Tomosynthesis breast diagnostic left at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$55.30
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.
$158.00
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.
$12.64 with TCHP vs $243.00 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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $12.64 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $12.64 | ↓ -77% |
| TCHP | Medicaid|STAR | $16.94 | ↓ -69% |
| BCBS-TX | Commercial|Exchange | $35.57 | ↓ -36% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $36.84 | ↓ -33% |
| OPTUM | Medicare|All Plans | $42.66 | ↓ -23% |
| Wellpoint | Medicaid|All Other Plans | $47.45 | ↓ -14% |
| UHC | Medicaid|CHIP | $48.40 | ↓ -12% |
| UHC | Medicaid|STARKIDS | $48.40 | ↓ -12% |
| BCBS | Medicaid|All Plans | $49.82 | ↓ -10% |
| Wellpoint | Medicaid|CHIP | $52.79 | ↓ -5% |
| Wellpoint | Medicaid|STARKIDS | $52.79 | ↓ -5% |
| UNITED | Medicaid|All Other Plans | $53.85 | ↓ -3% |
| TCHPCHIP | Medicaid|HMO | $55.30 | ↑ +0% |
| OPTUM | Medicaid|STAR | $57.17 | ↑ +3% |
| CHC | Medicaid|All Other Plans | $60.71 | ↑ +10% |
| BCBS-TX | Commercial|Blue Premier | $64.59 | ↑ +17% |
| Wellpoint | Medicaid|STAR | $70.74 | ↑ +28% |
| UNITED | Medicaid|STAR | $72.32 | ↑ +31% |
| Cigna | Commercial|Surefit | $73.79 | ↑ +33% |
| United | Commercial|Optum | $74.26 | ↑ +34% |
| BCBS-TX | Commercial|HMO | $75.69 | ↑ +37% |
| Cigna | Commercial|HMO | $81.27 | ↑ +47% |
| CHC | Medicaid|STAR | $81.30 | ↑ +47% |
| BCBS-TX | Commercial|PPO | $85.03 | ↑ +54% |
| CHC | Medicaid|HMO | $86.90 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $86.90 | ↑ +57% |
| CHC | Medicaid|CHIP | $86.90 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $94.80 | ↑ +71% |
| Cigna | Commercial|PPO | $99.71 | ↑ +80% |
| Coventry | Commercial|PPO | $102.70 | ↑ +86% |
| First Health | Commercial|All Plans | $102.70 | ↑ +86% |
| Humana | Commercial|Transplant | $102.70 | ↑ +86% |
| Interlink | Commercial|Transplant | $110.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $110.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $110.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $118.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $130.54 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $134.30 | ↑ +143% |
| United | Commercial|Exchange | $148.00 | ↑ +168% |
| MHealth Network | Commercial|PPO | $158.00 | ↑ +186% |
| UNITED | Medicaid|STARPLUS | $164.70 | ↑ +198% |
| UHC | Medicaid|STARPLUS | $164.70 | ↑ +198% |
| United | Commercial|Charter | $219.00 | ↑ +296% |
| United | Commercial|HMO | $243.00 | ↑ +339% |
| United | Commercial|PPO | $243.00 | ↑ +339% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $69.72 | $81.74 – $110.00 |
| Baylor St Luke's Medical Center | Houston | $55.30 | $17.38 – $158.00 |
| St. Joseph Health Madison Hospital | Madisonville | $19.78 | $14.40 – $158.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $31.80 | $47.43 – $183.60 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $55.30 | $15.80 – $158.00 |
| St. Joseph Health College Station Hospital | College Station | $19.78 | $47.45 – $158.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $55.30 | $12.64 – $158.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $39.55 | $6.78 – $101.71 |