Cath ptca pcltxl agent 3x20mm at St. Luke's Health - Springwoods Village Hospital
2255 E Mossy Oaks Rd, Spring, TX · CommonSpirit Health · · NPI 1942208616
$12,321.54
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.
$35,204.40
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 $35,204.40 with MHealth Network — 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|Surefit | $100.00 | ↓ -99% |
| Cigna | Commercial|PPO | $100.00 | ↓ -99% |
| Cigna | Commercial|HMO | $100.00 | ↓ -99% |
| OPTUM | Medicare|All Plans | $9,505.19 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $12,321.54 | ↑ +0% |
| OPTUM | Medicaid|STAR | $12,736.96 | ↑ +3% |
| United | Commercial|Optum | $16,546.07 | ↑ +34% |
| CHC | Medicaid|CHIP | $19,362.42 | ↑ +57% |
| CHC | Medicaid|HMO | $19,362.42 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $19,362.42 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $21,122.64 | ↑ +71% |
| Coventry | Commercial|PPO | $22,882.86 | ↑ +86% |
| Humana | Commercial|Transplant | $22,882.86 | ↑ +86% |
| First Health | Commercial|All Plans | $22,882.86 | ↑ +86% |
| Healthsmart | Commercial|PPO | $24,643.08 | ↑ +100% |
| Interlink | Commercial|Transplant | $24,643.08 | ↑ +100% |
| Cigna | Commercial|Transplant | $24,643.08 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $26,403.30 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $29,085.88 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $29,923.74 | ↑ +143% |
| MHealth Network | Commercial|PPO | $35,204.40 | ↑ +186% |
Visitor-reported prices
Comments
Cath ptca pcltxl agent 3x20mm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $10,892.07 | not published |
| Baylor St Luke's Medical Center | Houston | $12,321.54 | $100.00 – $35,204.40 |
| St. Joseph Health Madison Hospital | Madisonville | $3,093.30 | $2,251.93 – $17,676.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $12,321.54 | $100.00 – $35,204.40 |
| St. Joseph Health College Station Hospital | College Station | $3,093.30 | $1,442.37 – $17,676.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $12,321.54 | $100.00 – $35,204.40 |
| St. Joseph Health Grimes Hospital | Navasota | $3,093.30 | $6,409.32 – $19,620.36 |
| St. Luke's Health - The Vintage Hospital | Houston | $12,321.54 | $100.00 – $35,204.40 |