Unlisted px med radj physics at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$1,106.00
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.
$3,160.00
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.
$95.75 with Renaissance vs $3,334.00 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $95.75 | ↓ -91% |
| KELSEY | Medicare|All Plans | $123.24 | ↓ -89% |
| HUMANA | Medicare|All Other Plans | $132.99 | ↓ -88% |
| SELECTCARE | Medicare|All Plans | $132.99 | ↓ -88% |
| BCBS | Medicare|All Plans | $132.99 | ↓ -88% |
| CIGNA HEALTHSPRING | Medicare|HMO | $132.99 | ↓ -88% |
| HUMANA | Medicare|TRANSPLANT | $132.99 | ↓ -88% |
| CIGNA HEALTHSPRING | Medicare|PPO | $134.32 | ↓ -88% |
| AETNA | Medicare|All Plans | $135.65 | ↓ -88% |
| UHC-SecureHorizons | Medicare|All Plans | $135.65 | ↓ -88% |
| Amerivantage | Medicare|All Plans | $136.98 | ↓ -88% |
| DEVOTED | Medicare|All Plans | $142.30 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $142.30 | ↓ -87% |
| KINDRED | Medicare|All Plans | $146.29 | ↓ -87% |
| KelseyCare | Commercial|Exchange | $179.54 | ↓ -84% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $184.82 | ↓ -83% |
| BCBS-TX | Commercial|Exchange | $193.68 | ↓ -82% |
| Community Health Choice | Commercial|All Other Plans | $199.49 | ↓ -82% |
| Community Health Choice | Commercial|Exchange | $199.49 | ↓ -82% |
| Superior Health Plan | Commercial|All Plans | $199.49 | ↓ -82% |
| Wellpoint | Commercial|Exchange | $199.49 | ↓ -82% |
| Aetna | Commercial|Exchange | $204.80 | ↓ -81% |
| Bright Health | Commercial|All Plans | $212.19 | ↓ -81% |
| NX Health | Commercial|PPO | $432.22 | ↓ -61% |
| BCBS-TX | Commercial|Blue Premier | $446.86 | ↓ -60% |
| BCBS-TX | Commercial|HMO | $577.25 | ↓ -48% |
| BCBS-TX | Commercial|PPO | $641.81 | ↓ -42% |
| OPTUM | Medicare|All Plans | $853.20 | ↓ -23% |
| Cigna | Commercial|Surefit | $884.80 | ↓ -20% |
| Cigna | Commercial|HMO | $979.60 | ↓ -11% |
| TCHPCHIP | Medicaid|HMO | $1,106.00 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,143.29 | ↑ +3% |
| Cigna | Commercial|PPO | $1,295.60 | ↑ +17% |
| United | Commercial|Optum | $1,485.20 | ↑ +34% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,738.00 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,738.00 | ↑ +57% |
| CHC | Medicaid|HMO | $1,738.00 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $1,864.40 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $1,896.00 | ↑ +71% |
| United | Commercial|Exchange | $2,033.00 | ↑ +84% |
| First Health | Commercial|All Plans | $2,054.00 | ↑ +86% |
| Coventry | Commercial|PPO | $2,054.00 | ↑ +86% |
| Humana | Commercial|Transplant | $2,054.00 | ↑ +86% |
| Aetna | Commercial|HMO | $2,148.80 | ↑ +94% |
| Interlink | Commercial|Transplant | $2,212.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,212.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,212.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,370.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $2,610.80 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,686.00 | ↑ +143% |
| United | Commercial|Charter | $3,001.00 | ↑ +171% |
| MHealth Network | Commercial|PPO | $3,160.00 | ↑ +186% |
| United | Commercial|PPO | $3,334.00 | ↑ +201% |
| United | Commercial|HMO | $3,334.00 | ↑ +201% |
Visitor-reported prices
Comments
Unlisted px med radj physics at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $376.03 | $106.54 – $470.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $376.03 | $77.40 – $564.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $376.03 | $75.21 – $470.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $376.03 | $100.28 – $470.04 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $376.03 | $120.71 – $564.05 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $376.03 | $194.28 – $564.05 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $376.03 | $125.34 – $564.05 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $376.03 | $100.28 – $470.04 |