Oth resp proc, indiv at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$105.35
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.
$301.00
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.
$14.73 with BCBS-TX vs $1,604.00 with United — 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 |
|---|---|---|---|
| BCBS-TX | Commercial|MyBlue Health Exchange | $14.73 | ↓ -86% |
| BCBS-TX | Commercial|Exchange | $17.05 | ↓ -84% |
| Renaissance | Commercial|All Plans | $17.66 | ↓ -83% |
| BCBS-TX | Commercial|Blue Premier | $21.39 | ↓ -80% |
| HUMANA | Medicare|All Other Plans | $24.53 | ↓ -77% |
| SELECTCARE | Medicare|All Plans | $24.53 | ↓ -77% |
| HUMANA | Medicare|TRANSPLANT | $24.53 | ↓ -77% |
| CIGNA HEALTHSPRING | Medicare|HMO | $24.53 | ↓ -77% |
| BCBS | Medicare|All Plans | $24.53 | ↓ -77% |
| CIGNA HEALTHSPRING | Medicare|PPO | $24.78 | ↓ -76% |
| AETNA | Medicare|All Plans | $25.02 | ↓ -76% |
| UHC-SecureHorizons | Medicare|All Plans | $25.02 | ↓ -76% |
| Amerivantage | Medicare|All Plans | $25.27 | ↓ -76% |
| DEVOTED | Medicare|All Plans | $26.25 | ↓ -75% |
| SCANHealth | Medicare|All Plans | $26.25 | ↓ -75% |
| KINDRED | Medicare|All Plans | $26.98 | ↓ -74% |
| BCBS-TX | Commercial|HMO | $28.25 | ↓ -73% |
| KELSEY | Medicare|All Plans | $31.27 | ↓ -70% |
| BCBS-TX | Commercial|PPO | $32.09 | ↓ -70% |
| KelseyCare | Commercial|Exchange | $33.12 | ↓ -69% |
| Superior Health Plan | Commercial|All Plans | $36.80 | ↓ -65% |
| Community Health Choice | Commercial|All Other Plans | $36.80 | ↓ -65% |
| Wellpoint | Commercial|Exchange | $36.80 | ↓ -65% |
| Community Health Choice | Commercial|Exchange | $36.80 | ↓ -65% |
| Aetna | Commercial|Exchange | $37.78 | ↓ -64% |
| Bright Health | Commercial|All Plans | $41.32 | ↓ -61% |
| NX Health | Commercial|PPO | $79.72 | ↓ -24% |
| OPTUM | Medicare|All Plans | $81.27 | ↓ -23% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -5% |
| Cigna | Commercial|PPO | $100.00 | ↓ -5% |
| Cigna | Commercial|HMO | $100.00 | ↓ -5% |
| TCHPCHIP | Medicaid|HMO | $105.35 | ↑ +0% |
| OPTUM | Medicaid|STAR | $108.91 | ↑ +3% |
| United | Commercial|Optum | $141.47 | ↑ +34% |
| CHC | Medicaid|HMO | $165.55 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $165.55 | ↑ +57% |
| CHC | Medicaid|CHIP | $165.55 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $180.60 | ↑ +71% |
| First Health | Commercial|All Plans | $195.65 | ↑ +86% |
| Humana | Commercial|Transplant | $195.65 | ↑ +86% |
| Coventry | Commercial|PPO | $195.65 | ↑ +86% |
| Interlink | Commercial|Transplant | $210.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $210.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $210.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $225.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $248.69 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $255.85 | ↑ +143% |
| MHealth Network | Commercial|PPO | $301.00 | ↑ +186% |
| United | Commercial|Exchange | $978.00 | ↑ +828% |
| United | Commercial|Charter | $1,443.00 | ↑ +1270% |
| United | Commercial|PPO | $1,604.00 | ↑ +1423% |
| United | Commercial|HMO | $1,604.00 | ↑ +1423% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $487.56 | $23.61 – $94.87 |
| Covenant Children's Hospital | Lubbock | $67.20 | $34.41 – $34.41 |
| HCA HOUSTON KINGWOOD | HUMBLE | $86.91 | $23.61 – $94.87 |
| HCA HOUSTON NORTHWEST | SPRING | $339.63 | $23.61 – $94.87 |
| St. Luke's Health - Patients Medical Center | Pasadena | $132.30 | $14.73 – $978.00 |
| Baylor St Luke's Medical Center | Houston | $105.35 | $11.91 – $301.00 |
| St. Joseph Health Madison Hospital | Madisonville | $35.53 | $20.08 – $670.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $105.35 | $14.73 – $301.00 |