Breast reconstruction 19357 at St. Luke's Health - Springwoods Village Hospital
2255 E Mossy Oaks Rd, Spring, TX · CommonSpirit Health · · NPI 1942208616
not published by hospital
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.
not published by hospital
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.
$1,732.00 with Aetna-Kelsey Care vs $56,636.25 with NXHealth — 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,732.00 | — |
| Aetna | Commercial|HMO | $2,089.00 | — |
| KelseyCare | Commercial|All Other Plans | $2,112.30 | — |
| Healthsmart | Commercial|AP3-PPO | $2,177.00 | — |
| Independent Med System | Commercial|All Plans | $2,486.00 | — |
| Humana | Commercial|PPO | $2,916.00 | — |
| Humana | Commercial|HMO | $2,916.00 | — |
| Cigna | Commercial|Surefit | $4,007.00 | — |
| Cigna | Commercial|HMO | $4,415.00 | — |
| Montgomery Hospital District | Commercial|All Plans | $4,829.47 | — |
| TCHP | Medicaid|STARKIDS | $4,829.47 | — |
| Wellpoint | Medicaid|STARKIDS | $4,829.47 | — |
| TCHP | Medicaid|All Other Plans | $4,829.47 | — |
| Wellpoint | Medicaid|All Other Plans | $4,829.47 | — |
| Wellpoint | Medicaid|CHIP | $4,829.47 | — |
| United | Commercial|Exchange | $4,853.00 | — |
| UHC | Medicaid|CHIP | $4,926.06 | — |
| UNITED | Medicaid|All Other Plans | $4,926.06 | — |
| UHC | Medicaid|STARKIDS | $4,926.06 | — |
| BCBS | Medicaid|All Plans | $5,070.94 | — |
| CHC | Medicaid|All Other Plans | $5,553.89 | — |
| TCHP | Medicaid|STAR | $6,471.49 | — |
| Wellpoint | Medicaid|STAR | $6,471.49 | — |
| UHC | Medicaid|STAR | $6,616.37 | — |
| United | Commercial|Charter | $7,164.00 | — |
| PHCS | Commercial|All Plans | $7,270.00 | — |
| PHCS Savility | Commercial|PPO | $7,270.00 | — |
| CHC | Medicaid|STAR | $7,437.38 | — |
| United | Commercial|PPO | $7,961.00 | — |
| United | Commercial|HMO | $7,961.00 | — |
| BCBS-TX | Commercial|Exchange | $10,390.00 | — |
| Cigna | Commercial|PPO | $11,090.00 | — |
| Renaissance | Commercial|All Plans | $12,547.11 | — |
| BCBS-TX | Commercial|MyBlue Health Exchange | $13,299.20 | — |
| UHC | Medicaid|STARPLUS | $15,067.95 | — |
| UNITED | Medicaid|STARPLUS | $15,067.95 | — |
| BCBS | Medicare|All Plans | $17,426.54 | — |
| HUMANA | Medicare|All Other Plans | $17,426.54 | — |
| HUMANA | Medicare|TRANSPLANT | $17,426.54 | — |
| CIGNA HEALTHSPRING | Medicare|HMO | $17,426.54 | — |
| KELSEY | Medicare|All Plans | $17,426.54 | — |
| SELECTCARE | Medicare|All Plans | $17,426.54 | — |
| CIGNA HEALTHSPRING | Medicare|PPO | $17,600.81 | — |
| AETNA | Medicare|All Plans | $17,775.07 | — |
| UHC-SecureHorizons | Medicare|All Plans | $17,775.07 | — |
| Amerivantage | Medicare|All Plans | $17,949.34 | — |
| SCANHealth | Medicare|All Plans | $18,646.40 | — |
| DEVOTED | Medicare|All Plans | $18,646.40 | — |
| KINDRED | Medicare|All Plans | $19,169.19 | — |
| BCBS-TX | Commercial|Blue Premier | $20,087.33 | — |
| KelseyCare | Commercial|Exchange | $23,525.83 | — |
| BCBS-TX | Commercial|HMO | $23,827.73 | — |
| Bright Health | Commercial|All Plans | $24,950.66 | — |
| Community Health Choice | Commercial|Exchange | $26,139.81 | — |
| Cigna | Commercial|All Other Plans | $26,139.81 | — |
| Superior Health Plan | Commercial|All Plans | $26,139.81 | — |
| Wellpoint | Commercial|Exchange | $26,139.81 | — |
| BCBS-TX | Commercial|PPO | $26,598.39 | — |
| Aetna | Commercial|Exchange | $26,836.87 | — |
| NXHealth | Commercial|All Plans | $56,636.25 | — |
| TEXASTRUECHOICE | Medicaid|CHIP | not published by hospital | — |
| Cigna | Commercial|Transplant | not published by hospital | — |
| Cigna Lifesource | Commercial|Transplant | not published by hospital | — |
| USA Health Network | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| Interlink | Commercial|Transplant | not published by hospital | — |
| Coventry | Commercial|PPO | not published by hospital | — |
| Aetna | Commercial|Transplant | not published by hospital | — |
| Aetna | Commercial|PPO | not published by hospital | — |
| CHC | Medicaid|CHIP | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| CHC | Medicaid|HMO | not published by hospital | — |
| United | Commercial|Optum | not published by hospital | — |
| Healthsmart | Commercial|PPO | not published by hospital | — |
| OPTUM | Medicaid|STARPLUS | not published by hospital | — |
| OPTUM | Medicaid|STAR | not published by hospital | — |
| OPTUM | Medicare|All Plans | not published by hospital | — |
| MHealth Network | Commercial|PPO | not published by hospital | — |
| Humana | Commercial|Transplant | not published by hospital | — |
| TCHPCHIP | Medicaid|HMO | not published by hospital | — |
Visitor-reported prices
Comments
Breast reconstruction 19357 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON NORTHWEST | SPRING | not published | $4,926.06 – $24,658.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,977.64 | $71.00 – $43,654.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $9,110.84 | $71.00 – $43,654.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,977.64 | $85.00 – $43,654.03 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,977.64 | $3,879.00 – $43,654.03 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $9,110.84 | $71.00 – $43,654.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $8,977.64 | $71.00 – $43,654.03 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $8,977.64 | $71.00 – $43,654.03 |