MRI w/cont, breast, bi at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$1,885.45
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.
$5,387.00
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.
$257.55 with Renaissance vs $5,387.00 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 | $257.55 | ↓ -86% |
| SELECTCARE | Medicare|All Plans | $357.71 | ↓ -81% |
| HUMANA | Medicare|All Other Plans | $357.71 | ↓ -81% |
| HUMANA | Medicare|TRANSPLANT | $357.71 | ↓ -81% |
| CIGNA HEALTHSPRING | Medicare|HMO | $357.71 | ↓ -81% |
| BCBS | Medicare|All Plans | $357.71 | ↓ -81% |
| CIGNA HEALTHSPRING | Medicare|PPO | $361.29 | ↓ -81% |
| UHC-SecureHorizons | Medicare|All Plans | $364.86 | ↓ -81% |
| AETNA | Medicare|All Plans | $364.86 | ↓ -81% |
| Amerivantage | Medicare|All Plans | $368.44 | ↓ -80% |
| DEVOTED | Medicare|All Plans | $382.75 | ↓ -80% |
| SCANHealth | Medicare|All Plans | $382.75 | ↓ -80% |
| KINDRED | Medicare|All Plans | $393.48 | ↓ -79% |
| KELSEY | Medicare|All Plans | $448.70 | ↓ -76% |
| KelseyCare | Commercial|Exchange | $482.91 | ↓ -74% |
| Wellpoint | Commercial|Exchange | $536.57 | ↓ -72% |
| Community Health Choice | Commercial|Exchange | $536.57 | ↓ -72% |
| Superior Health Plan | Commercial|All Plans | $536.57 | ↓ -72% |
| Community Health Choice | Commercial|All Other Plans | $536.57 | ↓ -72% |
| BCBS-TX | Commercial|Exchange | $538.41 | ↓ -71% |
| Aetna | Commercial|Exchange | $550.87 | ↓ -71% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $557.50 | ↓ -70% |
| Bright Health | Commercial|All Plans | $615.81 | ↓ -67% |
| Aetna-Kelsey Care | Commercial|HMO | $950.00 | ↓ -50% |
| BCBS-TX | Commercial|Blue Premier | $977.54 | ↓ -48% |
| Cigna | Commercial|Surefit | $1,015.00 | ↓ -46% |
| Aetna | Commercial|Transplant | $1,023.00 | ↓ -46% |
| Humana | Commercial|PPO | $1,050.00 | ↓ -44% |
| Humana | Commercial|HMO | $1,050.00 | ↓ -44% |
| Healthsmart | Commercial|AP3-PPO | $1,100.00 | ↓ -42% |
| Cigna | Commercial|HMO | $1,119.00 | ↓ -41% |
| Aetna | Commercial|PPO | $1,145.00 | ↓ -39% |
| Aetna | Commercial|HMO | $1,145.00 | ↓ -39% |
| BCBS-TX | Commercial|HMO | $1,145.55 | ↓ -39% |
| NX Health | Commercial|PPO | $1,162.56 | ↓ -38% |
| BCBS-TX | Commercial|PPO | $1,286.83 | ↓ -32% |
| KelseyCare | Commercial|All Other Plans | $1,398.60 | ↓ -26% |
| OPTUM | Medicare|All Plans | $1,454.49 | ↓ -23% |
| United | Commercial|Exchange | $1,535.00 | ↓ -19% |
| TCHPCHIP | Medicaid|HMO | $1,885.45 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,949.02 | ↑ +3% |
| United | Commercial|Charter | $2,266.00 | ↑ +20% |
| United | Commercial|HMO | $2,518.00 | ↑ +34% |
| United | Commercial|PPO | $2,518.00 | ↑ +34% |
| United | Commercial|Optum | $2,531.89 | ↑ +34% |
| Cigna | Commercial|PPO | $2,812.00 | ↑ +49% |
| CHC | Medicaid|HMO | $2,962.85 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,962.85 | ↑ +57% |
| CHC | Medicaid|CHIP | $2,962.85 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $3,232.20 | ↑ +71% |
| Coventry | Commercial|PPO | $3,501.55 | ↑ +86% |
| First Health | Commercial|All Plans | $3,501.55 | ↑ +86% |
| Humana | Commercial|Transplant | $3,501.55 | ↑ +86% |
| Cigna | Commercial|Transplant | $3,770.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $3,770.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $3,770.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $4,040.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $4,450.74 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $4,578.95 | ↑ +143% |
| MHealth Network | Commercial|PPO | $5,387.00 | ↑ +186% |
Visitor-reported prices
Comments
MRI w/cont, breast, bi at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $13,295.12 | $672.06 – $699.43 |
| HCA HOUSTON MEDICAL CENTER | Houston | $17,966.06 | $672.06 – $699.43 |
| Baylor St Luke's Medical Center | Houston | $1,885.45 | $458.22 – $5,387.00 |
| St. Joseph Health Madison Hospital | Madisonville | $472.50 | $343.98 – $2,430.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $674.85 | $400.00 – $4,049.10 |
| HCA HOUSTON PEARLAND | Pearland | $10,610.87 | $672.06 – $699.43 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,885.45 | $538.41 – $5,387.00 |
| St. Joseph Health College Station Hospital | College Station | $472.50 | $866.80 – $2,295.00 |