Plcmt dlyd xtn pros 1st vsl at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$2,811.55
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.
$8,033.00
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.
$628.16 with BCBS-TX vs $9,158.00 with Cigna — 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 | $628.16 | ↓ -78% |
| TCHP | Medicaid|STARKIDS | $642.64 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $642.64 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $655.50 | ↓ -77% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $804.05 | ↓ -71% |
| TCHP | Medicaid|STAR | $861.14 | ↓ -69% |
| UNITED | Medicaid|STAR | $880.42 | ↓ -69% |
| BCBS-TX | Commercial|Blue Premier | $1,214.45 | ↓ -57% |
| BCBS-TX | Commercial|HMO | $1,440.59 | ↓ -49% |
| Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | ↓ -46% |
| BCBS-TX | Commercial|PPO | $1,608.10 | ↓ -43% |
| Aetna | Commercial|HMO | $1,842.00 | ↓ -34% |
| UHC | Medicaid|STARPLUS | $2,005.04 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $2,005.04 | ↓ -29% |
| OPTUM | Medicare|All Plans | $2,168.91 | ↓ -23% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -14% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -14% |
| United | Commercial|Exchange | $2,748.00 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $2,811.55 | ↑ +0% |
| OPTUM | Medicaid|STAR | $2,906.34 | ↑ +3% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +18% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +30% |
| United | Commercial|Optum | $3,775.51 | ↑ +34% |
| United | Commercial|Charter | $4,058.00 | ↑ +44% |
| CHC | Medicaid|HMO | $4,418.15 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $4,418.15 | ↑ +57% |
| CHC | Medicaid|CHIP | $4,418.15 | ↑ +57% |
| United | Commercial|PPO | $4,508.00 | ↑ +60% |
| United | Commercial|HMO | $4,508.00 | ↑ +60% |
| Cigna Lifesource | Commercial|Transplant | $4,819.80 | ↑ +71% |
| Coventry | Commercial|PPO | $5,221.45 | ↑ +86% |
| First Health | Commercial|All Plans | $5,221.45 | ↑ +86% |
| Humana | Commercial|Transplant | $5,221.45 | ↑ +86% |
| Aetna | Commercial|PPO | $5,462.44 | ↑ +94% |
| Healthsmart | Commercial|PPO | $5,623.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $5,623.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $5,623.10 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $6,024.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $6,636.87 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $6,828.05 | ↑ +143% |
| MHealth Network | Commercial|PPO | $8,033.00 | ↑ +186% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +226% |
Visitor-reported prices
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Plcmt dlyd xtn pros 1st vsl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,298.61 | $934.61 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,298.61 | $678.96 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,298.61 | $659.72 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,298.61 | $879.63 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,298.61 | $1,058.86 – $5,388.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,298.61 | $1,704.28 – $4,947.92 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,298.61 | $1,099.54 – $5,388.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,298.61 | $879.63 – $7,038.00 |