Pulse ox single at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$52.50
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.
$150.00
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.
$3.68 with BCBS-TX vs $1,240.20 with KelseyCare — 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|MyBlue Health Exchange | $3.68 | ↓ -93% |
| BCBS-TX | Commercial|Exchange | $4.26 | ↓ -92% |
| BCBS-TX | Commercial|Blue Premier | $5.34 | ↓ -90% |
| BCBS-TX | Commercial|HMO | $7.06 | ↓ -87% |
| BCBS-TX | Commercial|PPO | $8.01 | ↓ -85% |
| Wellpoint | Medicaid|STARKIDS | $12.00 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $12.00 | ↓ -77% |
| CHC | Medicaid|All Other Plans | $12.00 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $12.00 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $12.00 | ↓ -77% |
| Wellpoint | Medicaid|CHIP | $12.00 | ↓ -77% |
| UHC | Medicaid|CHIP | $12.24 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $12.24 | ↓ -77% |
| UHC | Medicaid|STARKIDS | $12.24 | ↓ -77% |
| BCBS | Medicaid|All Plans | $12.60 | ↓ -76% |
| Wellpoint | Medicaid|STAR | $16.08 | ↓ -69% |
| TCHP | Medicaid|STAR | $16.08 | ↓ -69% |
| CHC | Medicaid|STAR | $16.08 | ↓ -69% |
| UNITED | Medicaid|STAR | $16.44 | ↓ -69% |
| UNITED | Medicaid|STARPLUS | $37.44 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $37.44 | ↓ -29% |
| OPTUM | Medicare|All Plans | $40.50 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $52.50 | ↑ +0% |
| OPTUM | Medicaid|STAR | $54.27 | ↑ +3% |
| United | Commercial|Optum | $70.50 | ↑ +34% |
| TEXASTRUECHOICE | Medicaid|CHIP | $82.50 | ↑ +57% |
| CHC | Medicaid|HMO | $82.50 | ↑ +57% |
| CHC | Medicaid|CHIP | $82.50 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $90.00 | ↑ +71% |
| First Health | Commercial|All Plans | $97.50 | ↑ +86% |
| Humana | Commercial|Transplant | $97.50 | ↑ +86% |
| Coventry | Commercial|PPO | $97.50 | ↑ +86% |
| Cigna | Commercial|Surefit | $100.00 | ↑ +90% |
| Cigna | Commercial|HMO | $100.00 | ↑ +90% |
| Cigna | Commercial|PPO | $100.00 | ↑ +90% |
| Aetna | Commercial|PPO | $102.00 | ↑ +94% |
| Cigna | Commercial|Transplant | $105.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $105.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $105.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $112.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $114.00 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $123.93 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $127.50 | ↑ +143% |
| MHealth Network | Commercial|PPO | $150.00 | ↑ +186% |
| United | Commercial|Exchange | $661.00 | ↑ +1159% |
| United | Commercial|Charter | $976.00 | ↑ +1759% |
| United | Commercial|HMO | $1,085.00 | ↑ +1967% |
| United | Commercial|PPO | $1,085.00 | ↑ +1967% |
| KelseyCare | Commercial|All Other Plans | $1,240.20 | ↑ +2262% |
Visitor-reported prices
Comments
Pulse ox single at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $244.08 | $9.70 – $9.70 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $112.05 | $7.74 – $158.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $95.02 | $7.61 – $142.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $101.37 | $7.61 – $126.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $112.05 | $5.90 – $158.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $95.02 | $9.30 – $142.52 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $95.02 | $49.09 – $142.52 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $101.37 | $7.61 – $152.06 |