Complx repair enel 1.1-2.5 cm 13151 at St. Luke's Health - Springwoods Village Hospital
2255 E Mossy Oaks Rd, Spring, TX · CommonSpirit Health · · NPI 1942208616
$534.45
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.
$1,527.00
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.
$228.07 with Wellpoint vs $9,029.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|CHIP | $228.07 | ↓ -57% |
| Montgomery Hospital District | Commercial|All Plans | $228.07 | ↓ -57% |
| Wellpoint | Medicaid|All Other Plans | $228.07 | ↓ -57% |
| Wellpoint | Medicaid|STARKIDS | $228.07 | ↓ -57% |
| TCHP | Medicaid|All Other Plans | $228.07 | ↓ -57% |
| TCHP | Medicaid|STARKIDS | $228.07 | ↓ -57% |
| UHC | Medicaid|STARKIDS | $232.63 | ↓ -56% |
| UNITED | Medicaid|All Other Plans | $232.63 | ↓ -56% |
| UHC | Medicaid|CHIP | $232.63 | ↓ -56% |
| BCBS | Medicaid|All Plans | $239.47 | ↓ -55% |
| CHC | Medicaid|All Other Plans | $262.28 | ↓ -51% |
| TCHP | Medicaid|STAR | $305.61 | ↓ -43% |
| Wellpoint | Medicaid|STAR | $305.61 | ↓ -43% |
| UHC | Medicaid|STAR | $312.46 | ↓ -42% |
| CHC | Medicaid|STAR | $351.23 | ↓ -34% |
| BCBS-TX | Commercial|Exchange | $372.77 | ↓ -30% |
| OPTUM | Medicare|All Plans | $412.29 | ↓ -23% |
| Renaissance | Commercial|All Plans | $441.45 | ↓ -17% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $477.14 | ↓ -11% |
| TCHPCHIP | Medicaid|HMO | $534.45 | ↑ +0% |
| OPTUM | Medicaid|STAR | $552.47 | ↑ +3% |
| HUMANA | Medicare|TRANSPLANT | $613.12 | ↑ +15% |
| SELECTCARE | Medicare|All Plans | $613.12 | ↑ +15% |
| KELSEY | Medicare|All Plans | $613.12 | ↑ +15% |
| BCBS | Medicare|All Plans | $613.12 | ↑ +15% |
| CIGNA HEALTHSPRING | Medicare|HMO | $613.12 | ↑ +15% |
| HUMANA | Medicare|All Other Plans | $613.12 | ↑ +15% |
| CIGNA HEALTHSPRING | Medicare|PPO | $619.25 | ↑ +16% |
| UHC-SecureHorizons | Medicare|All Plans | $625.38 | ↑ +17% |
| AETNA | Medicare|All Plans | $625.38 | ↑ +17% |
| Amerivantage | Medicare|All Plans | $631.51 | ↑ +18% |
| SCANHealth | Medicare|All Plans | $656.04 | ↑ +23% |
| DEVOTED | Medicare|All Plans | $656.04 | ↑ +23% |
| KINDRED | Medicare|All Plans | $674.43 | ↑ +26% |
| UNITED | Medicaid|STARPLUS | $711.58 | ↑ +33% |
| UHC | Medicaid|STARPLUS | $711.58 | ↑ +33% |
| United | Commercial|Optum | $717.69 | ↑ +34% |
| BCBS-TX | Commercial|Blue Premier | $720.68 | ↑ +35% |
| KelseyCare | Commercial|Exchange | $827.71 | ↑ +55% |
| CHC | Medicaid|CHIP | $839.85 | ↑ +57% |
| CHC | Medicaid|HMO | $839.85 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $839.85 | ↑ +57% |
| BCBS-TX | Commercial|HMO | $854.87 | ↑ +60% |
| Bright Health | Commercial|All Plans | $875.84 | ↑ +64% |
| Cigna Lifesource | Commercial|Transplant | $916.20 | ↑ +71% |
| Cigna | Commercial|All Other Plans | $919.68 | ↑ +72% |
| Wellpoint | Commercial|Exchange | $919.68 | ↑ +72% |
| Superior Health Plan | Commercial|All Plans | $919.68 | ↑ +72% |
| Community Health Choice | Commercial|Exchange | $919.68 | ↑ +72% |
| Aetna | Commercial|Exchange | $944.20 | ↑ +77% |
| BCBS-TX | Commercial|PPO | $954.28 | ↑ +79% |
| First Health | Commercial|All Plans | $992.55 | ↑ +86% |
| Coventry | Commercial|PPO | $992.55 | ↑ +86% |
| Humana | Commercial|Transplant | $992.55 | ↑ +86% |
| Aetna | Commercial|PPO | $1,038.36 | ↑ +94% |
| Interlink | Commercial|Transplant | $1,068.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,068.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,068.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,145.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,160.52 | ↑ +117% |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↑ +131% |
| OPTUM | Medicaid|STARPLUS | $1,261.61 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,297.95 | ↑ +143% |
| Aetna | Commercial|HMO | $1,488.00 | ↑ +178% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↑ +184% |
| MHealth Network | Commercial|PPO | $1,527.00 | ↑ +186% |
| Healthsmart | Commercial|AP3-PPO | $1,609.00 | ↑ +201% |
| United | Commercial|Exchange | $1,676.00 | ↑ +214% |
| Independent Med System | Commercial|All Plans | $1,795.00 | ↑ +236% |
| NXHealth | Commercial|All Plans | $1,992.64 | ↑ +273% |
| Humana | Commercial|HMO | $2,025.00 | ↑ +279% |
| Humana | Commercial|PPO | $2,025.00 | ↑ +279% |
| United | Commercial|Charter | $2,474.00 | ↑ +363% |
| United | Commercial|PPO | $2,749.00 | ↑ +414% |
| United | Commercial|HMO | $2,749.00 | ↑ +414% |
| Cigna | Commercial|Surefit | $3,262.00 | ↑ +510% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +572% |
| PHCS | Commercial|All Plans | $5,252.00 | ↑ +883% |
| PHCS Savility | Commercial|PPO | $5,252.00 | ↑ +883% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +1589% |
Visitor-reported prices
Comments
Complx repair enel 1.1-2.5 cm 13151 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON NORTHWEST | SPRING | not published | $232.63 – $884.70 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,278.25 | $216.80 – $1,597.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,605.96 | $71.00 – $2,408.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,154.08 | $71.00 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,278.25 | $216.80 – $1,597.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,605.96 | $85.00 – $2,408.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,605.96 | $216.80 – $2,408.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,154.08 | $71.00 – $1,731.11 |