Trnscath plc stnt ante carotid art at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$6,046.25
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.
$17,275.00
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.
$641.68 with BCBS-TX vs $17,275.00 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|Exchange | $641.68 | ↓ -89% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $821.35 | ↓ -86% |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↓ -80% |
| BCBS-TX | Commercial|Blue Premier | $1,240.58 | ↓ -79% |
| TCHP | Medicaid|All Other Plans | $1,382.00 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $1,382.00 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $1,409.64 | ↓ -77% |
| BCBS-TX | Commercial|HMO | $1,471.58 | ↓ -76% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -75% |
| BCBS-TX | Commercial|PPO | $1,642.69 | ↓ -73% |
| TCHP | Medicaid|STAR | $1,851.88 | ↓ -69% |
| UNITED | Medicaid|STAR | $1,893.34 | ↓ -69% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -60% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -60% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -60% |
| United | Commercial|Exchange | $2,748.00 | ↓ -55% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -45% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -40% |
| United | Commercial|Charter | $4,058.00 | ↓ -33% |
| UHC | Medicaid|STARPLUS | $4,311.84 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $4,311.84 | ↓ -29% |
| United | Commercial|HMO | $4,508.00 | ↓ -25% |
| United | Commercial|PPO | $4,508.00 | ↓ -25% |
| OPTUM | Medicare|All Plans | $4,664.25 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $6,046.25 | ↑ +0% |
| OPTUM | Medicaid|STAR | $6,250.10 | ↑ +3% |
| United | Commercial|Optum | $8,119.25 | ↑ +34% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +51% |
| CHC | Medicaid|CHIP | $9,501.25 | ↑ +57% |
| CHC | Medicaid|HMO | $9,501.25 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $9,501.25 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $10,365.00 | ↑ +71% |
| Humana | Commercial|Transplant | $11,228.75 | ↑ +86% |
| Coventry | Commercial|PPO | $11,228.75 | ↑ +86% |
| First Health | Commercial|All Plans | $11,228.75 | ↑ +86% |
| Aetna | Commercial|PPO | $11,747.00 | ↑ +94% |
| Healthsmart | Commercial|PPO | $12,092.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $12,092.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $12,092.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $12,956.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $13,129.00 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $14,272.61 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $14,683.75 | ↑ +143% |
| MHealth Network | Commercial|PPO | $17,275.00 | ↑ +186% |
Visitor-reported prices
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Trnscath plc stnt ante carotid art at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,132.11 | $2,870.76 – $14,353.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,631.00 | $71.00 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,537.24 | $71.00 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,132.11 | $2,701.90 – $14,353.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,631.00 | $85.00 – $5,388.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,631.00 | $1,359.35 – $3,946.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,537.24 | $71.00 – $5,388.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $10,132.11 | $2,701.90 – $14,353.82 |