Prcrd drg 6+yr without anomly at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$1,273.30
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.
$3,638.00
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.
$191.91 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 | $191.91 | ↓ -85% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $245.64 | ↓ -81% |
| TCHP | Medicaid|STARKIDS | $291.04 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $291.04 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $296.87 | ↓ -77% |
| BCBS-TX | Commercial|Blue Premier | $371.03 | ↓ -71% |
| TCHP | Medicaid|STAR | $390.00 | ↓ -69% |
| UNITED | Medicaid|STAR | $398.73 | ↓ -69% |
| BCBS-TX | Commercial|HMO | $440.11 | ↓ -65% |
| BCBS-TX | Commercial|PPO | $491.29 | ↓ -61% |
| UHC | Medicaid|STARPLUS | $908.05 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $908.05 | ↓ -29% |
| OPTUM | Medicare|All Plans | $982.26 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $1,273.30 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,316.23 | ↑ +3% |
| United | Commercial|Optum | $1,709.86 | ↑ +34% |
| CHC | Medicaid|CHIP | $2,000.90 | ↑ +57% |
| CHC | Medicaid|HMO | $2,000.90 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,000.90 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $2,182.80 | ↑ +71% |
| Coventry | Commercial|PPO | $2,364.70 | ↑ +86% |
| Humana | Commercial|Transplant | $2,364.70 | ↑ +86% |
| First Health | Commercial|All Plans | $2,364.70 | ↑ +86% |
| Aetna | Commercial|PPO | $2,473.84 | ↑ +94% |
| Healthsmart | Commercial|PPO | $2,546.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $2,546.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,546.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,728.50 | ↑ +114% |
| United | Commercial|Exchange | $2,748.00 | ↑ +116% |
| OPTUM | Medicaid|STARPLUS | $3,005.72 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,092.30 | ↑ +143% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +160% |
| MHealth Network | Commercial|PPO | $3,638.00 | ↑ +186% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +186% |
| United | Commercial|Charter | $4,058.00 | ↑ +219% |
| United | Commercial|HMO | $4,508.00 | ↑ +254% |
| United | Commercial|PPO | $4,508.00 | ↑ +254% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +619% |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,161.89 | $895.87 – $4,479.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,432.13 | $71.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,724.71 | $71.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,161.89 | $843.17 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,432.13 | $85.00 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,432.13 | $1,256.60 – $3,648.20 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,724.71 | $71.00 – $4,087.06 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,161.89 | $843.17 – $4,479.35 |