Repair blood vessel lesion at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$3,454.15
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.
$9,869.00
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.
$789.52 with TCHP vs $10,245.95 with NX Health — 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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $789.52 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $789.52 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $805.32 | ↓ -77% |
| TCHP | Medicaid|STAR | $1,057.96 | ↓ -69% |
| UNITED | Medicaid|STAR | $1,081.65 | ↓ -69% |
| Aetna-Kelsey Care | Commercial|HMO | $1,997.00 | ↓ -42% |
| BCBS-TX | Commercial|Exchange | $2,078.46 | ↓ -40% |
| Renaissance | Commercial|All Plans | $2,269.87 | ↓ -34% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -30% |
| Aetna | Commercial|HMO | $2,408.00 | ↓ -30% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -30% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -30% |
| KELSEY | Medicare|All Plans | $2,450.86 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $2,463.31 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $2,463.31 | ↓ -29% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $2,660.43 | ↓ -23% |
| OPTUM | Medicare|All Plans | $2,664.63 | ↓ -23% |
| HUMANA | Medicare|All Other Plans | $3,152.60 | ↓ -9% |
| SELECTCARE | Medicare|All Plans | $3,152.60 | ↓ -9% |
| BCBS | Medicare|All Plans | $3,152.60 | ↓ -9% |
| CIGNA HEALTHSPRING | Medicare|HMO | $3,152.60 | ↓ -9% |
| HUMANA | Medicare|TRANSPLANT | $3,152.60 | ↓ -9% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,184.13 | ↓ -8% |
| AETNA | Medicare|All Plans | $3,215.65 | ↓ -7% |
| UHC-SecureHorizons | Medicare|All Plans | $3,215.65 | ↓ -7% |
| Amerivantage | Medicare|All Plans | $3,247.18 | ↓ -6% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -4% |
| SCANHealth | Medicare|All Plans | $3,373.28 | ↓ -2% |
| DEVOTED | Medicare|All Plans | $3,373.28 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $3,454.15 | ↑ +0% |
| KINDRED | Medicare|All Plans | $3,467.86 | ↑ +0% |
| OPTUM | Medicaid|STAR | $3,570.61 | ↑ +3% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +6% |
| United | Commercial|Exchange | $3,677.00 | ↑ +6% |
| BCBS-TX | Commercial|Blue Premier | $4,018.36 | ↑ +16% |
| KelseyCare | Commercial|Exchange | $4,256.01 | ↑ +23% |
| United | Commercial|Optum | $4,638.43 | ↑ +34% |
| Community Health Choice | Commercial|All Other Plans | $4,728.90 | ↑ +37% |
| Wellpoint | Commercial|Exchange | $4,728.90 | ↑ +37% |
| Community Health Choice | Commercial|Exchange | $4,728.90 | ↑ +37% |
| Superior Health Plan | Commercial|All Plans | $4,728.90 | ↑ +37% |
| BCBS-TX | Commercial|HMO | $4,766.60 | ↑ +38% |
| Bright Health | Commercial|All Plans | $4,787.23 | ↑ +39% |
| Aetna | Commercial|Exchange | $4,855.00 | ↑ +41% |
| BCBS-TX | Commercial|PPO | $5,320.86 | ↑ +54% |
| CHC | Medicaid|CHIP | $5,427.95 | ↑ +57% |
| CHC | Medicaid|HMO | $5,427.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5,427.95 | ↑ +57% |
| United | Commercial|Charter | $5,428.00 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $5,921.40 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $5,921.40 | ↑ +71% |
| United | Commercial|PPO | $6,032.00 | ↑ +75% |
| United | Commercial|HMO | $6,032.00 | ↑ +75% |
| PHCS Savility | Commercial|PPO | $6,414.85 | ↑ +86% |
| Coventry | Commercial|PPO | $6,414.85 | ↑ +86% |
| PHCS | Commercial|All Plans | $6,414.85 | ↑ +86% |
| Humana | Commercial|Transplant | $6,414.85 | ↑ +86% |
| First Health | Commercial|All Plans | $6,414.85 | ↑ +86% |
| Aetna | Commercial|PPO | $6,710.92 | ↑ +94% |
| Interlink | Commercial|Transplant | $6,908.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $6,908.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $6,908.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $7,401.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $7,500.44 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $8,153.77 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $8,388.65 | ↑ +143% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +165% |
| MHealth Network | Commercial|PPO | $9,869.00 | ↑ +186% |
| NX Health | Commercial|PPO | $10,245.95 | ↑ +197% |
Visitor-reported prices
Comments
Repair blood vessel lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $3,454.15 | $1,085.59 – $9,869.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $3,454.15 | $986.90 – $9,869.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $3,454.15 | $789.52 – $9,869.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $3,454.15 | $789.52 – $9,869.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $3,464.10 – $4,826.69 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $4,434.05 – $4,434.05 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5,681.12 – $5,681.12 |
| Covenant Children's Hospital | Lubbock | not published | $2,638.99 – $7,334.00 |