Red cell mass multiple at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$345.10
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.
$986.00
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.
$76.85 with Wellpoint vs $2,827.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $76.85 | ↓ -78% |
| Wellpoint | Medicaid|STARKIDS | $76.85 | ↓ -78% |
| Wellpoint | Medicaid|CHIP | $76.85 | ↓ -78% |
| UHC | Medicaid|STARKIDS | $78.39 | ↓ -77% |
| UHC | Medicaid|CHIP | $78.39 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $78.39 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $78.88 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $78.88 | ↓ -77% |
| BCBS | Medicaid|All Plans | $80.69 | ↓ -77% |
| CHC | Medicaid|All Other Plans | $88.38 | ↓ -74% |
| BCBS-TX | Commercial|Exchange | $93.50 | ↓ -73% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $96.81 | ↓ -72% |
| Wellpoint | Medicaid|STAR | $102.98 | ↓ -70% |
| UNITED | Medicaid|STAR | $105.28 | ↓ -69% |
| TCHP | Medicaid|STAR | $105.70 | ↓ -69% |
| CHC | Medicaid|STAR | $118.35 | ↓ -66% |
| BCBS-TX | Commercial|Blue Premier | $169.75 | ↓ -51% |
| BCBS-TX | Commercial|HMO | $198.93 | ↓ -42% |
| BCBS-TX | Commercial|PPO | $223.46 | ↓ -35% |
| UHC | Medicaid|STARPLUS | $239.77 | ↓ -31% |
| UNITED | Medicaid|STARPLUS | $239.77 | ↓ -31% |
| OPTUM | Medicare|All Plans | $266.22 | ↓ -23% |
| Cigna | Commercial|Surefit | $315.52 | ↓ -9% |
| Cigna | Commercial|HMO | $345.10 | ↑ +0% |
| TCHPCHIP | Medicaid|HMO | $345.10 | ↑ +0% |
| OPTUM | Medicaid|STAR | $356.74 | ↑ +3% |
| Renaissance | Commercial|All Plans | $388.18 | ↑ +12% |
| Cigna | Commercial|PPO | $404.26 | ↑ +17% |
| KELSEY | Medicare|All Plans | $445.47 | ↑ +29% |
| United | Commercial|Optum | $463.42 | ↑ +34% |
| HUMANA | Medicare|All Other Plans | $539.14 | ↑ +56% |
| HUMANA | Medicare|TRANSPLANT | $539.14 | ↑ +56% |
| BCBS | Medicare|All Plans | $539.14 | ↑ +56% |
| CIGNA HEALTHSPRING | Medicare|HMO | $539.14 | ↑ +56% |
| SELECTCARE | Medicare|All Plans | $539.14 | ↑ +56% |
| CHC | Medicaid|CHIP | $542.30 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $542.30 | ↑ +57% |
| CHC | Medicaid|HMO | $542.30 | ↑ +57% |
| CIGNA HEALTHSPRING | Medicare|PPO | $544.53 | ↑ +58% |
| AETNA | Medicare|All Plans | $549.92 | ↑ +59% |
| UHC-SecureHorizons | Medicare|All Plans | $549.92 | ↑ +59% |
| Amerivantage | Medicare|All Plans | $555.31 | ↑ +61% |
| DEVOTED | Medicare|All Plans | $576.88 | ↑ +67% |
| SCANHealth | Medicare|All Plans | $576.88 | ↑ +67% |
| Aetna-Kelsey Care | Commercial|HMO | $581.74 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $591.60 | ↑ +71% |
| KINDRED | Medicare|All Plans | $593.05 | ↑ +72% |
| Humana | Commercial|Transplant | $640.90 | ↑ +86% |
| Coventry | Commercial|PPO | $640.90 | ↑ +86% |
| First Health | Commercial|All Plans | $640.90 | ↑ +86% |
| Aetna | Commercial|HMO | $670.48 | ↑ +94% |
| Cigna | Commercial|Transplant | $690.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $690.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $690.20 | ↑ +100% |
| KelseyCare | Commercial|Exchange | $727.84 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $739.50 | ↑ +114% |
| Community Health Choice | Commercial|All Other Plans | $808.71 | ↑ +134% |
| Superior Health Plan | Commercial|All Plans | $808.71 | ↑ +134% |
| Wellpoint | Commercial|Exchange | $808.71 | ↑ +134% |
| Community Health Choice | Commercial|Exchange | $808.71 | ↑ +134% |
| OPTUM | Medicaid|STARPLUS | $814.64 | ↑ +136% |
| Bright Health | Commercial|All Plans | $818.35 | ↑ +137% |
| Aetna | Commercial|Exchange | $830.28 | ↑ +141% |
| USA Health Network | Commercial|All Plans | $838.10 | ↑ +143% |
| MHealth Network | Commercial|PPO | $986.00 | ↑ +186% |
| United | Commercial|Exchange | $1,723.00 | ↑ +399% |
| NX Health | Commercial|PPO | $1,752.20 | ↑ +408% |
| United | Commercial|Charter | $2,544.00 | ↑ +637% |
| United | Commercial|HMO | $2,827.00 | ↑ +719% |
| United | Commercial|PPO | $2,827.00 | ↑ +719% |
Visitor-reported prices
Comments
Red cell mass multiple at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,888.48 | $222.80 – $2,832.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,982.90 | $94.56 – $2,478.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,888.48 | $101.18 – $2,832.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,888.48 | $94.56 – $2,832.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,982.90 | $94.56 – $2,974.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,888.48 | $94.56 – $2,360.59 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,888.48 | $94.56 – $2,832.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,982.90 | $94.56 – $2,974.35 |