Perq plmt bile duct stent at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$9,069.20
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.
$25,912.00
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.
$1,233.00 with Aetna-Kelsey Care vs $25,912.00 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↓ -86% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -84% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -73% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -73% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -73% |
| Wellpoint | Medicaid|All Other Plans | $2,559.08 | ↓ -72% |
| TCHP | Medicaid|STARKIDS | $2,559.08 | ↓ -72% |
| TCHP | Medicaid|All Other Plans | $2,559.08 | ↓ -72% |
| Wellpoint | Medicaid|STARKIDS | $2,559.08 | ↓ -72% |
| Wellpoint | Medicaid|CHIP | $2,559.08 | ↓ -72% |
| UHC | Medicaid|STARKIDS | $2,610.26 | ↓ -71% |
| UNITED | Medicaid|All Other Plans | $2,610.26 | ↓ -71% |
| UHC | Medicaid|CHIP | $2,610.26 | ↓ -71% |
| BCBS | Medicaid|All Plans | $2,687.03 | ↓ -70% |
| CHC | Medicaid|All Other Plans | $2,942.94 | ↓ -68% |
| TCHP | Medicaid|STAR | $3,429.17 | ↓ -62% |
| Wellpoint | Medicaid|STAR | $3,429.17 | ↓ -62% |
| UNITED | Medicaid|STAR | $3,505.94 | ↓ -61% |
| BCBS-TX | Commercial|Exchange | $3,625.28 | ↓ -60% |
| CHC | Medicaid|STAR | $3,940.98 | ↓ -57% |
| Renaissance | Commercial|All Plans | $4,207.54 | ↓ -54% |
| KELSEY | Medicare|All Plans | $4,413.27 | ↓ -51% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $4,640.36 | ↓ -49% |
| United | Commercial|Exchange | $4,853.00 | ↓ -46% |
| HUMANA | Medicare|TRANSPLANT | $5,843.81 | ↓ -36% |
| SELECTCARE | Medicare|All Plans | $5,843.81 | ↓ -36% |
| BCBS | Medicare|All Plans | $5,843.81 | ↓ -36% |
| CIGNA HEALTHSPRING | Medicare|HMO | $5,843.81 | ↓ -36% |
| HUMANA | Medicare|All Other Plans | $5,843.81 | ↓ -36% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5,902.25 | ↓ -35% |
| AETNA | Medicare|All Plans | $5,960.69 | ↓ -34% |
| UHC-SecureHorizons | Medicare|All Plans | $5,960.69 | ↓ -34% |
| Amerivantage | Medicare|All Plans | $6,019.12 | ↓ -34% |
| SCANHealth | Medicare|All Plans | $6,252.88 | ↓ -31% |
| DEVOTED | Medicare|All Plans | $6,252.88 | ↓ -31% |
| KINDRED | Medicare|All Plans | $6,428.19 | ↓ -29% |
| OPTUM | Medicare|All Plans | $6,996.24 | ↓ -23% |
| BCBS-TX | Commercial|Blue Premier | $7,008.88 | ↓ -23% |
| United | Commercial|Charter | $7,164.00 | ↓ -21% |
| Cigna | Commercial|Surefit | $7,455.00 | ↓ -18% |
| KelseyCare | Commercial|Exchange | $7,889.14 | ↓ -13% |
| United | Commercial|HMO | $7,961.00 | ↓ -12% |
| United | Commercial|PPO | $7,961.00 | ↓ -12% |
| UHC | Medicaid|STARPLUS | $7,984.33 | ↓ -12% |
| UNITED | Medicaid|STARPLUS | $7,984.33 | ↓ -12% |
| Cigna | Commercial|HMO | $8,215.00 | ↓ -9% |
| BCBS-TX | Commercial|HMO | $8,313.98 | ↓ -8% |
| Bright Health | Commercial|All Plans | $8,461.71 | ↓ -7% |
| Community Health Choice | Commercial|Exchange | $8,765.72 | ↓ -3% |
| Community Health Choice | Commercial|All Other Plans | $8,765.72 | ↓ -3% |
| Superior Health Plan | Commercial|All Plans | $8,765.72 | ↓ -3% |
| Wellpoint | Commercial|Exchange | $8,765.72 | ↓ -3% |
| Aetna | Commercial|Exchange | $8,999.47 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $9,069.20 | ↑ +0% |
| BCBS-TX | Commercial|PPO | $9,280.72 | ↑ +2% |
| OPTUM | Medicaid|STAR | $9,374.97 | ↑ +3% |
| United | Commercial|Optum | $12,178.64 | ↑ +34% |
| CHC | Medicaid|CHIP | $14,251.60 | ↑ +57% |
| CHC | Medicaid|HMO | $14,251.60 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $14,251.60 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $15,547.20 | ↑ +71% |
| Coventry | Commercial|PPO | $16,842.80 | ↑ +86% |
| First Health | Commercial|All Plans | $16,842.80 | ↑ +86% |
| Humana | Commercial|Transplant | $16,842.80 | ↑ +86% |
| Aetna | Commercial|PPO | $17,620.16 | ↑ +94% |
| Interlink | Commercial|Transplant | $18,138.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $18,138.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $18,138.40 | ↑ +100% |
| NX Health | Commercial|PPO | $18,992.38 | ↑ +109% |
| MultiPlan | Commercial|All Plans | $19,434.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $19,693.12 | ↑ +117% |
| Cigna | Commercial|PPO | $20,636.00 | ↑ +128% |
| OPTUM | Medicaid|STARPLUS | $21,408.50 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $22,025.20 | ↑ +143% |
| MHealth Network | Commercial|PPO | $25,912.00 | ↑ +186% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,085.18 | $2,559.08 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,847.95 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,847.95 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,085.18 | $2,559.08 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,847.95 | $85.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,847.95 | $2,559.08 – $14,293.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,847.95 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $6,085.18 | $2,559.08 – $14,293.73 |