Nm imaging pulmonary ventilation/perfusion at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$1,027.95
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.
$2,937.00
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.
$234.96 with TCHP vs $2,937.00 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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $234.96 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $234.96 | ↓ -77% |
| Wellpoint | Medicaid|CHIP | $309.40 | ↓ -70% |
| Wellpoint | Medicaid|All Other Plans | $309.40 | ↓ -70% |
| Wellpoint | Medicaid|STARKIDS | $309.40 | ↓ -70% |
| TCHP | Medicaid|STAR | $314.85 | ↓ -69% |
| UHC | Medicaid|STARKIDS | $315.59 | ↓ -69% |
| UHC | Medicaid|CHIP | $315.59 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $315.59 | ↓ -69% |
| BCBS | Medicaid|All Plans | $324.87 | ↓ -68% |
| CHC | Medicaid|All Other Plans | $355.81 | ↓ -65% |
| Renaissance | Commercial|All Plans | $388.18 | ↓ -62% |
| BCBS-TX | Commercial|Exchange | $413.64 | ↓ -60% |
| Wellpoint | Medicaid|STAR | $414.60 | ↓ -60% |
| UNITED | Medicaid|STAR | $423.88 | ↓ -59% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $428.31 | ↓ -58% |
| KELSEY | Medicare|All Plans | $445.47 | ↓ -57% |
| CHC | Medicaid|STAR | $476.48 | ↓ -54% |
| HUMANA | Medicare|TRANSPLANT | $539.14 | ↓ -48% |
| SELECTCARE | Medicare|All Plans | $539.14 | ↓ -48% |
| BCBS | Medicare|All Plans | $539.14 | ↓ -48% |
| CIGNA HEALTHSPRING | Medicare|HMO | $539.14 | ↓ -48% |
| HUMANA | Medicare|All Other Plans | $539.14 | ↓ -48% |
| CIGNA HEALTHSPRING | Medicare|PPO | $544.53 | ↓ -47% |
| AETNA | Medicare|All Plans | $549.92 | ↓ -47% |
| UHC-SecureHorizons | Medicare|All Plans | $549.92 | ↓ -47% |
| Amerivantage | Medicare|All Plans | $555.31 | ↓ -46% |
| SCANHealth | Medicare|All Plans | $576.88 | ↓ -44% |
| DEVOTED | Medicare|All Plans | $576.88 | ↓ -44% |
| KINDRED | Medicare|All Plans | $593.05 | ↓ -42% |
| KelseyCare | Commercial|Exchange | $727.84 | ↓ -29% |
| BCBS-TX | Commercial|Blue Premier | $751.00 | ↓ -27% |
| OPTUM | Medicare|All Plans | $792.99 | ↓ -23% |
| Community Health Choice | Commercial|All Other Plans | $808.71 | ↓ -21% |
| Wellpoint | Commercial|Exchange | $808.71 | ↓ -21% |
| Community Health Choice | Commercial|Exchange | $808.71 | ↓ -21% |
| Superior Health Plan | Commercial|All Plans | $808.71 | ↓ -21% |
| Bright Health | Commercial|All Plans | $818.35 | ↓ -20% |
| Aetna | Commercial|Exchange | $830.28 | ↓ -19% |
| BCBS-TX | Commercial|HMO | $880.08 | ↓ -14% |
| Cigna | Commercial|Surefit | $939.84 | ↓ -9% |
| UNITED | Medicaid|STARPLUS | $965.33 | ↓ -6% |
| UHC | Medicaid|STARPLUS | $965.33 | ↓ -6% |
| BCBS-TX | Commercial|PPO | $988.62 | ↓ -4% |
| Cigna | Commercial|HMO | $1,027.95 | ↑ +0% |
| TCHPCHIP | Medicaid|HMO | $1,027.95 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,062.61 | ↑ +3% |
| Cigna | Commercial|PPO | $1,204.17 | ↑ +17% |
| United | Commercial|Optum | $1,380.39 | ↑ +34% |
| CHC | Medicaid|HMO | $1,615.35 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,615.35 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,615.35 | ↑ +57% |
| United | Commercial|Exchange | $1,723.00 | ↑ +68% |
| Aetna-Kelsey Care | Commercial|HMO | $1,732.83 | ↑ +69% |
| NX Health | Commercial|PPO | $1,752.20 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $1,762.20 | ↑ +71% |
| First Health | Commercial|All Plans | $1,909.05 | ↑ +86% |
| Humana | Commercial|Transplant | $1,909.05 | ↑ +86% |
| Coventry | Commercial|PPO | $1,909.05 | ↑ +86% |
| Aetna | Commercial|HMO | $1,997.16 | ↑ +94% |
| Healthsmart | Commercial|PPO | $2,055.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,055.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $2,055.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,202.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $2,426.55 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,496.45 | ↑ +143% |
| United | Commercial|Charter | $2,544.00 | ↑ +147% |
| United | Commercial|PPO | $2,827.00 | ↑ +175% |
| United | Commercial|HMO | $2,827.00 | ↑ +175% |
| MHealth Network | Commercial|PPO | $2,937.00 | ↑ +186% |
Visitor-reported prices
Comments
Nm imaging pulmonary ventilation/perfusion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,381.40 | $297.04 – $2,976.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,998.19 | $411.29 – $2,997.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,041.20 | $297.04 – $2,551.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,381.40 | $297.04 – $2,976.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,998.19 | $317.83 – $2,997.28 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,998.19 | $297.04 – $2,997.28 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,041.20 | $297.04 – $3,061.80 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,381.40 | $297.04 – $2,976.75 |