Revasc lithotrip tibi/perone 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

$7,304.85

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.

$20,871.00

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 $36,916.56 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 ↓ -79%
Aetna Commercial|HMO $1,842.00 ↓ -75%
Cigna Commercial|Surefit $3,309.00 ↓ -55%
Cigna Commercial|HMO $3,646.00 ↓ -50%
Wellpoint Medicaid|CHIP $4,750.24 ↓ -35%
Wellpoint Medicaid|All Other Plans $4,750.24 ↓ -35%
TCHP Medicaid|STARKIDS $4,750.24 ↓ -35%
TCHP Medicaid|All Other Plans $4,750.24 ↓ -35%
Wellpoint Medicaid|STARKIDS $4,750.24 ↓ -35%
UHC Medicaid|CHIP $4,845.24 ↓ -34%
UHC Medicaid|STARKIDS $4,845.24 ↓ -34%
UNITED Medicaid|All Other Plans $4,845.24 ↓ -34%
United Commercial|Exchange $4,969.00 ↓ -32%
BCBS Medicaid|All Plans $4,987.75 ↓ -32%
CHC Medicaid|All Other Plans $5,462.78 ↓ -25%
OPTUM Medicare|All Plans $5,635.17 ↓ -23%
Wellpoint Medicaid|STAR $6,365.32 ↓ -13%
TCHP Medicaid|STAR $6,365.32 ↓ -13%
UNITED Medicaid|STAR $6,507.83 ↓ -11%
TCHPCHIP Medicaid|HMO $7,304.85 ↑ +0%
CHC Medicaid|STAR $7,315.37 ↑ +0%
United Commercial|Charter $7,337.00 ↑ +0%
BCBS-TX Commercial|Exchange $7,532.21 ↑ +3%
OPTUM Medicaid|STAR $7,551.13 ↑ +3%
United Commercial|HMO $8,150.00 ↑ +12%
United Commercial|PPO $8,150.00 ↑ +12%
Renaissance Commercial|All Plans $8,178.44 ↑ +12%
Cigna Commercial|PPO $9,158.00 ↑ +25%
BCBS-TX Commercial|MyBlue Health Exchange $9,641.22 ↑ +32%
United Commercial|Optum $9,809.37 ↑ +34%
CIGNA HEALTHSPRING Medicare|HMO $11,358.94 ↑ +55%
SELECTCARE Medicare|All Plans $11,358.94 ↑ +55%
HUMANA Medicare|All Other Plans $11,358.94 ↑ +55%
HUMANA Medicare|TRANSPLANT $11,358.94 ↑ +55%
BCBS Medicare|All Plans $11,358.94 ↑ +55%
CIGNA HEALTHSPRING Medicare|PPO $11,472.53 ↑ +57%
CHC Medicaid|CHIP $11,479.05 ↑ +57%
CHC Medicaid|HMO $11,479.05 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $11,479.05 ↑ +57%
AETNA Medicare|All Plans $11,586.12 ↑ +59%
UHC-SecureHorizons Medicare|All Plans $11,586.12 ↑ +59%
Amerivantage Medicare|All Plans $11,699.71 ↑ +60%
DEVOTED Medicare|All Plans $12,154.07 ↑ +66%
SCANHealth Medicare|All Plans $12,154.07 ↑ +66%
KINDRED Medicare|All Plans $12,494.83 ↑ +71%
Cigna Lifesource Commercial|Transplant $12,522.60 ↑ +71%
First Health Commercial|All Plans $13,566.15 ↑ +86%
Coventry Commercial|PPO $13,566.15 ↑ +86%
Humana Commercial|Transplant $13,566.15 ↑ +86%
Aetna Commercial|PPO $14,192.28 ↑ +94%
BCBS-TX Commercial|Blue Premier $14,562.26 ↑ +99%
Healthsmart Commercial|PPO $14,609.70 ↑ +100%
Interlink Commercial|Transplant $14,609.70 ↑ +100%
Cigna Commercial|Transplant $14,609.70 ↑ +100%
UNITED Medicaid|STARPLUS $14,820.75 ↑ +103%
UHC Medicaid|STARPLUS $14,820.75 ↑ +103%
KelseyCare Commercial|Exchange $15,334.57 ↑ +110%
MultiPlan Commercial|All Plans $15,653.25 ↑ +114%
Bright Health Commercial|All Plans $16,797.53 ↑ +130%
Wellpoint Commercial|Exchange $17,038.41 ↑ +133%
Community Health Choice Commercial|Exchange $17,038.41 ↑ +133%
Superior Health Plan Commercial|All Plans $17,038.41 ↑ +133%
Community Health Choice Commercial|All Other Plans $17,038.41 ↑ +133%
OPTUM Medicaid|STARPLUS $17,243.63 ↑ +136%
BCBS-TX Commercial|HMO $17,273.86 ↑ +136%
Aetna Commercial|Exchange $17,492.77 ↑ +139%
USA Health Network Commercial|All Plans $17,740.35 ↑ +143%
BCBS-TX Commercial|PPO $19,282.44 ↑ +164%
MHealth Network Commercial|PPO $20,871.00 ↑ +186%
NX Health Commercial|PPO $36,916.56 ↑ +405%

Visitor-reported prices

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Revasc lithotrip tibi/perone at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $14,653.34 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $14,653.35 $3,016.15 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $13,321.23 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $14,653.34 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $14,653.35 $5,082.76 – $27,252.71
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $14,653.35 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $13,321.23 $4,750.24 – $27,252.71
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $14,653.34 $4,750.24 – $27,252.71

All Texas hospitals for this procedure →