Aep thrshld est mlt freq i&r at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$232.05
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.
$663.00
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.
$100.00 with Cigna vs $1,013.67 with NX Health — 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|HMO | $100.00 | ↓ -57% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -57% |
| Cigna | Commercial|PPO | $100.00 | ↓ -57% |
| OPTUM | Medicare|All Plans | $179.01 | ↓ -23% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $183.64 | ↓ -21% |
| United | Commercial|Exchange | $217.00 | ↓ -6% |
| Renaissance | Commercial|All Plans | $224.57 | ↓ -3% |
| TCHPCHIP | Medicaid|HMO | $232.05 | ↑ +0% |
| BCBS-TX | Commercial|Exchange | $238.98 | ↑ +3% |
| OPTUM | Medicaid|STAR | $239.88 | ↑ +3% |
| United | Commercial|Optum | $311.61 | ↑ +34% |
| BCBS | Medicare|All Plans | $311.90 | ↑ +34% |
| HUMANA | Medicare|TRANSPLANT | $311.90 | ↑ +34% |
| CIGNA HEALTHSPRING | Medicare|HMO | $311.90 | ↑ +34% |
| SELECTCARE | Medicare|All Plans | $311.90 | ↑ +34% |
| KELSEY | Medicare|All Plans | $311.90 | ↑ +34% |
| HUMANA | Medicare|All Other Plans | $311.90 | ↑ +34% |
| CIGNA HEALTHSPRING | Medicare|PPO | $315.02 | ↑ +36% |
| UHC-SecureHorizons | Medicare|All Plans | $318.14 | ↑ +37% |
| AETNA | Medicare|All Plans | $318.14 | ↑ +37% |
| United | Commercial|Charter | $321.00 | ↑ +38% |
| Amerivantage | Medicare|All Plans | $321.26 | ↑ +38% |
| SCANHealth | Medicare|All Plans | $333.73 | ↑ +44% |
| DEVOTED | Medicare|All Plans | $333.73 | ↑ +44% |
| KINDRED | Medicare|All Plans | $343.09 | ↑ +48% |
| United | Commercial|HMO | $354.00 | ↑ +53% |
| United | Commercial|PPO | $354.00 | ↑ +53% |
| TEXASTRUECHOICE | Medicaid|CHIP | $364.65 | ↑ +57% |
| CHC | Medicaid|HMO | $364.65 | ↑ +57% |
| CHC | Medicaid|CHIP | $364.65 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $397.80 | ↑ +71% |
| BCBS-TX | Commercial|Blue Premier | $410.04 | ↑ +77% |
| KelseyCare | Commercial|Exchange | $421.06 | ↑ +81% |
| Humana | Commercial|Transplant | $430.95 | ↑ +86% |
| First Health | Commercial|All Plans | $430.95 | ↑ +86% |
| Coventry | Commercial|PPO | $430.95 | ↑ +86% |
| Bright Health | Commercial|All Plans | $442.58 | ↑ +91% |
| Healthsmart | Commercial|PPO | $464.10 | ↑ +100% |
| Interlink | Commercial|Transplant | $464.10 | ↑ +100% |
| Cigna | Commercial|Transplant | $464.10 | ↑ +100% |
| Community Health Choice | Commercial|Exchange | $467.85 | ↑ +102% |
| Ambetter | Commercial|All Plans | $467.85 | ↑ +102% |
| Wellpoint | Commercial|Exchange | $467.85 | ↑ +102% |
| Community Health Choice | Commercial|All Other Plans | $467.85 | ↑ +102% |
| Harris Health | Commercial|ERS | $467.85 | ↑ +102% |
| Aetna | Commercial|Exchange | $480.33 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $497.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $547.78 | ↑ +136% |
| BCBS-TX | Commercial|HMO | $550.92 | ↑ +137% |
| USA Health Network | Commercial|All Plans | $563.55 | ↑ +143% |
| BCBS-TX | Commercial|PPO | $645.25 | ↑ +178% |
| MHealth Network | Commercial|PPO | $663.00 | ↑ +186% |
| NX Health | Commercial|PPO | $1,013.67 | ↑ +337% |
Visitor-reported prices
Comments
Aep thrshld est mlt freq i&r at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $710.53 | $201.32 – $888.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $938.63 | $193.20 – $1,407.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $746.20 | $149.24 – $932.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $710.53 | $189.48 – $888.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $938.63 | $206.06 – $1,407.95 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $938.63 | $484.96 – $1,407.95 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $746.20 | $206.06 – $1,119.30 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $710.53 | $189.48 – $888.16 |