Tc-99m mebrofenin at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$103.60
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.
$296.00
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.
$60.06 with BCBS-TX vs $296.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|MyBlue Health Exchange | $60.06 | ↓ -42% |
| BCBS-TX | Commercial|Exchange | $67.77 | ↓ -35% |
| United | Commercial|Exchange | $76.96 | ↓ -26% |
| OPTUM | Medicare|All Plans | $79.92 | ↓ -23% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -3% |
| Cigna | Commercial|PPO | $100.00 | ↓ -3% |
| Cigna | Commercial|HMO | $100.00 | ↓ -3% |
| United | Commercial|Charter | $100.64 | ↓ -3% |
| TCHPCHIP | Medicaid|HMO | $103.60 | ↑ +0% |
| OPTUM | Medicaid|STAR | $107.10 | ↑ +3% |
| United | Commercial|HMO | $112.48 | ↑ +9% |
| United | Commercial|PPO | $112.48 | ↑ +9% |
| BCBS-TX | Commercial|Blue Premier | $116.81 | ↑ +13% |
| United | Commercial|Optum | $139.12 | ↑ +34% |
| BCBS-TX | Commercial|HMO | $146.57 | ↑ +41% |
| TEXASTRUECHOICE | Medicaid|CHIP | $162.80 | ↑ +57% |
| CHC | Medicaid|HMO | $162.80 | ↑ +57% |
| CHC | Medicaid|CHIP | $162.80 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $177.60 | ↑ +71% |
| BCBS-TX | Commercial|PPO | $179.08 | ↑ +73% |
| Coventry | Commercial|PPO | $192.40 | ↑ +86% |
| First Health | Commercial|All Plans | $192.40 | ↑ +86% |
| Humana | Commercial|Transplant | $192.40 | ↑ +86% |
| Interlink | Commercial|Transplant | $207.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $207.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $207.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $222.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $244.56 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $251.60 | ↑ +143% |
| MHealth Network | Commercial|PPO | $296.00 | ↑ +186% |
Visitor-reported prices
Comments
Tc-99m mebrofenin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $893.78 | $108.00 – $646.54 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,280.09 | $108.00 – $646.54 |
| HCA HOUSTON NORTHWEST | SPRING | $1,328.96 | $108.00 – $646.54 |
| St. Luke's Health - Patients Medical Center | Pasadena | $239.40 | $60.06 – $498.13 |
| Baylor St Luke's Medical Center | Houston | $103.60 | $49.59 – $296.00 |
| St. Joseph Health Madison Hospital | Madisonville | $71.05 | $51.73 – $365.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $157.65 | $100.00 – $945.90 |
| HCA HOUSTON PEARLAND | Pearland | $769.84 | $108.00 – $646.54 |