Tib/per revasc stnt & ather at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$3,757.60
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.
$10,736.00
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.
$100.00 with Cigna vs $10,736.00 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 |
|---|---|---|---|
| Cigna | Commercial|PPO | $100.00 | ↓ -97% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -97% |
| Cigna | Commercial|HMO | $100.00 | ↓ -97% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -79% |
| TCHP | Medicaid|STARKIDS | $858.88 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $858.88 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $876.06 | ↓ -77% |
| Aetna | Commercial|HMO | $972.00 | ↓ -74% |
| TCHP | Medicaid|STAR | $1,150.90 | ↓ -69% |
| UNITED | Medicaid|STAR | $1,176.67 | ↓ -69% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -36% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -35% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -35% |
| UNITED | Medicaid|STARPLUS | $2,679.71 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $2,679.71 | ↓ -29% |
| OPTUM | Medicare|All Plans | $2,898.72 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $3,757.60 | ↑ +0% |
| OPTUM | Medicaid|STAR | $3,884.29 | ↑ +3% |
| United | Commercial|Exchange | $4,853.00 | ↑ +29% |
| United | Commercial|Optum | $5,045.92 | ↑ +34% |
| CHC | Medicaid|HMO | $5,904.80 | ↑ +57% |
| CHC | Medicaid|CHIP | $5,904.80 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5,904.80 | ↑ +57% |
| Independent Med System | Commercial|All Plans | $6,441.60 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $6,441.60 | ↑ +71% |
| Coventry | Commercial|PPO | $6,978.40 | ↑ +86% |
| Humana | Commercial|Transplant | $6,978.40 | ↑ +86% |
| PHCS | Commercial|All Plans | $6,978.40 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $6,978.40 | ↑ +86% |
| First Health | Commercial|All Plans | $6,978.40 | ↑ +86% |
| United | Commercial|Charter | $7,164.00 | ↑ +91% |
| Aetna | Commercial|PPO | $7,300.48 | ↑ +94% |
| Interlink | Commercial|Transplant | $7,515.20 | ↑ +100% |
| Healthsmart | Commercial|PPO | $7,515.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $7,515.20 | ↑ +100% |
| United | Commercial|HMO | $7,961.00 | ↑ +112% |
| United | Commercial|PPO | $7,961.00 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $8,052.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $8,159.36 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $8,870.09 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $9,125.60 | ↑ +143% |
| MHealth Network | Commercial|PPO | $10,736.00 | ↑ +186% |
Visitor-reported prices
Comments
Tib/per revasc stnt & ather at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11,078.70 | $3,138.97 – $15,694.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,704.49 | $71.00 – $13,056.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,995.87 | $71.00 – $14,994.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $11,078.70 | $2,954.32 – $15,694.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,704.49 | $85.00 – $13,056.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,704.49 | $4,497.32 – $13,056.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,995.87 | $71.00 – $17,993.81 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $11,078.70 | $2,954.32 – $15,694.83 |