New Patient Office Visit (level 5) at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$251.65
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.
?
What you pay up front if you don't use insurance.
$719.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$74.00 with United vs $719.00 with MHealth Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | Commercial|Exchange | $74.00 | ↓ -71% |
| United | Commercial|Charter | $109.00 | ↓ -57% |
| United | Commercial|PPO | $122.00 | ↓ -52% |
| United | Commercial|HMO | $122.00 | ↓ -52% |
| OPTUM | Medicare|All Plans | $194.13 | ↓ -23% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $249.94 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $251.65 | ↑ +0% |
| OPTUM | Medicaid|STAR | $260.14 | ↑ +3% |
| BCBS-TX | Commercial|Exchange | $289.31 | ↑ +15% |
| United | Commercial|Optum | $337.93 | ↑ +34% |
| BCBS-TX | Commercial|Blue Premier | $362.92 | ↑ +44% |
| TEXASTRUECHOICE | Medicaid|CHIP | $395.45 | ↑ +57% |
| CHC | Medicaid|HMO | $395.45 | ↑ +57% |
| CHC | Medicaid|CHIP | $395.45 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $431.40 | ↑ +71% |
| Coventry | Commercial|PPO | $467.35 | ↑ +86% |
| Humana | Commercial|Transplant | $467.35 | ↑ +86% |
| First Health | Commercial|All Plans | $467.35 | ↑ +86% |
| BCBS-TX | Commercial|HMO | $479.33 | ↑ +90% |
| Interlink | Commercial|Transplant | $503.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $503.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $503.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $539.25 | ↑ +114% |
| BCBS-TX | Commercial|PPO | $544.38 | ↑ +116% |
| OPTUM | Medicaid|STARPLUS | $594.04 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $611.15 | ↑ +143% |
| MHealth Network | Commercial|PPO | $719.00 | ↑ +186% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,075.78 | $659.08 – $659.08 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,210.66 | $351.91 – $400.58 |
| Baylor St Luke's Medical Center | Houston | $251.65 | $82.00 – $719.00 |
| St. Joseph Health Madison Hospital | Madisonville | $208.78 | $37.59 – $295.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $246.90 | $100.00 – $671.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $251.65 | $74.00 – $719.00 |
| St. Joseph Health College Station Hospital | College Station | $208.78 | $77.00 – $363.58 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $251.65 | $74.00 – $719.00 |