MRI fetal ea addl gestation at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$576.10
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.
$1,646.00
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.
$131.68 with TCHP 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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $131.68 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $131.68 | ↓ -77% |
| TCHP | Medicaid|STAR | $176.46 | ↓ -69% |
| Wellpoint | Medicaid|All Other Plans | $204.49 | ↓ -65% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $207.83 | ↓ -64% |
| Wellpoint | Medicaid|STARKIDS | $207.83 | ↓ -64% |
| Wellpoint | Medicaid|CHIP | $207.83 | ↓ -64% |
| UHC | Medicaid|CHIP | $208.58 | ↓ -64% |
| UHC | Medicaid|STARKIDS | $208.58 | ↓ -64% |
| UNITED | Medicaid|All Other Plans | $211.99 | ↓ -63% |
| BCBS | Medicaid|All Plans | $214.71 | ↓ -63% |
| CHC | Medicaid|All Other Plans | $239.00 | ↓ -59% |
| BCBS-TX | Commercial|Exchange | $242.00 | ↓ -58% |
| Wellpoint | Medicaid|STAR | $278.49 | ↓ -52% |
| UNITED | Medicaid|STAR | $284.73 | ↓ -51% |
| CHC | Medicaid|STAR | $320.06 | ↓ -44% |
| BCBS-TX | Commercial|Blue Premier | $441.29 | ↓ -23% |
| OPTUM | Medicare|All Plans | $444.42 | ↓ -23% |
| BCBS-TX | Commercial|HMO | $550.89 | ↓ -4% |
| TCHPCHIP | Medicaid|HMO | $576.10 | ↑ +0% |
| OPTUM | Medicaid|STAR | $595.53 | ↑ +3% |
| BCBS-TX | Commercial|PPO | $619.22 | ↑ +7% |
| UHC | Medicaid|STARPLUS | $648.43 | ↑ +13% |
| UNITED | Medicaid|STARPLUS | $648.43 | ↑ +13% |
| United | Commercial|Optum | $773.62 | ↑ +34% |
| TEXASTRUECHOICE | Medicaid|CHIP | $905.30 | ↑ +57% |
| CHC | Medicaid|CHIP | $905.30 | ↑ +57% |
| CHC | Medicaid|HMO | $905.30 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $971.14 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $987.60 | ↑ +71% |
| Cigna | Commercial|Surefit | $1,015.00 | ↑ +76% |
| Aetna | Commercial|Transplant | $1,023.00 | ↑ +78% |
| Humana | Commercial|HMO | $1,050.00 | ↑ +82% |
| Humana | Commercial|PPO | $1,050.00 | ↑ +82% |
| Humana | Commercial|Transplant | $1,069.90 | ↑ +86% |
| Coventry | Commercial|PPO | $1,069.90 | ↑ +86% |
| First Health | Commercial|All Plans | $1,069.90 | ↑ +86% |
| Healthsmart | Commercial|AP3-PPO | $1,100.00 | ↑ +91% |
| Cigna | Commercial|HMO | $1,119.00 | ↑ +94% |
| Aetna | Commercial|HMO | $1,119.28 | ↑ +94% |
| Aetna | Commercial|PPO | $1,145.00 | ↑ +99% |
| Healthsmart | Commercial|PPO | $1,152.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,152.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,152.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,234.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,359.93 | ↑ +136% |
| KelseyCare | Commercial|All Other Plans | $1,398.60 | ↑ +143% |
| USA Health Network | Commercial|All Plans | $1,399.10 | ↑ +143% |
| United | Commercial|Exchange | $1,535.00 | ↑ +166% |
| MHealth Network | Commercial|PPO | $1,646.00 | ↑ +186% |
| United | Commercial|Charter | $2,266.00 | ↑ +293% |
| United | Commercial|PPO | $2,518.00 | ↑ +337% |
| United | Commercial|HMO | $2,518.00 | ↑ +337% |
| Cigna | Commercial|PPO | $2,812.00 | ↑ +388% |
Visitor-reported prices
Comments
MRI fetal ea addl gestation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $477.93 | $204.49 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $654.40 | $134.70 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $577.07 | $204.49 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $477.93 | $204.49 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $654.40 | $218.80 – $2,149.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $654.40 | $204.49 – $2,700.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $577.07 | $204.49 – $2,149.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $477.93 | $204.49 – $2,149.00 |