Unlisted ultrasound procedure at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$113.05
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.
$323.00
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.
$25.84 with TCHP vs $592.00 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|All Other Plans | $25.84 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $25.84 | ↓ -77% |
| TCHP | Medicaid|STAR | $34.63 | ↓ -69% |
| KELSEY | Medicare|All Plans | $61.08 | ↓ -46% |
| Renaissance | Commercial|All Plans | $63.50 | ↓ -44% |
| Wellpoint | Medicaid|STARKIDS | $80.90 | ↓ -28% |
| Wellpoint | Medicaid|CHIP | $80.90 | ↓ -28% |
| UNITED | Medicaid|All Other Plans | $82.52 | ↓ -27% |
| Wellpoint | Medicaid|All Other Plans | $86.58 | ↓ -23% |
| OPTUM | Medicare|All Plans | $87.21 | ↓ -23% |
| HUMANA | Medicare|All Other Plans | $88.19 | ↓ -22% |
| SELECTCARE | Medicare|All Plans | $88.19 | ↓ -22% |
| BCBS | Medicare|All Plans | $88.19 | ↓ -22% |
| CIGNA HEALTHSPRING | Medicare|HMO | $88.19 | ↓ -22% |
| HUMANA | Medicare|TRANSPLANT | $88.19 | ↓ -22% |
| UHC | Medicaid|STARKIDS | $88.31 | ↓ -22% |
| UHC | Medicaid|CHIP | $88.31 | ↓ -22% |
| CIGNA HEALTHSPRING | Medicare|PPO | $89.07 | ↓ -21% |
| AETNA | Medicare|All Plans | $89.95 | ↓ -20% |
| UHC-SecureHorizons | Medicare|All Plans | $89.95 | ↓ -20% |
| Amerivantage | Medicare|All Plans | $90.84 | ↓ -20% |
| BCBS | Medicaid|All Plans | $90.91 | ↓ -20% |
| CHC | Medicaid|All Other Plans | $93.03 | ↓ -18% |
| SCANHealth | Medicare|All Plans | $94.36 | ↓ -17% |
| DEVOTED | Medicare|All Plans | $94.36 | ↓ -17% |
| KINDRED | Medicare|All Plans | $97.01 | ↓ -14% |
| Wellpoint | Medicaid|STAR | $108.41 | ↓ -4% |
| UNITED | Medicaid|STAR | $110.83 | ↓ -2% |
| BCBS-TX | Commercial|Exchange | $112.53 | ↓ -0% |
| TCHPCHIP | Medicaid|HMO | $113.05 | ↑ +0% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $116.52 | ↑ +3% |
| OPTUM | Medicaid|STAR | $116.87 | ↑ +3% |
| KelseyCare | Commercial|Exchange | $119.06 | ↑ +5% |
| CHC | Medicaid|STAR | $124.59 | ↑ +10% |
| Community Health Choice | Commercial|All Other Plans | $132.28 | ↑ +17% |
| Wellpoint | Commercial|Exchange | $132.28 | ↑ +17% |
| Superior Health Plan | Commercial|All Plans | $132.28 | ↑ +17% |
| Community Health Choice | Commercial|Exchange | $132.28 | ↑ +17% |
| Bright Health | Commercial|All Plans | $135.27 | ↑ +20% |
| Aetna | Commercial|Exchange | $135.81 | ↑ +20% |
| United | Commercial|Optum | $151.81 | ↑ +34% |
| CHC | Medicaid|HMO | $177.65 | ↑ +57% |
| CHC | Medicaid|CHIP | $177.65 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $177.65 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $190.57 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $193.80 | ↑ +71% |
| BCBS-TX | Commercial|Blue Premier | $204.31 | ↑ +81% |
| Humana | Commercial|Transplant | $209.95 | ↑ +86% |
| Coventry | Commercial|PPO | $209.95 | ↑ +86% |
| First Health | Commercial|All Plans | $209.95 | ↑ +86% |
| Aetna | Commercial|HMO | $219.64 | ↑ +94% |
| Cigna | Commercial|Transplant | $226.10 | ↑ +100% |
| Healthsmart | Commercial|PPO | $226.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $226.10 | ↑ +100% |
| BCBS-TX | Commercial|HMO | $239.43 | ↑ +112% |
| MultiPlan | Commercial|All Plans | $242.25 | ↑ +114% |
| Cigna | Commercial|Surefit | $242.66 | ↑ +115% |
| UHC | Medicaid|STARPLUS | $252.41 | ↑ +123% |
| UNITED | Medicaid|STARPLUS | $252.41 | ↑ +123% |
| OPTUM | Medicaid|STARPLUS | $266.87 | ↑ +136% |
| Cigna | Commercial|HMO | $267.25 | ↑ +136% |
| BCBS-TX | Commercial|PPO | $268.96 | ↑ +138% |
| USA Health Network | Commercial|All Plans | $274.55 | ↑ +143% |
| NX Health | Commercial|PPO | $286.62 | ↑ +154% |
| MHealth Network | Commercial|PPO | $323.00 | ↑ +186% |
| Cigna | Commercial|PPO | $327.92 | ↑ +190% |
| United | Commercial|Exchange | $362.00 | ↑ +220% |
| United | Commercial|Charter | $533.00 | ↑ +371% |
| United | Commercial|HMO | $592.00 | ↑ +424% |
| United | Commercial|PPO | $592.00 | ↑ +424% |
Visitor-reported prices
Comments
Unlisted ultrasound procedure at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,231.09 | $81.00 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,861.95 | $53.35 – $388.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,075.41 | $83.05 – $340.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,231.09 | $83.05 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,861.95 | $83.05 – $388.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,861.95 | $86.58 – $388.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,075.41 | $83.05 – $408.24 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,231.09 | $83.05 – $225.11 |