Revasc lithotr-stent tib/per at St. Luke's Health - Sugar Land Hospital

1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$8,124.55

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$23,213.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$1,528.00 with Aetna-Kelsey Care vs $58,453.88 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 →

Payer
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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
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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
Aetna-Kelsey Care Commercial|HMO $1,528.00 ↓ -81%
Aetna Commercial|HMO $1,842.00 ↓ -77%
Cigna Commercial|Surefit $3,309.00 ↓ -59%
Cigna Commercial|HMO $3,646.00 ↓ -55%
United Commercial|Exchange $4,969.00 ↓ -39%
OPTUM Medicare|All Plans $6,267.51 ↓ -23%
United Commercial|Charter $7,337.00 ↓ -10%
TCHPCHIP Medicaid|HMO $8,124.55 ↑ +0%
United Commercial|HMO $8,150.00 ↑ +0%
United Commercial|PPO $8,150.00 ↑ +0%
OPTUM Medicaid|STAR $8,398.47 ↑ +3%
TCHP Medicaid|STARKIDS $8,497.34 ↑ +5%
Wellpoint Medicaid|CHIP $8,497.34 ↑ +5%
Wellpoint Medicaid|All Other Plans $8,497.34 ↑ +5%
TCHP Medicaid|All Other Plans $8,497.34 ↑ +5%
Wellpoint Medicaid|STARKIDS $8,497.34 ↑ +5%
UHC Medicaid|STARKIDS $8,667.29 ↑ +7%
UHC Medicaid|CHIP $8,667.29 ↑ +7%
UNITED Medicaid|All Other Plans $8,667.29 ↑ +7%
BCBS Medicaid|All Plans $8,922.21 ↑ +10%
Cigna Commercial|PPO $9,158.00 ↑ +13%
CHC Medicaid|All Other Plans $9,771.94 ↑ +20%
United Commercial|Optum $10,910.11 ↑ +34%
TCHP Medicaid|STAR $11,386.44 ↑ +40%
Wellpoint Medicaid|STAR $11,386.44 ↑ +40%
UNITED Medicaid|STAR $11,641.36 ↑ +43%
BCBS-TX Commercial|Exchange $12,048.00 ↑ +48%
CHC Medicaid|HMO $12,767.15 ↑ +57%
CHC Medicaid|CHIP $12,767.15 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $12,767.15 ↑ +57%
Renaissance Commercial|All Plans $12,949.78 ↑ +59%
CHC Medicaid|STAR $13,085.90 ↑ +61%
Cigna Lifesource Commercial|Transplant $13,927.80 ↑ +71%
Humana Commercial|Transplant $15,088.45 ↑ +86%
First Health Commercial|All Plans $15,088.45 ↑ +86%
Coventry Commercial|PPO $15,088.45 ↑ +86%
BCBS-TX Commercial|MyBlue Health Exchange $15,421.44 ↑ +90%
Aetna Commercial|PPO $15,784.84 ↑ +94%
Healthsmart Commercial|PPO $16,249.10 ↑ +100%
Cigna Commercial|Transplant $16,249.10 ↑ +100%
Interlink Commercial|Transplant $16,249.10 ↑ +100%
MultiPlan Commercial|All Plans $17,409.75 ↑ +114%
CIGNA HEALTHSPRING Medicare|HMO $17,985.81 ↑ +121%
BCBS Medicare|All Plans $17,985.81 ↑ +121%
HUMANA Medicare|All Other Plans $17,985.81 ↑ +121%
HUMANA Medicare|TRANSPLANT $17,985.81 ↑ +121%
SELECTCARE Medicare|All Plans $17,985.81 ↑ +121%
CIGNA HEALTHSPRING Medicare|PPO $18,165.67 ↑ +124%
AETNA Medicare|All Plans $18,345.53 ↑ +126%
UHC-SecureHorizons Medicare|All Plans $18,345.53 ↑ +126%
Amerivantage Medicare|All Plans $18,525.38 ↑ +128%
OPTUM Medicaid|STARPLUS $19,178.59 ↑ +136%
DEVOTED Medicare|All Plans $19,244.82 ↑ +137%
SCANHealth Medicare|All Plans $19,244.82 ↑ +137%
USA Health Network Commercial|All Plans $19,731.05 ↑ +143%
KINDRED Medicare|All Plans $19,784.39 ↑ +144%
MHealth Network Commercial|PPO $23,213.00 ↑ +186%
BCBS-TX Commercial|Blue Premier $23,292.80 ↑ +187%
KelseyCare Commercial|Exchange $24,280.84 ↑ +199%
UNITED Medicaid|STARPLUS $26,511.70 ↑ +226%
UHC Medicaid|STARPLUS $26,511.70 ↑ +226%
Bright Health Commercial|All Plans $26,857.58 ↑ +231%
Superior Health Plan Commercial|All Plans $26,978.72 ↑ +232%
Community Health Choice Commercial|All Other Plans $26,978.72 ↑ +232%
Community Health Choice Commercial|Exchange $26,978.72 ↑ +232%
Wellpoint Commercial|Exchange $26,978.72 ↑ +232%
BCBS-TX Commercial|HMO $27,630.08 ↑ +240%
Aetna Commercial|Exchange $27,698.15 ↑ +241%
BCBS-TX Commercial|PPO $30,842.88 ↑ +280%
NX Health Commercial|PPO $58,453.88 ↑ +619%

Visitor-reported prices

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Revasc lithotr-stent tib/per at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $22,322.36 $6,299.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $20,668.85 $3,867.58 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $19,729.36 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $22,322.36 $7,038.00 – $43,439.01
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $20,668.85 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $20,668.85 $8,497.34 – $43,439.01
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $19,729.36 $5,388.00 – $43,439.01
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $22,322.36 $7,038.00 – $43,439.01

All Texas hospitals for this procedure →