Biopsy of heart lining at St. Luke's Health - Springwoods Village Hospital
2255 E Mossy Oaks Rd, Spring, TX · CommonSpirit Health · · NPI 1942208616
$3,336.90
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.
$9,534.00
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.
$100.00 with Cigna vs $13,606.98 with BCBS-TX — 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 |
|---|---|---|---|
| Cigna | Commercial|PPO | $100.00 | ↓ -97% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -97% |
| Cigna | Commercial|HMO | $100.00 | ↓ -97% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -76% |
| TCHP | Medicaid|STARKIDS | $953.40 | ↓ -71% |
| TCHP | Medicaid|All Other Plans | $953.40 | ↓ -71% |
| Aetna | Commercial|HMO | $972.00 | ↓ -71% |
| UNITED | Medicaid|All Other Plans | $972.47 | ↓ -71% |
| TCHP | Medicaid|STAR | $1,277.56 | ↓ -62% |
| UHC | Medicaid|STAR | $1,306.16 | ↓ -61% |
| Renaissance | Commercial|All Plans | $2,269.87 | ↓ -32% |
| OPTUM | Medicare|All Plans | $2,574.18 | ↓ -23% |
| UNITED | Medicaid|STARPLUS | $2,974.61 | ↓ -11% |
| UHC | Medicaid|STARPLUS | $2,974.61 | ↓ -11% |
| CIGNA HEALTHSPRING | Medicare|HMO | $3,152.60 | ↓ -6% |
| SELECTCARE | Medicare|All Plans | $3,152.60 | ↓ -6% |
| KELSEY | Medicare|All Plans | $3,152.60 | ↓ -6% |
| BCBS | Medicare|All Plans | $3,152.60 | ↓ -6% |
| HUMANA | Medicare|All Other Plans | $3,152.60 | ↓ -6% |
| HUMANA | Medicare|TRANSPLANT | $3,152.60 | ↓ -6% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,184.13 | ↓ -5% |
| UHC-SecureHorizons | Medicare|All Plans | $3,215.65 | ↓ -4% |
| AETNA | Medicare|All Plans | $3,215.65 | ↓ -4% |
| Amerivantage | Medicare|All Plans | $3,247.18 | ↓ -3% |
| TCHPCHIP | Medicaid|HMO | $3,336.90 | ↑ +0% |
| SCANHealth | Medicare|All Plans | $3,373.28 | ↑ +1% |
| DEVOTED | Medicare|All Plans | $3,373.28 | ↑ +1% |
| OPTUM | Medicaid|STAR | $3,449.41 | ↑ +3% |
| KINDRED | Medicare|All Plans | $3,467.86 | ↑ +4% |
| United | Commercial|Exchange | $3,677.00 | ↑ +10% |
| KelseyCare | Commercial|Exchange | $4,256.01 | ↑ +28% |
| United | Commercial|Optum | $4,480.98 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $4,728.90 | ↑ +42% |
| Community Health Choice | Commercial|Exchange | $4,728.90 | ↑ +42% |
| Wellpoint | Commercial|Exchange | $4,728.90 | ↑ +42% |
| Superior Health Plan | Commercial|All Plans | $4,728.90 | ↑ +42% |
| Bright Health | Commercial|All Plans | $4,787.23 | ↑ +43% |
| Aetna | Commercial|Exchange | $4,855.00 | ↑ +45% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5,243.70 | ↑ +57% |
| CHC | Medicaid|HMO | $5,243.70 | ↑ +57% |
| CHC | Medicaid|CHIP | $5,243.70 | ↑ +57% |
| United | Commercial|Charter | $5,428.00 | ↑ +63% |
| BCBS-TX | Commercial|Exchange | $5,459.42 | ↑ +64% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $5,487.13 | ↑ +64% |
| Cigna Lifesource | Commercial|Transplant | $5,720.40 | ↑ +71% |
| United | Commercial|PPO | $6,032.00 | ↑ +81% |
| United | Commercial|HMO | $6,032.00 | ↑ +81% |
| Humana | Commercial|Transplant | $6,197.10 | ↑ +86% |
| First Health | Commercial|All Plans | $6,197.10 | ↑ +86% |
| Coventry | Commercial|PPO | $6,197.10 | ↑ +86% |
| Aetna | Commercial|PPO | $6,483.12 | ↑ +94% |
| Cigna | Commercial|Transplant | $6,673.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $6,673.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $6,673.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $7,150.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $7,245.84 | ↑ +117% |
| Humana | Commercial|HMO | $7,650.00 | ↑ +129% |
| Humana | Commercial|PPO | $7,650.00 | ↑ +129% |
| OPTUM | Medicaid|STARPLUS | $7,877.00 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $8,103.90 | ↑ +143% |
| BCBS-TX | Commercial|Blue Premier | $8,812.67 | ↑ +164% |
| MHealth Network | Commercial|PPO | $9,534.00 | ↑ +186% |
| NXHealth | Commercial|All Plans | $10,245.95 | ↑ +207% |
| BCBS-TX | Commercial|HMO | $12,249.06 | ↑ +267% |
| BCBS-TX | Commercial|PPO | $13,606.98 | ↑ +308% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON NORTHWEST | SPRING | not published | $6,124.53 – $6,124.53 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,819.15 | $1,648.76 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,306.49 | $1,298.09 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,099.77 | $1,019.95 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,819.15 | $1,551.77 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,306.49 | $2,024.38 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,306.49 | $3,258.35 – $9,459.74 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,099.77 | $1,699.92 – $7,896.23 |