How many shoppable procedure prices are published for St Luke's Sugar Land Hospital?

St Luke's Sugar Land Hospital in Sugar Land, TX currently has 111 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St Luke's Sugar Land Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St Luke's Sugar Land Hospital's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

What is St Luke's Sugar Land Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns St Luke's Sugar Land Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 100 Beds · urban Updated: 2026-02-28

St Luke's Sugar Land Hospital

1317 Lake Pointe Parkway, Sugar Land, TX 77478 · 111 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.77×vs. Fair Market Price

Typical commercial prices here are +77% above the fair benchmark (1.77×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 64% of the Time

File Completeness66

Price Logic62

Peer Alignment69

Clean Billing88

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.77× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +48% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

St Luke's Sugar Land Hospital prices routine shoppable procedures at 2.5× Medicare (median 1.74× Fair BaseRate) while upper-quartile commercial rates jump +48% to 2.58× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#255 of 307 in TX · 82nd State Percentile#2,944 of 3,385 in U.S. · 86th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.06× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 64% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (66/100 safety score) with 61% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (35.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.77× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.74× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.58×) jump +48% above the median procedure ratio (Q50 1.74×)
Unnegotiated chargemaster list prices average 16.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.80× Divergence

2.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+48% Upper Tail

Q25 1.06× · Q50 1.74× · Q75 2.58×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

3.6× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.0× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.4× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

64% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 66/100Fair

Procedure Prices at St Luke's Sugar Land Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$32,193	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$20,634	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,828	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,874	$17,936	1.1×
Total hip replacement CPT Code: `27130`	—	$12,888	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$12,888	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,271	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,931	$6,109	1.0×
Breast lump removal CPT Code: `19120`	$3,114	$4,201	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$3,593	$3,629	1.0×
Rabies immune globulin HCPCS Code: `90375`	$3,334	$3,334	$322	10.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,347	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,315	$3,446	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,949	$3,180	$1,021	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$2,513	$2,540	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,430	$2,680	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$2,430	$2,975	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$2,160	$2,054	$855	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$1,298	$1,256	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,120	$1,145	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,651	$1,118	$583	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	$3,529	$1,050	$338	3.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,648	$1,050	$343	3.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,045	$987	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,025	$981	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,726	$1,050	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$6,736	$992	$448	unverified
Blood transfusion CPT Code: `36430`	$727	$893	$498	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$5,659	$800	$303	2.6×
CT scan, head (with contrast) CPT Code: `70460`	$3,359	$705	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$3,935	$705	$258	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$681	$681	$148	unverified
CT scan, pelvis CPT Code: `72192`	$1,574	$590	$163	3.6×
CT scan, head (no contrast) CPT Code: `70450`	$2,399	$590	$160	unverified
CT scan, sinuses CPT Code: `70486`	$2,257	$590	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$2,797	$590	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,851	$590	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,472	$590	$168	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$298	$510	$123	4.1×
New patient office visit (30-44 min) CPT Code: `99203`	$208	$386	$110	3.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,337	$401	$272	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,158	$336	$132	2.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$169	$313	$123	2.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,812	$336	$134	2.5×
Ultrasound, pelvis CPT Code: `76856`	$990	$315	$130	2.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$203	$317	$201	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,069	$287	$126	2.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$148	$276	$87	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$295	$218	$64	3.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$230	$230	$151	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$216	$216	$86	unverified
X-ray, pelvis CPT Code: `72170`	$457	$182	$110	1.7×
X-ray, lower back CPT Code: `72110`	$927	$182	$112	1.6×
X-ray, hip CPT Code: `73502`	$561	$154	$93	1.7×
X-ray, chest (single view) CPT Code: `71045`	$437	$140	$92	1.5×
X-ray, shoulder CPT Code: `73030`	$559	$140	$92	1.5×
X-ray, foot CPT Code: `73630`	$514	$140	$92	1.5×
X-ray, chest (two views) CPT Code: `71046`	$572	$140	$93	1.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$521	$140	$93	1.5×
X-ray, hand CPT Code: `73130`	$506	$140	$93	1.5×
X-ray, ankle CPT Code: `73610`	$543	$140	$93	1.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$99	$99	$14	7.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$123	$123	$35	3.5×
Physical therapy (manual therapy) CPT Code: `97140`	$113	$113	$34	3.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$113	$113	$38	3.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$55	$101	$35	2.9×
Orthotic fitting and training CPT Code: `97760`	$126	$126	$51	2.5×
Physical therapy (gait training) CPT Code: `97116`	$87	$87	$33	2.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$98	$98	$40	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$81	$81	$38	2.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$473	$473	$11	43.0×
Typhoid vaccine HCPCS Code: `90675`	$464	$464	$347	1.3×
Blood test, liver function panel CPT Code: `80076`	$327	$327	$9	36.3×
Culture, blood CPT Code: `87040`	$246	$246	$11	22.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$136	$232	$111	2.1×
Blood test, magnesium CPT Code: `83735`	$169	$169	$7	24.1×
Blood test, lipase CPT Code: `83690`	$161	$161	$7	23.0×
Blood test, amylase CPT Code: `82150`	$155	$155	$7	22.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$178	$178	$5	unverified
Blood test, potassium CPT Code: `84132`	$130	$130	$5	26.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$152	$152	$18	8.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$104	$104	$14	7.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$127	$127	$19	6.7×
Blood test, vitamin D CPT Code: `82306`	$129	$129	$31	4.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$71	$123	$56	2.2×
Drug screening test HCPCS Code: `G0480`	$73	$140	$116	1.2×
Blood antibody screen CPT Code: `86850`	$128	$128	$46	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$94	$94	$8	11.8×
Pneumococcal vaccine HCPCS Code: `90732`	$96	$101	$140	0.7×
Hepatitis C antibody test CPT Code: `86803`	$106	$106	$15	unverified
Blood test, calcium CPT Code: `82310`	$53	$53	$5	10.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$75	$75	$10	7.5×
Blood test, vitamin B12 CPT Code: `82607`	$71	$71	$16	4.4×
Hepatitis B vaccine HCPCS Code: `90744`	$50	$64	$37	1.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$52	$76	$49	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$46	$69	$48	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	$36	$68	$49	1.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$46	$85	$203	0.4×
Blood test, sodium CPT Code: `84295`	$39	$39	$5	7.8×
Culture, bacterial CPT Code: `87070`	$264	$23	$9	2.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$35	$43	$25	1.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$22	$43	$86	0.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$211	$15	$6	2.5×
Speech therapy (group session) CPT Code: `92508`	$13	$27	$27	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$36	$36	$5	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$92	$8	$3	2.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$68	$10	$4	2.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$10	$4	2.5×
Blood test, basic metabolic panel CPT Code: `80048`	$380	$21	$9	2.3×
Blood test, hemoglobin CPT Code: `85018`	$91	$6	$3	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$155	$25	$14	1.8×

Showing top 25 high-impact procedures of 111 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 35.0%

Audit a Bill or Quote at St Luke's Sugar Land Hospital (Zero PHI Required)

CMS CCN: 670053

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $32,193

1. Amount on Your Bill or Quote ($) Pre-filled with St Luke's Sugar Land Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $27,042 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $27,042

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (35.0% of gross = $27,042).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St Luke's Sugar Land Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$46,488 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($77,263) is $46,488 above the denoised Fair BaseRate ($30,775) and 3.3× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (35.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait168 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (299 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St Luke's Sugar Land Hospital.

Price Index: 1.40× regional baseline

Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

+98.8%

Median Household Income$113,409U.S. Census ACS

Local Uninsured Share11.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 670053

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 670053) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-28

Validated Rate Rows6,582 (CMS v3.0.0)

File Integrity DigestVerified · CCN 670053

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy