Puncture spinal lumbar diagnostic at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$913.85
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.
?
What you pay up front if you don't use insurance.
$2,611.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$262.86 with Wellpoint vs $5,160.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $262.86 | ↓ -71% |
| TCHP | Medicaid|All Other Plans | $262.86 | ↓ -71% |
| TCHP | Medicaid|STARKIDS | $262.86 | ↓ -71% |
| Wellpoint | Medicaid|STARKIDS | $262.86 | ↓ -71% |
| Wellpoint | Medicaid|CHIP | $262.86 | ↓ -71% |
| UNITED | Medicaid|All Other Plans | $268.12 | ↓ -71% |
| UHC | Medicaid|STARKIDS | $268.12 | ↓ -71% |
| UHC | Medicaid|CHIP | $268.12 | ↓ -71% |
| BCBS | Medicaid|All Plans | $276.00 | ↓ -70% |
| CHC | Medicaid|All Other Plans | $302.29 | ↓ -67% |
| Wellpoint | Medicaid|STAR | $352.23 | ↓ -61% |
| TCHP | Medicaid|STAR | $352.23 | ↓ -61% |
| UNITED | Medicaid|STAR | $360.12 | ↓ -61% |
| CHC | Medicaid|STAR | $404.80 | ↓ -56% |
| BCBS-TX | Commercial|Exchange | $468.79 | ↓ -49% |
| Renaissance | Commercial|All Plans | $499.42 | ↓ -45% |
| KELSEY | Medicare|All Plans | $534.25 | ↓ -42% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $600.05 | ↓ -34% |
| BCBS | Medicare|All Plans | $693.64 | ↓ -24% |
| HUMANA | Medicare|All Other Plans | $693.64 | ↓ -24% |
| HUMANA | Medicare|TRANSPLANT | $693.64 | ↓ -24% |
| SELECTCARE | Medicare|All Plans | $693.64 | ↓ -24% |
| CIGNA HEALTHSPRING | Medicare|HMO | $693.64 | ↓ -24% |
| CIGNA HEALTHSPRING | Medicare|PPO | $700.58 | ↓ -23% |
| OPTUM | Medicare|All Plans | $704.97 | ↓ -23% |
| UHC-SecureHorizons | Medicare|All Plans | $707.51 | ↓ -23% |
| AETNA | Medicare|All Plans | $707.51 | ↓ -23% |
| Amerivantage | Medicare|All Plans | $714.45 | ↓ -22% |
| DEVOTED | Medicare|All Plans | $742.19 | ↓ -19% |
| SCANHealth | Medicare|All Plans | $742.19 | ↓ -19% |
| KINDRED | Medicare|All Plans | $763.00 | ↓ -17% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -12% |
| UNITED | Medicaid|STARPLUS | $820.12 | ↓ -10% |
| UHC | Medicaid|STARPLUS | $820.12 | ↓ -10% |
| BCBS-TX | Commercial|Blue Premier | $906.32 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $913.85 | ↑ +0% |
| KelseyCare | Commercial|Exchange | $936.41 | ↑ +2% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +3% |
| OPTUM | Medicaid|STAR | $944.66 | ↑ +3% |
| Healthsmart | Commercial|AP3-PPO | $958.00 | ↑ +5% |
| Aetna | Commercial|HMO | $972.00 | ↑ +6% |
| Community Health Choice | Commercial|Exchange | $1,040.46 | ↑ +14% |
| Superior Health Plan | Commercial|All Plans | $1,040.46 | ↑ +14% |
| Wellpoint | Commercial|Exchange | $1,040.46 | ↑ +14% |
| Community Health Choice | Commercial|All Other Plans | $1,040.46 | ↑ +14% |
| Bright Health | Commercial|All Plans | $1,061.91 | ↑ +16% |
| Aetna | Commercial|Exchange | $1,068.21 | ↑ +17% |
| BCBS-TX | Commercial|HMO | $1,075.09 | ↑ +18% |
| BCBS-TX | Commercial|PPO | $1,200.10 | ↑ +31% |
| United | Commercial|Optum | $1,227.17 | ↑ +34% |
| Humana | Commercial|PPO | $1,345.00 | ↑ +47% |
| Humana | Commercial|HMO | $1,345.00 | ↑ +47% |
| CHC | Medicaid|HMO | $1,436.05 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,436.05 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,436.05 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $1,566.60 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +83% |
| United | Commercial|Exchange | $1,676.00 | ↑ +83% |
| Coventry | Commercial|PPO | $1,697.15 | ↑ +86% |
| Humana | Commercial|Transplant | $1,697.15 | ↑ +86% |
| First Health | Commercial|All Plans | $1,697.15 | ↑ +86% |
| Aetna | Commercial|PPO | $1,775.48 | ↑ +94% |
| Cigna | Commercial|Transplant | $1,827.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,827.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,827.70 | ↑ +100% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $1,958.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,984.36 | ↑ +117% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +125% |
| OPTUM | Medicaid|STARPLUS | $2,157.21 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,219.35 | ↑ +143% |
| NX Health | Commercial|PPO | $2,254.33 | ↑ +147% |
| United | Commercial|Charter | $2,474.00 | ↑ +171% |
| MHealth Network | Commercial|PPO | $2,611.00 | ↑ +186% |
| United | Commercial|PPO | $2,749.00 | ↑ +201% |
| United | Commercial|HMO | $2,749.00 | ↑ +201% |
| PHCS Savility | Commercial|PPO | $4,487.00 | ↑ +391% |
| PHCS | Commercial|All Plans | $4,487.00 | ↑ +391% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +465% |
Visitor-reported prices
Comments
Puncture spinal lumbar diagnostic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,192.12 | $781.31 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,173.65 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,134.64 | $71.00 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,326.88 | $71.00 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,173.65 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,134.64 | $85.00 – $1,713.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,134.64 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,326.88 | $71.00 – $1,990.32 |