Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$25.20
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.
$72.00
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.
$19.44 with OPTUM vs $117.00 with United — 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $19.44 | ↓ -23% |
| Renaissance | Commercial|All Plans | $21.70 | ↓ -14% |
| TCHPCHIP | Medicaid|HMO | $25.20 | ↑ +0% |
| OPTUM | Medicaid|STAR | $26.05 | ↑ +3% |
| KELSEY | Medicare|All Plans | $29.60 | ↑ +17% |
| BCBS | Medicare|All Plans | $30.14 | ↑ +20% |
| HUMANA | Medicare|All Other Plans | $30.14 | ↑ +20% |
| CIGNA HEALTHSPRING | Medicare|HMO | $30.14 | ↑ +20% |
| SELECTCARE | Medicare|All Plans | $30.14 | ↑ +20% |
| CIGNA HEALTHSPRING | Medicare|PPO | $30.44 | ↑ +21% |
| AETNA | Medicare|All Plans | $30.74 | ↑ +22% |
| UHC-SecureHorizons | Medicare|All Plans | $30.74 | ↑ +22% |
| Amerivantage | Medicare|All Plans | $31.04 | ↑ +23% |
| HUMANA | Medicare|TRANSPLANT | $31.44 | ↑ +25% |
| DEVOTED | Medicare|All Plans | $32.25 | ↑ +28% |
| SCANHealth | Medicare|All Plans | $32.25 | ↑ +28% |
| KINDRED | Medicare|All Plans | $33.15 | ↑ +32% |
| United | Commercial|Optum | $33.84 | ↑ +34% |
| CHC | Medicaid|CHIP | $39.60 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $39.60 | ↑ +57% |
| CHC | Medicaid|HMO | $39.60 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $40.69 | ↑ +61% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $43.14 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $43.20 | ↑ +71% |
| Community Health Choice | Commercial|Exchange | $45.21 | ↑ +79% |
| Community Health Choice | Commercial|All Other Plans | $45.21 | ↑ +79% |
| Superior Health Plan | Commercial|All Plans | $45.21 | ↑ +79% |
| Wellpoint | Commercial|Exchange | $45.21 | ↑ +79% |
| Aetna | Commercial|Exchange | $46.42 | ↑ +84% |
| Humana | Commercial|Transplant | $46.80 | ↑ +86% |
| Coventry | Commercial|PPO | $46.80 | ↑ +86% |
| First Health | Commercial|All Plans | $46.80 | ↑ +86% |
| BCBS-TX | Commercial|Exchange | $49.94 | ↑ +98% |
| Cigna | Commercial|Transplant | $50.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $50.40 | ↑ +100% |
| Interlink | Commercial|Transplant | $50.40 | ↑ +100% |
| Bright Health | Commercial|All Plans | $51.99 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $54.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $59.49 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $61.20 | ↑ +143% |
| BCBS-TX | Commercial|Blue Premier | $62.65 | ↑ +149% |
| BCBS-TX | Commercial|HMO | $72.00 | ↑ +186% |
| BCBS-TX | Commercial|PPO | $72.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $72.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $72.00 | ↑ +186% |
| Cigna | Commercial|HMO | $72.00 | ↑ +186% |
| Cigna | Commercial|PPO | $72.00 | ↑ +186% |
| United | Commercial|Exchange | $72.00 | ↑ +186% |
| NX Health | Commercial|PPO | $97.95 | ↑ +289% |
| United | Commercial|Charter | $107.00 | ↑ +325% |
| United | Commercial|HMO | $117.00 | ↑ +364% |
| United | Commercial|PPO | $117.00 | ↑ +364% |
Visitor-reported prices
Comments
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $64.10 | $18.16 – $90.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $64.10 | $13.19 – $96.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $54.73 | $10.95 – $89.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $64.10 | $17.09 – $90.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $64.10 | $20.58 – $109.04 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $64.10 | $33.12 – $96.16 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $54.73 | $18.24 – $89.24 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $64.10 | $17.09 – $90.81 |