Peritoneogram rs&i at St. Luke's Health - Springwoods Village Hospital
2255 E Mossy Oaks Rd, Spring, TX · CommonSpirit Health · · NPI 1942208616
$679.70
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.
$1,942.00
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.
$81.04 with Montgomery Hospital District vs $1,942.00 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 →
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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 |
|---|---|---|---|
| Montgomery Hospital District | Commercial|All Plans | $81.04 | ↓ -88% |
| Wellpoint | Medicaid|STARKIDS | $81.04 | ↓ -88% |
| Wellpoint | Medicaid|CHIP | $81.04 | ↓ -88% |
| Wellpoint | Medicaid|All Other Plans | $81.04 | ↓ -88% |
| UHC | Medicaid|CHIP | $82.66 | ↓ -88% |
| UHC | Medicaid|STARKIDS | $82.66 | ↓ -88% |
| UNITED | Medicaid|All Other Plans | $82.66 | ↓ -88% |
| BCBS | Medicaid|All Plans | $85.09 | ↓ -87% |
| CHC | Medicaid|All Other Plans | $93.20 | ↓ -86% |
| Cigna | Commercial|Surefit | $103.69 | ↓ -85% |
| Wellpoint | Medicaid|STAR | $108.59 | ↓ -84% |
| UHC | Medicaid|STAR | $111.02 | ↓ -84% |
| Cigna | Commercial|HMO | $114.20 | ↓ -83% |
| CHC | Medicaid|STAR | $124.80 | ↓ -82% |
| United | Commercial|Exchange | $140.00 | ↓ -79% |
| Cigna | Commercial|PPO | $140.12 | ↓ -79% |
| TCHP | Medicaid|STARKIDS | $194.20 | ↓ -71% |
| TCHP | Medicaid|All Other Plans | $194.20 | ↓ -71% |
| United | Commercial|Charter | $209.00 | ↓ -69% |
| United | Commercial|PPO | $230.00 | ↓ -66% |
| United | Commercial|HMO | $230.00 | ↓ -66% |
| UHC | Medicaid|STARPLUS | $252.84 | ↓ -63% |
| UNITED | Medicaid|STARPLUS | $252.84 | ↓ -63% |
| TCHP | Medicaid|STAR | $260.23 | ↓ -62% |
| Renaissance | Commercial|All Plans | $395.42 | ↓ -42% |
| OPTUM | Medicare|All Plans | $524.34 | ↓ -23% |
| CIGNA HEALTHSPRING | Medicare|HMO | $549.19 | ↓ -19% |
| BCBS | Medicare|All Plans | $549.19 | ↓ -19% |
| SELECTCARE | Medicare|All Plans | $549.19 | ↓ -19% |
| KELSEY | Medicare|All Plans | $549.19 | ↓ -19% |
| HUMANA | Medicare|All Other Plans | $549.19 | ↓ -19% |
| HUMANA | Medicare|TRANSPLANT | $549.19 | ↓ -19% |
| CIGNA HEALTHSPRING | Medicare|PPO | $554.68 | ↓ -18% |
| AETNA | Medicare|All Plans | $560.17 | ↓ -18% |
| UHC-SecureHorizons | Medicare|All Plans | $560.17 | ↓ -18% |
| Amerivantage | Medicare|All Plans | $565.67 | ↓ -17% |
| DEVOTED | Medicare|All Plans | $587.63 | ↓ -14% |
| SCANHealth | Medicare|All Plans | $587.63 | ↓ -14% |
| KINDRED | Medicare|All Plans | $604.11 | ↓ -11% |
| BCBS-TX | Commercial|Exchange | $679.03 | ↓ -0% |
| TCHPCHIP | Medicaid|HMO | $679.70 | ↑ +0% |
| OPTUM | Medicaid|STAR | $702.62 | ↑ +3% |
| BCBS-TX | Commercial|MyBlue Health Exchange | $703.11 | ↑ +3% |
| KelseyCare | Commercial|Exchange | $741.41 | ↑ +9% |
| Bright Health | Commercial|All Plans | $808.04 | ↑ +19% |
| Wellpoint | Commercial|Exchange | $823.79 | ↑ +21% |
| Community Health Choice | Commercial|Exchange | $823.79 | ↑ +21% |
| Superior Health Plan | Commercial|All Plans | $823.79 | ↑ +21% |
| Cigna | Commercial|All Other Plans | $823.79 | ↑ +21% |
| Aetna | Commercial|Exchange | $845.75 | ↑ +24% |
| United | Commercial|Optum | $912.74 | ↑ +34% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,068.10 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,068.10 | ↑ +57% |
| CHC | Medicaid|HMO | $1,068.10 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $1,145.78 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $1,165.20 | ↑ +71% |
| BCBS-TX | Commercial|Blue Premier | $1,232.84 | ↑ +81% |
| First Health | Commercial|All Plans | $1,262.30 | ↑ +86% |
| Humana | Commercial|Transplant | $1,262.30 | ↑ +86% |
| Coventry | Commercial|PPO | $1,262.30 | ↑ +86% |
| Aetna | Commercial|HMO | $1,320.56 | ↑ +94% |
| Interlink | Commercial|Transplant | $1,359.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,359.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,359.40 | ↑ +100% |
| BCBS-TX | Commercial|HMO | $1,444.74 | ↑ +113% |
| MultiPlan | Commercial|All Plans | $1,456.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,604.49 | ↑ +136% |
| BCBS-TX | Commercial|PPO | $1,622.92 | ↑ +139% |
| USA Health Network | Commercial|All Plans | $1,650.70 | ↑ +143% |
| NXHealth | Commercial|All Plans | $1,784.87 | ↑ +163% |
| MHealth Network | Commercial|PPO | $1,942.00 | ↑ +186% |
Visitor-reported prices
Comments
Peritoneogram rs&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON NORTHWEST | SPRING | not published | $81.04 – $2,839.93 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $563.20 | $81.04 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $510.85 | $105.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $510.85 | $81.04 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $563.20 | $81.04 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $510.85 | $86.71 – $1,366.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $510.85 | $81.04 – $1,366.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $510.85 | $81.04 – $1,366.64 |