Pin caspar distraction 12mm at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$33,075.00
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.
$94,500.00
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.
$5,777.31 with BCBS-TX vs $27,511.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $5,777.31 | ↓ -83% |
| BCBS-TX | Commercial|Blue Premier | $6,052.42 | ↓ -82% |
| United | Commercial|Exchange | $6,602.64 | ↓ -80% |
| Aetna-Kelsey Care | Commercial|HMO | $6,877.75 | ↓ -79% |
| Bright Health | Commercial|All Plans | $7,152.86 | ↓ -78% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $7,152.86 | ↓ -78% |
| BCBS-TX | Commercial|HMO | $7,427.97 | ↓ -78% |
| OPTUM | Medicare|All Plans | $7,427.97 | ↓ -78% |
| United | Commercial|Charter | $7,703.08 | ↓ -77% |
| Aetna | Commercial|HMO | $7,978.19 | ↓ -76% |
| Aetna | Commercial|PPO | $7,978.19 | ↓ -76% |
| Cigna | Commercial|Surefit | $8,253.30 | ↓ -75% |
| BCBS-TX | Commercial|PPO | $8,253.30 | ↓ -75% |
| Cigna | Commercial|HMO | $8,253.30 | ↓ -75% |
| Cigna | Commercial|PPO | $8,253.30 | ↓ -75% |
| United | Commercial|HMO | $8,528.41 | ↓ -74% |
| United | Commercial|PPO | $8,528.41 | ↓ -74% |
| TCHPCHIP | Medicaid|HMO | $9,628.85 | ↓ -71% |
| OPTUM | Medicaid|STAR | $9,953.48 | ↓ -70% |
| Aetna | Commercial|Transplant | $10,179.07 | ↓ -69% |
| KelseyCare | Commercial|All Other Plans | $11,279.51 | ↓ -66% |
| Humana | Commercial|HMO | $11,554.62 | ↓ -65% |
| Humana | Commercial|PPO | $11,554.62 | ↓ -65% |
| United | Commercial|Optum | $12,930.17 | ↓ -61% |
| TEXASTRUECHOICE | Medicaid|CHIP | $15,131.05 | ↓ -54% |
| CHC | Medicaid|CHIP | $15,131.05 | ↓ -54% |
| CHC | Medicaid|HMO | $15,131.05 | ↓ -54% |
| Cigna Lifesource | Commercial|Transplant | $16,506.60 | ↓ -50% |
| Interlink | Commercial|Transplant | $16,506.60 | ↓ -50% |
| Independent Med System | Commercial|All Plans | $16,506.60 | ↓ -50% |
| Coventry | Commercial|PPO | $17,882.15 | ↓ -46% |
| PHCS Savility | Commercial|PPO | $17,882.15 | ↓ -46% |
| First Health | Commercial|All Plans | $17,882.15 | ↓ -46% |
| Humana | Commercial|Transplant | $17,882.15 | ↓ -46% |
| PHCS | Commercial|All Plans | $17,882.15 | ↓ -46% |
| Cigna | Commercial|Transplant | $19,257.70 | ↓ -42% |
| Healthsmart | Commercial|PPO | $19,257.70 | ↓ -42% |
| Healthsmart | Commercial|AP3-PPO | $19,807.92 | ↓ -40% |
| MultiPlan | Commercial|All Plans | $20,633.25 | ↓ -38% |
| OPTUM | Medicaid|STARPLUS | $22,729.59 | ↓ -31% |
| USA Health Network | Commercial|All Plans | $23,384.35 | ↓ -29% |
| MHealth Network | Commercial|PPO | $27,511.00 | ↓ -17% |
Visitor-reported prices
Comments
Pin caspar distraction 12mm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $11,580.00 | $59.07 – $171.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,580.00 | $38.11 – $171.50 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $11,580.00 | $30.49 – $152.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $11,580.00 | $28.58 – $152.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $11,580.00 | $22.87 – $152.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $11,580.00 | $20.96 – $152.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $11,580.00 | $20.96 – $152.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $11,580.00 | $32.39 – $152.44 |