Surgical pathology level 1 gross examination only at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$122.50
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.
$350.00
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.
$17.18 with KELSEY vs $350.00 with MHealth Network — 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 |
|---|---|---|---|
| KELSEY | Medicare|All Plans | $17.18 | ↓ -86% |
| Renaissance | Commercial|All Plans | $17.66 | ↓ -86% |
| HUMANA | Medicare|All Other Plans | $24.53 | ↓ -80% |
| SELECTCARE | Medicare|All Plans | $24.53 | ↓ -80% |
| BCBS | Medicare|All Plans | $24.53 | ↓ -80% |
| CIGNA HEALTHSPRING | Medicare|HMO | $24.53 | ↓ -80% |
| HUMANA | Medicare|TRANSPLANT | $24.53 | ↓ -80% |
| CIGNA HEALTHSPRING | Medicare|PPO | $24.78 | ↓ -80% |
| UHC-SecureHorizons | Medicare|All Plans | $25.02 | ↓ -80% |
| AETNA | Medicare|All Plans | $25.02 | ↓ -80% |
| Amerivantage | Medicare|All Plans | $25.27 | ↓ -79% |
| United | Commercial|Exchange | $26.21 | ↓ -79% |
| United | Commercial|Charter | $26.21 | ↓ -79% |
| United | Commercial|PPO | $26.21 | ↓ -79% |
| United | Commercial|HMO | $26.21 | ↓ -79% |
| SCANHealth | Medicare|All Plans | $26.25 | ↓ -79% |
| DEVOTED | Medicare|All Plans | $26.25 | ↓ -79% |
| Cigna | Commercial|Surefit | $26.33 | ↓ -79% |
| KINDRED | Medicare|All Plans | $26.98 | ↓ -78% |
| Cigna | Commercial|HMO | $29.06 | ↓ -76% |
| KelseyCare | Commercial|Exchange | $33.12 | ↓ -73% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $33.57 | ↓ -73% |
| Wellpoint | Commercial|Exchange | $36.80 | ↓ -70% |
| Superior Health Plan | Commercial|All Plans | $36.80 | ↓ -70% |
| Community Health Choice | Commercial|Exchange | $36.80 | ↓ -70% |
| Community Health Choice | Commercial|All Other Plans | $36.80 | ↓ -70% |
| Aetna | Commercial|Exchange | $37.78 | ↓ -69% |
| Cigna | Commercial|PPO | $39.73 | ↓ -68% |
| Bright Health | Commercial|All Plans | $41.32 | ↓ -66% |
| BCBS-TX | Commercial|Exchange | $43.68 | ↓ -64% |
| BCBS-TX | Commercial|Blue Premier | $74.95 | ↓ -39% |
| NX Health | Commercial|PPO | $79.72 | ↓ -35% |
| OPTUM | Medicare|All Plans | $94.50 | ↓ -23% |
| BCBS-TX | Commercial|HMO | $100.70 | ↓ -18% |
| BCBS-TX | Commercial|PPO | $117.94 | ↓ -4% |
| TCHPCHIP | Medicaid|HMO | $122.50 | ↑ +0% |
| OPTUM | Medicaid|STAR | $126.63 | ↑ +3% |
| United | Commercial|Optum | $164.50 | ↑ +34% |
| CHC | Medicaid|HMO | $192.50 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $192.50 | ↑ +57% |
| CHC | Medicaid|CHIP | $192.50 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $206.50 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $210.00 | ↑ +71% |
| Humana | Commercial|Transplant | $227.50 | ↑ +86% |
| First Health | Commercial|All Plans | $227.50 | ↑ +86% |
| Coventry | Commercial|PPO | $227.50 | ↑ +86% |
| Aetna | Commercial|HMO | $238.00 | ↑ +94% |
| Interlink | Commercial|Transplant | $245.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $245.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $245.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $262.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $289.17 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $297.50 | ↑ +143% |
| MHealth Network | Commercial|PPO | $350.00 | ↑ +186% |
Visitor-reported prices
Comments
Surgical pathology level 1 gross examination only at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $369.31 | $88.51 – $88.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $110.02 | $27.61 – $137.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $139.48 | $28.71 – $209.21 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $113.42 | $22.68 – $141.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $110.02 | $27.61 – $137.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $139.48 | $27.61 – $209.21 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $139.48 | $26.00 – $209.21 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $113.42 | $27.61 – $170.14 |