
| BCBS | Medicare|All Plans | $242.11 | ↑ +26% |
| CIGNA HEALTHSPRING | Medicare|HMO | $242.11 | ↑ +26% |
| HUMANA | Medicare|TRANSPLANT | $242.11 | ↑ +26% |
| CIGNA HEALTHSPRING | Medicare|PPO | $244.53 | ↑ +27% |
| UHC-SecureHorizons | Medicare|All Plans | $246.95 | ↑ +28% |
| AETNA | Medicare|All Plans | $246.95 | ↑ +28% |
| Amerivantage | Medicare|All Plans | $249.37 | ↑ +29% |
| United | Commercial|Optum | $258.97 | ↑ +34% |
| DEVOTED | Medicare|All Plans | $259.06 | ↑ +34% |
| SCANHealth | Medicare|All Plans | $259.06 | ↑ +34% |
| KINDRED | Medicare|All Plans | $266.32 | ↑ +38% |
| TEXASTRUECHOICE | Medicaid|CHIP | $303.05 | ↑ +57% |
| CHC | Medicaid|CHIP | $303.05 | ↑ +57% |
| CHC | Medicaid|HMO | $303.05 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $326.85 | ↑ +69% |
| BCBS-TX | Commercial|Exchange | $328.59 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $330.60 | ↑ +71% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $340.24 | ↑ +76% |
| First Health | Commercial|All Plans | $358.15 | ↑ +86% |
| Humana | Commercial|Transplant | $358.15 | ↑ +86% |
| Coventry | Commercial|PPO | $358.15 | ↑ +86% |
| Wellpoint | Commercial|Exchange | $363.17 | ↑ +88% |
| Community Health Choice | Commercial|Exchange | $363.17 | ↑ +88% |
| Community Health Choice | Commercial|All Other Plans | $363.17 | ↑ +88% |
| Superior Health Plan | Commercial|All Plans | $363.17 | ↑ +88% |
| Aetna | Commercial|Exchange | $372.85 | ↑ +93% |
| Bright Health | Commercial|All Plans | $384.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $385.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $385.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $385.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $413.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $455.24 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $468.35 | ↑ +143% |
| BCBS-TX | Commercial|Blue Premier | $551.00 | ↑ +186% |
| BCBS-TX | Commercial|PPO | $551.00 | ↑ +186% |
| BCBS-TX | Commercial|HMO | $551.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $551.00 | ↑ +186% |
| NX Health | Commercial|PPO | $786.86 | ↑ +308% |
| Aetna-Kelsey Care | Commercial|HMO | $950.00 | ↑ +393% |
| Cigna | Commercial|Surefit | $1,015.00 | ↑ +426% |
| Aetna | Commercial|Transplant | $1,023.00 | ↑ +430% |
| Humana | Commercial|PPO | $1,050.00 | ↑ +444% |
| Humana | Commercial|HMO | $1,050.00 | ↑ +444% |
| Healthsmart | Commercial|AP3-PPO | $1,100.00 | ↑ +470% |
| Cigna | Commercial|HMO | $1,119.00 | ↑ +480% |
| Aetna | Commercial|HMO | $1,145.00 | ↑ +494% |
| Aetna | Commercial|PPO | $1,145.00 | ↑ +494% |
| KelseyCare | Commercial|All Other Plans | $1,398.60 | ↑ +625% |
| United | Commercial|Exchange | $1,535.00 | ↑ +696% |
| United | Commercial|Charter | $2,266.00 | ↑ +1075% |
| United | Commercial|PPO | $2,518.00 | ↑ +1206% |
| United | Commercial|HMO | $2,518.00 | ↑ +1206% |
| Cigna | Commercial|PPO | $2,812.00 | ↑ +1358% |
Visitor-reported prices
Comments
Mra, without dye, spinal canal at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,033.39 | $227.71 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,033.39 | $212.71 – $2,577.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,033.39 | $206.68 – $2,577.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,033.39 | $227.71 – $2,577.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,033.39 | $227.71 – $2,577.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,033.39 | $533.92 – $2,700.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,033.39 | $227.71 – $2,149.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,033.39 | $227.71 – $2,149.00 |