Biopsy of prostate at St. Luke's Health - Springwoods Village Hospital
2255 E Mossy Oaks Rd, Spring, TX · CommonSpirit Health · · NPI 1942208616
$849.80
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.
$2,428.00
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.
$655.56 with OPTUM vs $7,221.00 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 →
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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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $655.56 | ↓ -23% |
| Montgomery Hospital District | Commercial|All Plans | $686.75 | ↓ -19% |
| TCHP | Medicaid|All Other Plans | $686.75 | ↓ -19% |
| Wellpoint | Medicaid|CHIP | $686.75 | ↓ -19% |
| Wellpoint | Medicaid|STARKIDS | $686.75 | ↓ -19% |
| TCHP | Medicaid|STARKIDS | $686.75 | ↓ -19% |
| Wellpoint | Medicaid|All Other Plans | $686.75 | ↓ -19% |
| UHC | Medicaid|CHIP | $700.49 | ↓ -18% |
| UHC | Medicaid|STARKIDS | $700.49 | ↓ -18% |
| UNITED | Medicaid|All Other Plans | $700.49 | ↓ -18% |
| BCBS | Medicaid|All Plans | $721.09 | ↓ -15% |
| CHC | Medicaid|All Other Plans | $789.76 | ↓ -7% |
| TCHPCHIP | Medicaid|HMO | $849.80 | ↑ +0% |
| OPTUM | Medicaid|STAR | $878.46 | ↑ +3% |
| TCHP | Medicaid|STAR | $920.25 | ↑ +8% |
| Wellpoint | Medicaid|STAR | $920.25 | ↑ +8% |
| UHC | Medicaid|STAR | $940.85 | ↑ +11% |
| CHC | Medicaid|STAR | $1,057.60 | ↑ +24% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↑ +27% |
| United | Commercial|Optum | $1,141.16 | ↑ +34% |
| Healthsmart | Commercial|AP3-PPO | $1,285.00 | ↑ +51% |
| Aetna | Commercial|HMO | $1,298.00 | ↑ +53% |
| BCBS-TX | Commercial|Exchange | $1,328.66 | ↑ +56% |
| CHC | Medicaid|HMO | $1,335.40 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,335.40 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,335.40 | ↑ +57% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↑ +60% |
| Cigna Lifesource | Commercial|Transplant | $1,456.80 | ↑ +71% |
| Renaissance | Commercial|All Plans | $1,477.32 | ↑ +74% |
| Humana | Commercial|Transplant | $1,578.20 | ↑ +86% |
| First Health | Commercial|All Plans | $1,578.20 | ↑ +86% |
| Coventry | Commercial|PPO | $1,578.20 | ↑ +86% |
| Aetna | Commercial|PPO | $1,651.04 | ↑ +94% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +97% |
| Healthsmart | Commercial|PPO | $1,699.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,699.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,699.60 | ↑ +100% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $1,700.69 | ↑ +100% |
| Humana | Commercial|PPO | $1,782.00 | ↑ +110% |
| Humana | Commercial|HMO | $1,782.00 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $1,821.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,845.28 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $2,006.02 | ↑ +136% |
| BCBS | Medicare|All Plans | $2,051.83 | ↑ +141% |
| CIGNA HEALTHSPRING | Medicare|HMO | $2,051.83 | ↑ +141% |
| SELECTCARE | Medicare|All Plans | $2,051.83 | ↑ +141% |
| HUMANA | Medicare|TRANSPLANT | $2,051.83 | ↑ +141% |
| KELSEY | Medicare|All Plans | $2,051.83 | ↑ +141% |
| HUMANA | Medicare|All Other Plans | $2,051.83 | ↑ +141% |
| USA Health Network | Commercial|All Plans | $2,063.80 | ↑ +143% |
| CIGNA HEALTHSPRING | Medicare|PPO | $2,072.35 | ↑ +144% |
| AETNA | Medicare|All Plans | $2,092.87 | ↑ +146% |
| UHC-SecureHorizons | Medicare|All Plans | $2,092.87 | ↑ +146% |
| Amerivantage | Medicare|All Plans | $2,113.38 | ↑ +149% |
| UHC | Medicaid|STARPLUS | $2,142.66 | ↑ +152% |
| UNITED | Medicaid|STARPLUS | $2,142.66 | ↑ +152% |
| SCANHealth | Medicare|All Plans | $2,195.46 | ↑ +158% |
| DEVOTED | Medicare|All Plans | $2,195.46 | ↑ +158% |
| KINDRED | Medicare|All Plans | $2,257.01 | ↑ +166% |
| United | Commercial|Exchange | $2,303.00 | ↑ +171% |
| MHealth Network | Commercial|PPO | $2,428.00 | ↑ +186% |
| BCBS-TX | Commercial|Blue Premier | $2,568.75 | ↑ +202% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +207% |
| KelseyCare | Commercial|Exchange | $2,769.97 | ↑ +226% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +238% |
| Bright Health | Commercial|All Plans | $2,994.29 | ↑ +252% |
| BCBS-TX | Commercial|HMO | $3,047.07 | ↑ +259% |
| Wellpoint | Commercial|Exchange | $3,077.74 | ↑ +262% |
| Community Health Choice | Commercial|Exchange | $3,077.74 | ↑ +262% |
| Superior Health Plan | Commercial|All Plans | $3,077.74 | ↑ +262% |
| Cigna | Commercial|All Other Plans | $3,077.74 | ↑ +262% |
| Aetna | Commercial|Exchange | $3,159.82 | ↑ +272% |
| United | Commercial|Charter | $3,400.00 | ↑ +300% |
| BCBS-TX | Commercial|PPO | $3,401.38 | ↑ +300% |
| United | Commercial|HMO | $3,778.00 | ↑ +345% |
| United | Commercial|PPO | $3,778.00 | ↑ +345% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +510% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↑ +510% |
| NXHealth | Commercial|All Plans | $6,668.45 | ↑ +685% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +750% |
Visitor-reported prices
Comments
Biopsy of prostate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON NORTHWEST | SPRING | not published | $700.49 – $3,153.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,627.06 | $744.33 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,030.85 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,139.32 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,627.06 | $700.55 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,030.85 | $85.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,030.85 | $1,565.94 – $5,045.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,139.32 | $71.00 – $5,045.72 |