Prq card stent w/angio addl at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$1,026.55
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.
$2,933.00
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.
$234.64 with TCHP vs $46,852.00 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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $234.64 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $234.64 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $239.34 | ↓ -77% |
| TCHP | Medicaid|STAR | $314.42 | ↓ -69% |
| UNITED | Medicaid|STAR | $321.46 | ↓ -69% |
| UNITED | Medicaid|STARPLUS | $732.08 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $732.08 | ↓ -29% |
| OPTUM | Medicare|All Plans | $791.91 | ↓ -23% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -21% |
| Aetna | Commercial|HMO | $972.00 | ↓ -5% |
| TCHPCHIP | Medicaid|HMO | $1,026.55 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,061.16 | ↑ +3% |
| United | Commercial|Optum | $1,378.51 | ↑ +34% |
| CHC | Medicaid|CHIP | $1,613.15 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,613.15 | ↑ +57% |
| CHC | Medicaid|HMO | $1,613.15 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $1,759.80 | ↑ +71% |
| First Health | Commercial|All Plans | $1,906.45 | ↑ +86% |
| Coventry | Commercial|PPO | $1,906.45 | ↑ +86% |
| Humana | Commercial|Transplant | $1,906.45 | ↑ +86% |
| Aetna | Commercial|PPO | $1,994.44 | ↑ +94% |
| Interlink | Commercial|Transplant | $2,053.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,053.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,053.10 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,199.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $2,423.25 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,493.05 | ↑ +143% |
| MHealth Network | Commercial|PPO | $2,933.00 | ↑ +186% |
| United | Commercial|Exchange | $9,113.00 | ↑ +788% |
| United | Commercial|Charter | $13,454.00 | ↑ +1211% |
| United | Commercial|PPO | $14,947.00 | ↑ +1356% |
| United | Commercial|HMO | $14,947.00 | ↑ +1356% |
| Humana | Commercial|PPO | $16,200.00 | ↑ +1478% |
| Humana | Commercial|HMO | $16,200.00 | ↑ +1478% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +1549% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +1717% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +4464% |
Visitor-reported prices
Comments
Prq card stent w/angio addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $16,507.97 | $4,677.26 – $23,386.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $13,192.20 | $2,715.39 – $19,788.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $15,171.03 | $3,034.21 – $18,963.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $16,507.97 | $4,402.13 – $23,386.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $13,192.20 | $4,234.70 – $19,788.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $13,192.20 | $6,815.97 – $19,788.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $15,171.03 | $5,057.01 – $22,756.54 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $16,507.97 | $4,402.13 – $23,386.30 |