Icd reliance df4 ib 64cm at St. Luke's Health - Springwoods Village Hospital

2255 E Mossy Oaks Rd, Spring, TX · CommonSpirit Health · · NPI 1942208616

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$15,435.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$44,100.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.21 with BCBS-TX vs $1.00 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 →

Payer
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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
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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
BCBS-TX Commercial|Exchange $0.21 ↓ -100%
BCBS-TX Commercial|Blue Premier $0.22 ↓ -100%
United Commercial|Exchange $0.24 ↓ -100%
Aetna-Kelsey Care Commercial|HMO $0.25 ↓ -100%
Bright Health Commercial|All Plans $0.26 ↓ -100%
BCBS-TX Commercial|MyBlue Health Exchange $0.26 ↓ -100%
BCBS-TX Commercial|HMO $0.27 ↓ -100%
OPTUM Medicare|All Plans $0.27 ↓ -100%
United Commercial|Charter $0.28 ↓ -100%
Aetna Commercial|HMO $0.29 ↓ -100%
Aetna Commercial|PPO $0.29 ↓ -100%
BCBS-TX Commercial|PPO $0.30 ↓ -100%
Cigna Commercial|Surefit $0.30 ↓ -100%
Cigna Commercial|HMO $0.30 ↓ -100%
Cigna Commercial|PPO $0.30 ↓ -100%
United Commercial|HMO $0.31 ↓ -100%
United Commercial|PPO $0.31 ↓ -100%
TCHPCHIP Medicaid|HMO $0.35 ↓ -100%
OPTUM Medicaid|STAR $0.37 ↓ -100%
Aetna Commercial|Transplant $0.37 ↓ -100%
KelseyCare Commercial|All Other Plans $0.41 ↓ -100%
Humana Commercial|PPO $0.42 ↓ -100%
Humana Commercial|HMO $0.42 ↓ -100%
United Commercial|Optum $0.47 ↓ -100%
CHC Medicaid|CHIP $0.55 ↓ -100%
CHC Medicaid|HMO $0.55 ↓ -100%
TEXASTRUECHOICE Medicaid|CHIP $0.55 ↓ -100%
Cigna Lifesource Commercial|Transplant $0.60 ↓ -100%
Interlink Commercial|Transplant $0.60 ↓ -100%
Independent Med System Commercial|All Plans $0.60 ↓ -100%
First Health Commercial|All Plans $0.65 ↓ -100%
Humana Commercial|Transplant $0.65 ↓ -100%
PHCS Savility Commercial|PPO $0.65 ↓ -100%
PHCS Commercial|All Plans $0.65 ↓ -100%
Coventry Commercial|PPO $0.65 ↓ -100%
Cigna Commercial|Transplant $0.70 ↓ -100%
Healthsmart Commercial|PPO $0.70 ↓ -100%
Healthsmart Commercial|AP3-PPO $0.72 ↓ -100%
MultiPlan Commercial|All Plans $0.75 ↓ -100%
OPTUM Medicaid|STARPLUS $0.83 ↓ -100%
USA Health Network Commercial|All Plans $0.85 ↓ -100%
MHealth Network Commercial|PPO $1.00 ↓ -100%

Visitor-reported prices

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Icd reliance df4 ib 64cm at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Children's Hospital Lubbock $6,356.07 not published
St. Luke's Health - Patients Medical Center Pasadena $10,831.70 $2,606.54 – $9,309.04
Baylor St Luke's Medical Center Houston $15,435.00 $0.21 – $1.00
St. Joseph Health Madison Hospital Madisonville $13,776.70 $1,143.80 – $8,080.20
St. Luke's Health Memorial Lufkin Lufkin $16,010.67 $1,303.32 – $7,819.88
St. Luke's Health - Sugar Land Hospital Sugar Land $15,435.00 $0.21 – $1.00
St. Joseph Health College Station Hospital College Station $13,776.70 $1,795.60 – $7,631.30
St. Luke's Health - Lakeside Hospital The Woodlands $15,435.00 $0.21 – $1.00

All Texas hospitals for this procedure →