Tc-99m bicisate at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$1,969.45
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.
?
What you pay up front if you don't use insurance.
$5,627.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$100.00 with Cigna vs $5,627.00 with MHealth Network — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Cigna | Commercial|Surefit | $100.00 | ↓ -95% |
| Cigna | Commercial|HMO | $100.00 | ↓ -95% |
| Cigna | Commercial|PPO | $100.00 | ↓ -95% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $403.95 | ↓ -79% |
| BCBS-TX | Commercial|Exchange | $455.84 | ↓ -77% |
| Renaissance | Commercial|All Plans | $493.14 | ↓ -75% |
| SELECTCARE | Medicare|All Plans | $684.91 | ↓ -65% |
| HUMANA | Medicare|All Other Plans | $684.91 | ↓ -65% |
| HUMANA | Medicare|TRANSPLANT | $684.91 | ↓ -65% |
| CIGNA HEALTHSPRING | Medicare|HMO | $684.91 | ↓ -65% |
| BCBS | Medicare|All Plans | $684.91 | ↓ -65% |
| CIGNA HEALTHSPRING | Medicare|PPO | $691.76 | ↓ -65% |
| AETNA | Medicare|All Plans | $698.61 | ↓ -65% |
| UHC-SecureHorizons | Medicare|All Plans | $698.61 | ↓ -65% |
| Amerivantage | Medicare|All Plans | $705.46 | ↓ -64% |
| SCANHealth | Medicare|All Plans | $732.85 | ↓ -63% |
| DEVOTED | Medicare|All Plans | $732.85 | ↓ -63% |
| KINDRED | Medicare|All Plans | $753.40 | ↓ -62% |
| BCBS-TX | Commercial|Blue Premier | $785.67 | ↓ -60% |
| KelseyCare | Commercial|Exchange | $924.63 | ↓ -53% |
| United | Commercial|Exchange | $976.47 | ↓ -50% |
| BCBS-TX | Commercial|HMO | $985.80 | ↓ -50% |
| Community Health Choice | Commercial|All Other Plans | $1,027.37 | ↓ -48% |
| Superior Health Plan | Commercial|All Plans | $1,027.37 | ↓ -48% |
| Wellpoint | Commercial|Exchange | $1,027.37 | ↓ -48% |
| Community Health Choice | Commercial|Exchange | $1,027.37 | ↓ -48% |
| Aetna | Commercial|Exchange | $1,054.76 | ↓ -46% |
| BCBS-TX | Commercial|PPO | $1,204.45 | ↓ -39% |
| United | Commercial|HMO | $1,470.17 | ↓ -25% |
| United | Commercial|PPO | $1,470.17 | ↓ -25% |
| United | Commercial|Charter | $1,470.17 | ↓ -25% |
| OPTUM | Medicare|All Plans | $1,519.29 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $1,969.45 | ↑ +0% |
| OPTUM | Medicaid|STAR | $2,035.85 | ↑ +3% |
| NX Health | Commercial|PPO | $2,225.96 | ↑ +13% |
| United | Commercial|Optum | $2,644.69 | ↑ +34% |
| TEXASTRUECHOICE | Medicaid|CHIP | $3,094.85 | ↑ +57% |
| CHC | Medicaid|CHIP | $3,094.85 | ↑ +57% |
| CHC | Medicaid|HMO | $3,094.85 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $3,376.20 | ↑ +71% |
| First Health | Commercial|All Plans | $3,657.55 | ↑ +86% |
| Humana | Commercial|Transplant | $3,657.55 | ↑ +86% |
| Coventry | Commercial|PPO | $3,657.55 | ↑ +86% |
| Healthsmart | Commercial|PPO | $3,938.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,938.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $3,938.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $4,220.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $4,649.03 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $4,782.95 | ↑ +143% |
| MHealth Network | Commercial|PPO | $5,627.00 | ↑ +186% |
Visitor-reported prices
Comments
Tc-99m bicisate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $3,372.43 | $726.38 – $9,049.95 |
| Baylor St Luke's Medical Center | Houston | $1,969.45 | $100.00 – $5,627.00 |
| St. Joseph Health Madison Hospital | Madisonville | $374.68 | $272.77 – $1,926.90 |
| St. Luke's Health Memorial Lufkin | Lufkin | $436.80 | $100.00 – $2,620.80 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,969.45 | $100.00 – $5,627.00 |
| St. Joseph Health College Station Hospital | College Station | $374.68 | $428.20 – $1,819.85 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,969.45 | $100.00 – $5,627.00 |
| St. Joseph Health Grimes Hospital | Navasota | $374.68 | $428.20 – $2,376.51 |