Revision open av fistula without thromb at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$5,427.10
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.
$15,506.00
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.
$1,528.00 with Aetna-Kelsey Care vs $17,596.99 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,528.00 | ↓ -72% |
| Aetna | Commercial|HMO | $1,842.00 | ↓ -66% |
| KelseyCare | Commercial|All Other Plans | $1,848.60 | ↓ -66% |
| Healthsmart | Commercial|AP3-PPO | $1,929.00 | ↓ -64% |
| Wellpoint | Medicaid|STARKIDS | $1,939.15 | ↓ -64% |
| Wellpoint | Medicaid|All Other Plans | $1,939.15 | ↓ -64% |
| Wellpoint | Medicaid|CHIP | $1,939.15 | ↓ -64% |
| TCHP | Medicaid|All Other Plans | $1,939.15 | ↓ -64% |
| TCHP | Medicaid|STARKIDS | $1,939.15 | ↓ -64% |
| UHC | Medicaid|CHIP | $1,977.93 | ↓ -64% |
| UHC | Medicaid|STARKIDS | $1,977.93 | ↓ -64% |
| UNITED | Medicaid|All Other Plans | $1,977.93 | ↓ -64% |
| BCBS | Medicaid|All Plans | $2,036.11 | ↓ -62% |
| Independent Med System | Commercial|All Plans | $2,202.00 | ↓ -59% |
| CHC | Medicaid|All Other Plans | $2,230.02 | ↓ -59% |
| Humana | Commercial|HMO | $2,511.00 | ↓ -54% |
| Humana | Commercial|PPO | $2,511.00 | ↓ -54% |
| TCHP | Medicaid|STAR | $2,598.46 | ↓ -52% |
| Wellpoint | Medicaid|STAR | $2,598.46 | ↓ -52% |
| UNITED | Medicaid|STAR | $2,656.64 | ↓ -51% |
| CHC | Medicaid|STAR | $2,986.29 | ↓ -45% |
| BCBS-TX | Commercial|Exchange | $3,447.14 | ↓ -36% |
| Cigna | Commercial|Surefit | $3,635.00 | ↓ -33% |
| Renaissance | Commercial|All Plans | $3,898.41 | ↓ -28% |
| Cigna | Commercial|HMO | $4,005.00 | ↓ -26% |
| OPTUM | Medicare|All Plans | $4,186.62 | ↓ -23% |
| KELSEY | Medicare|All Plans | $4,193.31 | ↓ -23% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $4,412.34 | ↓ -19% |
| United | Commercial|Exchange | $4,853.00 | ↓ -11% |
| BCBS | Medicare|All Plans | $5,414.46 | ↓ -0% |
| SELECTCARE | Medicare|All Plans | $5,414.46 | ↓ -0% |
| CIGNA HEALTHSPRING | Medicare|HMO | $5,414.46 | ↓ -0% |
| HUMANA | Medicare|All Other Plans | $5,414.46 | ↓ -0% |
| HUMANA | Medicare|TRANSPLANT | $5,414.46 | ↓ -0% |
| TCHPCHIP | Medicaid|HMO | $5,427.10 | ↑ +0% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5,468.60 | ↑ +1% |
| UHC-SecureHorizons | Medicare|All Plans | $5,522.75 | ↑ +2% |
| AETNA | Medicare|All Plans | $5,522.75 | ↑ +2% |
| Amerivantage | Medicare|All Plans | $5,576.89 | ↑ +3% |
| OPTUM | Medicaid|STAR | $5,610.08 | ↑ +3% |
| SCANHealth | Medicare|All Plans | $5,793.47 | ↑ +7% |
| DEVOTED | Medicare|All Plans | $5,793.47 | ↑ +7% |
| KINDRED | Medicare|All Plans | $5,955.91 | ↑ +10% |
| UHC | Medicaid|STARPLUS | $6,050.15 | ↑ +11% |
| UNITED | Medicaid|STARPLUS | $6,050.15 | ↑ +11% |
| BCBS-TX | Commercial|Blue Premier | $6,664.48 | ↑ +23% |
| PHCS Savility | Commercial|PPO | $7,089.00 | ↑ +31% |
| PHCS | Commercial|All Plans | $7,089.00 | ↑ +31% |
| United | Commercial|Charter | $7,164.00 | ↑ +32% |
| United | Commercial|Optum | $7,287.82 | ↑ +34% |
| KelseyCare | Commercial|Exchange | $7,309.52 | ↑ +35% |
| BCBS-TX | Commercial|HMO | $7,905.45 | ↑ +46% |
| United | Commercial|HMO | $7,961.00 | ↑ +47% |
| United | Commercial|PPO | $7,961.00 | ↑ +47% |
| Bright Health | Commercial|All Plans | $7,974.68 | ↑ +47% |
| Community Health Choice | Commercial|All Other Plans | $8,121.69 | ↑ +50% |
| Community Health Choice | Commercial|Exchange | $8,121.69 | ↑ +50% |
| Superior Health Plan | Commercial|All Plans | $8,121.69 | ↑ +50% |
| Wellpoint | Commercial|Exchange | $8,121.69 | ↑ +50% |
| Aetna | Commercial|Exchange | $8,338.27 | ↑ +54% |
| TEXASTRUECHOICE | Medicaid|CHIP | $8,528.30 | ↑ +57% |
| CHC | Medicaid|CHIP | $8,528.30 | ↑ +57% |
| CHC | Medicaid|HMO | $8,528.30 | ↑ +57% |
| BCBS-TX | Commercial|PPO | $8,824.68 | ↑ +63% |
| Cigna Lifesource | Commercial|Transplant | $9,303.60 | ↑ +71% |
| Cigna | Commercial|PPO | $10,059.00 | ↑ +85% |
| Coventry | Commercial|PPO | $10,078.90 | ↑ +86% |
| First Health | Commercial|All Plans | $10,078.90 | ↑ +86% |
| Humana | Commercial|Transplant | $10,078.90 | ↑ +86% |
| Aetna | Commercial|PPO | $10,544.08 | ↑ +94% |
| Interlink | Commercial|Transplant | $10,854.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $10,854.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $10,854.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $11,629.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $11,784.56 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $12,811.06 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $13,180.10 | ↑ +143% |
| MHealth Network | Commercial|PPO | $15,506.00 | ↑ +186% |
| NX Health | Commercial|PPO | $17,596.99 | ↑ +224% |
Visitor-reported prices
Comments
Revision open av fistula without thromb at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,714.76 | $1,939.15 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $9,740.70 | $71.00 – $14,611.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,037.35 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,714.76 | $1,939.15 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $9,740.70 | $85.00 – $14,611.05 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $9,740.70 | $1,939.15 – $14,611.05 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,037.35 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $10,714.76 | $1,939.15 – $13,613.39 |