Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at St. Luke's Health - The Vintage Hospital

20171 Chasewood Park Drive, Houston, TX · CommonSpirit Health · · NPI 1710314141

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$1,234.80

Cash price

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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.

$3,528.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$262.86 with TCHP vs $5,160.00 with Cigna — 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 →

Payer
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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
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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 $262.86 ↓ -79%
Wellpoint Medicaid|STARKIDS $262.86 ↓ -79%
Wellpoint Medicaid|All Other Plans $262.86 ↓ -79%
TCHP Medicaid|STARKIDS $262.86 ↓ -79%
Wellpoint Medicaid|CHIP $262.86 ↓ -79%
UHC Medicaid|CHIP $268.12 ↓ -78%
UHC Medicaid|STARKIDS $268.12 ↓ -78%
UNITED Medicaid|All Other Plans $268.12 ↓ -78%
BCBS Medicaid|All Plans $276.00 ↓ -78%
CHC Medicaid|All Other Plans $302.29 ↓ -76%
TCHP Medicaid|STAR $352.23 ↓ -71%
Wellpoint Medicaid|STAR $352.23 ↓ -71%
UNITED Medicaid|STAR $360.12 ↓ -71%
CHC Medicaid|STAR $404.80 ↓ -67%
BCBS-TX Commercial|Exchange $468.79 ↓ -62%
Renaissance Commercial|All Plans $499.42 ↓ -60%
BCBS-TX Commercial|MyBlue Health Exchange $600.05 ↓ -51%
HUMANA Medicare|All Other Plans $693.64 ↓ -44%
HUMANA Medicare|TRANSPLANT $693.64 ↓ -44%
CIGNA HEALTHSPRING Medicare|HMO $693.64 ↓ -44%
BCBS Medicare|All Plans $693.64 ↓ -44%
KELSEY Medicare|All Plans $693.64 ↓ -44%
SELECTCARE Medicare|All Plans $693.64 ↓ -44%
CIGNA HEALTHSPRING Medicare|PPO $700.58 ↓ -43%
AETNA Medicare|All Plans $707.51 ↓ -43%
UHC-SecureHorizons Medicare|All Plans $707.51 ↓ -43%
Amerivantage Medicare|All Plans $714.45 ↓ -42%
SCANHealth Medicare|All Plans $742.19 ↓ -40%
DEVOTED Medicare|All Plans $742.19 ↓ -40%
KINDRED Medicare|All Plans $763.00 ↓ -38%
Aetna-Kelsey Care Commercial|HMO $807.00 ↓ -35%
UHC Medicaid|STARPLUS $820.12 ↓ -34%
UNITED Medicaid|STARPLUS $820.12 ↓ -34%
BCBS-TX Commercial|Blue Premier $906.32 ↓ -27%
KelseyCare Commercial|Exchange $936.41 ↓ -24%
OPTUM Medicare|All Plans $952.56 ↓ -23%
Employer Direct Commercial|PPO $971.10 ↓ -21%
Aetna Commercial|HMO $972.00 ↓ -21%
Community Health Choice Commercial|All Other Plans $1,040.46 ↓ -16%
Community Health Choice Commercial|Exchange $1,040.46 ↓ -16%
Wellpoint Commercial|Exchange $1,040.46 ↓ -16%
Superior Health Plan Commercial|All Plans $1,040.46 ↓ -16%
Bright Health Commercial|All Plans $1,061.91 ↓ -14%
Aetna Commercial|Exchange $1,068.21 ↓ -13%
BCBS-TX Commercial|HMO $1,075.09 ↓ -13%
BCBS-TX Commercial|PPO $1,200.10 ↓ -3%
TCHPCHIP Medicaid|HMO $1,234.80 ↑ +0%
OPTUM Medicaid|STAR $1,276.44 ↑ +3%
United Commercial|Optum $1,658.16 ↑ +34%
United Commercial|Exchange $1,676.00 ↑ +36%
Cigna Commercial|Surefit $1,864.00 ↑ +51%
TEXASTRUECHOICE Medicaid|CHIP $1,940.40 ↑ +57%
CHC Medicaid|CHIP $1,940.40 ↑ +57%
CHC Medicaid|HMO $1,940.40 ↑ +57%
Cigna Commercial|HMO $2,054.00 ↑ +66%
Cigna Lifesource Commercial|Transplant $2,116.80 ↑ +71%
NX Health Commercial|PPO $2,254.33 ↑ +83%
First Health Commercial|All Plans $2,293.20 ↑ +86%
Coventry Commercial|PPO $2,293.20 ↑ +86%
Humana Commercial|Transplant $2,293.20 ↑ +86%
Aetna Commercial|PPO $2,399.04 ↑ +94%
Cigna Commercial|Transplant $2,469.60 ↑ +100%
Healthsmart Commercial|PPO $2,469.60 ↑ +100%
Interlink Commercial|Transplant $2,469.60 ↑ +100%
United Commercial|Charter $2,474.00 ↑ +100%
MultiPlan Commercial|All Plans $2,646.00 ↑ +114%
United Commercial|PPO $2,749.00 ↑ +123%
United Commercial|HMO $2,749.00 ↑ +123%
OPTUM Medicaid|STARPLUS $2,914.84 ↑ +136%
USA Health Network Commercial|All Plans $2,998.80 ↑ +143%
MHealth Network Commercial|PPO $3,528.00 ↑ +186%
Cigna Commercial|PPO $5,160.00 ↑ +318%

Visitor-reported prices

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Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $1,234.80 $952.56 – $3,528.00
HCA HOUSTON WEST HOUSTON $5,817.00 $257.60 – $1,087.59
HCA HOUSTON MEDICAL CENTER Houston not published $282.06 – $1,281.35
HCA HOUSTON TOMBALL HOUSTON not published $262.86 – $1,087.59
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,692.88 $262.86 – $3,693.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,010.48 $207.99 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,030.57 $262.86 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,692.88 $262.86 – $3,693.00

All Texas hospitals for this procedure →