X-ray tibia/fibula 2 views (both sides) at St. Luke's Health - Sugar Land Hospital
1317 Lake Pointe Parkway, Sugar Land, TX · CommonSpirit Health · · NPI 1659559573
$484.75
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.
$1,385.00
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.
$31.74 with Wellpoint vs $1,385.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|STARKIDS | $31.74 | ↓ -93% |
| Wellpoint | Medicaid|CHIP | $31.74 | ↓ -93% |
| Wellpoint | Medicaid|All Other Plans | $31.74 | ↓ -93% |
| UHC | Medicaid|STARKIDS | $32.37 | ↓ -93% |
| UHC | Medicaid|CHIP | $32.37 | ↓ -93% |
| UNITED | Medicaid|All Other Plans | $32.37 | ↓ -93% |
| BCBS | Medicaid|All Plans | $33.33 | ↓ -93% |
| CHC | Medicaid|All Other Plans | $36.50 | ↓ -92% |
| Wellpoint | Medicaid|STAR | $42.53 | ↓ -91% |
| UNITED | Medicaid|STAR | $43.48 | ↓ -91% |
| CHC | Medicaid|STAR | $48.88 | ↓ -90% |
| KELSEY | Medicare|All Plans | $61.08 | ↓ -87% |
| Renaissance | Commercial|All Plans | $63.50 | ↓ -87% |
| Cigna | Commercial|Surefit | $74.71 | ↓ -85% |
| Cigna | Commercial|HMO | $82.28 | ↓ -83% |
| HUMANA | Medicare|TRANSPLANT | $88.19 | ↓ -82% |
| SELECTCARE | Medicare|All Plans | $88.19 | ↓ -82% |
| BCBS | Medicare|All Plans | $88.19 | ↓ -82% |
| CIGNA HEALTHSPRING | Medicare|HMO | $88.19 | ↓ -82% |
| HUMANA | Medicare|All Other Plans | $88.19 | ↓ -82% |
| CIGNA HEALTHSPRING | Medicare|PPO | $89.07 | ↓ -82% |
| AETNA | Medicare|All Plans | $89.95 | ↓ -81% |
| UHC-SecureHorizons | Medicare|All Plans | $89.95 | ↓ -81% |
| Amerivantage | Medicare|All Plans | $90.84 | ↓ -81% |
| DEVOTED | Medicare|All Plans | $94.36 | ↓ -81% |
| SCANHealth | Medicare|All Plans | $94.36 | ↓ -81% |
| KINDRED | Medicare|All Plans | $97.01 | ↓ -80% |
| UHC | Medicaid|STARPLUS | $99.03 | ↓ -80% |
| UNITED | Medicaid|STARPLUS | $99.03 | ↓ -80% |
| Cigna | Commercial|PPO | $100.95 | ↓ -79% |
| TCHP | Medicaid|STARKIDS | $110.80 | ↓ -77% |
| TCHP | Medicaid|All Other Plans | $110.80 | ↓ -77% |
| BCBS-TX | Commercial|Exchange | $112.53 | ↓ -77% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $116.52 | ↓ -76% |
| KelseyCare | Commercial|Exchange | $119.06 | ↓ -75% |
| Wellpoint | Commercial|Exchange | $132.28 | ↓ -73% |
| Superior Health Plan | Commercial|All Plans | $132.28 | ↓ -73% |
| Community Health Choice | Commercial|Exchange | $132.28 | ↓ -73% |
| Community Health Choice | Commercial|All Other Plans | $132.28 | ↓ -73% |
| Bright Health | Commercial|All Plans | $135.27 | ↓ -72% |
| Aetna | Commercial|Exchange | $135.81 | ↓ -72% |
| United | Commercial|Exchange | $140.00 | ↓ -71% |
| TCHP | Medicaid|STAR | $148.48 | ↓ -69% |
| BCBS-TX | Commercial|Blue Premier | $204.31 | ↓ -58% |
| United | Commercial|Charter | $209.00 | ↓ -57% |
| United | Commercial|HMO | $230.00 | ↓ -53% |
| United | Commercial|PPO | $230.00 | ↓ -53% |
| BCBS-TX | Commercial|HMO | $239.43 | ↓ -51% |
| BCBS-TX | Commercial|PPO | $268.96 | ↓ -45% |
| NX Health | Commercial|PPO | $286.62 | ↓ -41% |
| OPTUM | Medicare|All Plans | $373.95 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $484.75 | ↑ +0% |
| OPTUM | Medicaid|STAR | $501.10 | ↑ +3% |
| United | Commercial|Optum | $650.95 | ↑ +34% |
| CHC | Medicaid|HMO | $761.75 | ↑ +57% |
| CHC | Medicaid|CHIP | $761.75 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $761.75 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $817.15 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $831.00 | ↑ +71% |
| First Health | Commercial|All Plans | $900.25 | ↑ +86% |
| Humana | Commercial|Transplant | $900.25 | ↑ +86% |
| Coventry | Commercial|PPO | $900.25 | ↑ +86% |
| Aetna | Commercial|HMO | $941.80 | ↑ +94% |
| Cigna | Commercial|Transplant | $969.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $969.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $969.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,038.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,144.29 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,177.25 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,385.00 | ↑ +186% |
Visitor-reported prices
Comments
X-ray tibia/fibula 2 views (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $565.55 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $306.47 | $31.74 – $383.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $387.38 | $79.74 – $581.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $342.47 | $31.74 – $428.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $306.47 | $31.74 – $383.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $387.38 | $33.96 – $581.07 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $387.38 | $31.74 – $581.07 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $342.47 | $31.74 – $513.70 |