Punc of shunt for asp or inj at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$276.85
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.
$791.00
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.
$213.57 with OPTUM vs $5,160.00 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $213.57 | ↓ -23% |
| Wellpoint | Medicaid|STARKIDS | $262.86 | ↓ -5% |
| Wellpoint | Medicaid|All Other Plans | $262.86 | ↓ -5% |
| Wellpoint | Medicaid|CHIP | $262.86 | ↓ -5% |
| TCHP | Medicaid|All Other Plans | $262.86 | ↓ -5% |
| TCHP | Medicaid|STARKIDS | $262.86 | ↓ -5% |
| UNITED | Medicaid|All Other Plans | $268.12 | ↓ -3% |
| UHC | Medicaid|STARKIDS | $268.12 | ↓ -3% |
| UHC | Medicaid|CHIP | $268.12 | ↓ -3% |
| BCBS | Medicaid|All Plans | $276.00 | ↓ -0% |
| TCHPCHIP | Medicaid|HMO | $276.85 | ↑ +0% |
| OPTUM | Medicaid|STAR | $286.19 | ↑ +3% |
| CHC | Medicaid|All Other Plans | $302.29 | ↑ +9% |
| TCHP | Medicaid|STAR | $352.23 | ↑ +27% |
| Wellpoint | Medicaid|STAR | $352.23 | ↑ +27% |
| UNITED | Medicaid|STAR | $360.12 | ↑ +30% |
| United | Commercial|Optum | $371.77 | ↑ +34% |
| CHC | Medicaid|STAR | $404.80 | ↑ +46% |
| CHC | Medicaid|HMO | $435.05 | ↑ +57% |
| CHC | Medicaid|CHIP | $435.05 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $435.05 | ↑ +57% |
| BCBS-TX | Commercial|Exchange | $468.79 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $474.60 | ↑ +71% |
| Renaissance | Commercial|All Plans | $499.42 | ↑ +80% |
| First Health | Commercial|All Plans | $514.15 | ↑ +86% |
| Coventry | Commercial|PPO | $514.15 | ↑ +86% |
| Humana | Commercial|Transplant | $514.15 | ↑ +86% |
| KELSEY | Medicare|All Plans | $534.25 | ↑ +93% |
| Aetna | Commercial|PPO | $537.88 | ↑ +94% |
| Cigna | Commercial|Transplant | $553.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $553.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $553.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $593.25 | ↑ +114% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $600.05 | ↑ +117% |
| Aetna | Commercial|Transplant | $601.16 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $653.53 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $672.35 | ↑ +143% |
| SELECTCARE | Medicare|All Plans | $693.64 | ↑ +151% |
| HUMANA | Medicare|All Other Plans | $693.64 | ↑ +151% |
| HUMANA | Medicare|TRANSPLANT | $693.64 | ↑ +151% |
| CIGNA HEALTHSPRING | Medicare|HMO | $693.64 | ↑ +151% |
| BCBS | Medicare|All Plans | $693.64 | ↑ +151% |
| CIGNA HEALTHSPRING | Medicare|PPO | $700.58 | ↑ +153% |
| UHC-SecureHorizons | Medicare|All Plans | $707.51 | ↑ +156% |
| AETNA | Medicare|All Plans | $707.51 | ↑ +156% |
| Amerivantage | Medicare|All Plans | $714.45 | ↑ +158% |
| DEVOTED | Medicare|All Plans | $742.19 | ↑ +168% |
| SCANHealth | Medicare|All Plans | $742.19 | ↑ +168% |
| KINDRED | Medicare|All Plans | $763.00 | ↑ +176% |
| MHealth Network | Commercial|PPO | $791.00 | ↑ +186% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +191% |
| UHC | Medicaid|STARPLUS | $820.12 | ↑ +196% |
| UNITED | Medicaid|STARPLUS | $820.12 | ↑ +196% |
| BCBS-TX | Commercial|Blue Premier | $906.32 | ↑ +227% |
| KelseyCare | Commercial|Exchange | $936.41 | ↑ +238% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +240% |
| Healthsmart | Commercial|AP3-PPO | $958.00 | ↑ +246% |
| Aetna | Commercial|HMO | $972.00 | ↑ +251% |
| Wellpoint | Commercial|Exchange | $1,040.46 | ↑ +276% |
| Community Health Choice | Commercial|Exchange | $1,040.46 | ↑ +276% |
| Community Health Choice | Commercial|All Other Plans | $1,040.46 | ↑ +276% |
| Superior Health Plan | Commercial|All Plans | $1,040.46 | ↑ +276% |
| Bright Health | Commercial|All Plans | $1,061.91 | ↑ +284% |
| Aetna | Commercial|Exchange | $1,068.21 | ↑ +286% |
| BCBS-TX | Commercial|HMO | $1,075.09 | ↑ +288% |
| BCBS-TX | Commercial|PPO | $1,200.10 | ↑ +333% |
| Humana | Commercial|HMO | $1,345.00 | ↑ +386% |
| Humana | Commercial|PPO | $1,345.00 | ↑ +386% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +505% |
| United | Commercial|Exchange | $1,676.00 | ↑ +505% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +573% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +642% |
| NX Health | Commercial|PPO | $2,254.33 | ↑ +714% |
| United | Commercial|Charter | $2,474.00 | ↑ +794% |
| United | Commercial|HMO | $2,749.00 | ↑ +893% |
| United | Commercial|PPO | $2,749.00 | ↑ +893% |
| PHCS Savility | Commercial|PPO | $4,487.00 | ↑ +1521% |
| PHCS | Commercial|All Plans | $4,487.00 | ↑ +1521% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +1764% |
Visitor-reported prices
Comments
Punc of shunt for asp or inj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,041.57 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,148.68 | $71.00 – $1,723.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $994.24 | $71.00 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,041.57 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,148.68 | $85.00 – $1,723.02 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,148.68 | $262.86 – $1,723.02 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $994.24 | $71.00 – $1,713.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,041.57 | $262.86 – $1,713.14 |