Puncture arterial withdrawal blood for diagnosis at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$92.40
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.
$264.00
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.
$71.28 with OPTUM vs $2,749.00 with United — 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 | $71.28 | ↓ -23% |
| BCBS-TX | Commercial|Exchange | $81.77 | ↓ -12% |
| TCHPCHIP | Medicaid|HMO | $92.40 | ↑ +0% |
| Renaissance | Commercial|All Plans | $92.96 | ↑ +1% |
| OPTUM | Medicaid|STAR | $95.52 | ↑ +3% |
| KELSEY | Medicare|All Plans | $103.28 | ↑ +12% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $104.67 | ↑ +13% |
| United | Commercial|Optum | $124.08 | ↑ +34% |
| CIGNA HEALTHSPRING | Medicare|HMO | $129.11 | ↑ +40% |
| BCBS | Medicare|All Plans | $129.11 | ↑ +40% |
| HUMANA | Medicare|TRANSPLANT | $129.11 | ↑ +40% |
| SELECTCARE | Medicare|All Plans | $129.11 | ↑ +40% |
| HUMANA | Medicare|All Other Plans | $129.11 | ↑ +40% |
| CIGNA HEALTHSPRING | Medicare|PPO | $130.40 | ↑ +41% |
| AETNA | Medicare|All Plans | $131.69 | ↑ +43% |
| UHC-SecureHorizons | Medicare|All Plans | $131.69 | ↑ +43% |
| Amerivantage | Medicare|All Plans | $132.98 | ↑ +44% |
| DEVOTED | Medicare|All Plans | $138.15 | ↑ +50% |
| SCANHealth | Medicare|All Plans | $138.15 | ↑ +50% |
| Cigna | Commercial|Surefit | $140.00 | ↑ +52% |
| KINDRED | Medicare|All Plans | $142.02 | ↑ +54% |
| CHC | Medicaid|HMO | $145.20 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $145.20 | ↑ +57% |
| CHC | Medicaid|CHIP | $145.20 | ↑ +57% |
| Cigna | Commercial|HMO | $154.00 | ↑ +67% |
| BCBS-TX | Commercial|Blue Premier | $158.09 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $158.40 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $158.40 | ↑ +71% |
| Humana | Commercial|Transplant | $171.60 | ↑ +86% |
| PHCS | Commercial|All Plans | $171.60 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $171.60 | ↑ +86% |
| Coventry | Commercial|PPO | $171.60 | ↑ +86% |
| First Health | Commercial|All Plans | $171.60 | ↑ +86% |
| KelseyCare | Commercial|Exchange | $174.30 | ↑ +89% |
| Healthsmart | Commercial|PPO | $184.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $184.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $184.80 | ↑ +100% |
| BCBS-TX | Commercial|HMO | $187.53 | ↑ +103% |
| Bright Health | Commercial|All Plans | $188.56 | ↑ +104% |
| Wellpoint | Commercial|Exchange | $193.67 | ↑ +110% |
| Community Health Choice | Commercial|All Other Plans | $193.67 | ↑ +110% |
| Community Health Choice | Commercial|Exchange | $193.67 | ↑ +110% |
| Superior Health Plan | Commercial|All Plans | $193.67 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $198.00 | ↑ +114% |
| Aetna | Commercial|Exchange | $198.83 | ↑ +115% |
| Aetna | Commercial|Transplant | $200.64 | ↑ +117% |
| BCBS-TX | Commercial|PPO | $209.34 | ↑ +127% |
| OPTUM | Medicaid|STARPLUS | $218.12 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $224.40 | ↑ +143% |
| MHealth Network | Commercial|PPO | $264.00 | ↑ +186% |
| Cigna | Commercial|PPO | $387.00 | ↑ +319% |
| NX Health | Commercial|PPO | $419.61 | ↑ +354% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +920% |
| United | Commercial|Exchange | $1,676.00 | ↑ +1714% |
| Aetna-Kelsey Care | Commercial|HMO | $2,172.00 | ↑ +2251% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +2530% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +2530% |
| United | Commercial|Charter | $2,474.00 | ↑ +2577% |
| Aetna | Commercial|HMO | $2,620.00 | ↑ +2735% |
| United | Commercial|PPO | $2,749.00 | ↑ +2875% |
| United | Commercial|HMO | $2,749.00 | ↑ +2875% |
Visitor-reported prices
Comments
Puncture arterial withdrawal blood for diagnosis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $287.08 | $136.29 – $136.29 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $127.50 | $10.00 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $96.17 | $12.00 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $94.55 | $12.00 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $127.50 | $10.00 – $316.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $96.17 | $12.00 – $316.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $96.17 | $8.00 – $3,235.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $94.55 | $12.00 – $316.45 |