Aco cont gluc mnt phys/qhp eqp 95250aco at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$176.75
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.
$505.00
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.
$92.94 with Renaissance vs $951.00 with United — 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $92.94 | ↓ -47% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -43% |
| Cigna | Commercial|PPO | $100.00 | ↓ -43% |
| Cigna | Commercial|HMO | $100.00 | ↓ -43% |
| HUMANA | Medicare|TRANSPLANT | $129.08 | ↓ -27% |
| BCBS | Medicare|All Plans | $129.08 | ↓ -27% |
| CIGNA HEALTHSPRING | Medicare|HMO | $129.08 | ↓ -27% |
| SELECTCARE | Medicare|All Plans | $129.08 | ↓ -27% |
| HUMANA | Medicare|All Other Plans | $129.08 | ↓ -27% |
| KELSEY | Medicare|All Plans | $129.08 | ↓ -27% |
| CIGNA HEALTHSPRING | Medicare|PPO | $130.37 | ↓ -26% |
| UHC-SecureHorizons | Medicare|All Plans | $131.66 | ↓ -26% |
| AETNA | Medicare|All Plans | $131.66 | ↓ -26% |
| Amerivantage | Medicare|All Plans | $132.95 | ↓ -25% |
| OPTUM | Medicare|All Plans | $136.35 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $138.12 | ↓ -22% |
| DEVOTED | Medicare|All Plans | $138.12 | ↓ -22% |
| KINDRED | Medicare|All Plans | $141.99 | ↓ -20% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $169.26 | ↓ -4% |
| KelseyCare | Commercial|Exchange | $174.26 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $176.75 | ↑ +0% |
| OPTUM | Medicaid|STAR | $182.71 | ↑ +3% |
| Harris Health | Commercial|ERS | $193.62 | ↑ +10% |
| Community Health Choice | Commercial|Exchange | $193.62 | ↑ +10% |
| Community Health Choice | Commercial|All Other Plans | $193.62 | ↑ +10% |
| Ambetter | Commercial|All Plans | $193.62 | ↑ +10% |
| Wellpoint | Commercial|Exchange | $193.62 | ↑ +10% |
| BCBS-TX | Commercial|Exchange | $195.92 | ↑ +11% |
| Bright Health | Commercial|All Plans | $198.71 | ↑ +12% |
| Aetna | Commercial|Exchange | $198.78 | ↑ +12% |
| United | Commercial|Optum | $237.35 | ↑ +34% |
| BCBS-TX | Commercial|Blue Premier | $245.77 | ↑ +39% |
| TEXASTRUECHOICE | Medicaid|CHIP | $277.75 | ↑ +57% |
| CHC | Medicaid|HMO | $277.75 | ↑ +57% |
| CHC | Medicaid|CHIP | $277.75 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $303.00 | ↑ +71% |
| BCBS-TX | Commercial|HMO | $324.60 | ↑ +84% |
| First Health | Commercial|All Plans | $328.25 | ↑ +86% |
| Humana | Commercial|Transplant | $328.25 | ↑ +86% |
| Coventry | Commercial|PPO | $328.25 | ↑ +86% |
| Cigna | Commercial|Transplant | $353.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $353.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $353.50 | ↑ +100% |
| BCBS-TX | Commercial|PPO | $368.66 | ↑ +109% |
| MultiPlan | Commercial|All Plans | $378.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $417.24 | ↑ +136% |
| NX Health | Commercial|PPO | $419.51 | ↑ +137% |
| USA Health Network | Commercial|All Plans | $429.25 | ↑ +143% |
| MHealth Network | Commercial|PPO | $505.00 | ↑ +186% |
| United | Commercial|Exchange | $579.00 | ↑ +228% |
| United | Commercial|Charter | $855.00 | ↑ +384% |
| United | Commercial|PPO | $951.00 | ↑ +438% |
| United | Commercial|HMO | $951.00 | ↑ +438% |
Visitor-reported prices
Comments
Aco cont gluc mnt phys/qhp eqp 95250aco at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $370.55 | $76.27 – $555.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $387.73 | $77.55 – $484.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $370.55 | $118.95 – $555.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $370.55 | $191.45 – $555.83 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $387.73 | $127.05 – $581.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $370.55 | $74.11 – $463.19 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $370.55 | $92.64 – $555.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $387.73 | $71.08 – $581.59 |