#afb mycobacteria suscep. #1 at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$33.25
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.
$95.00
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.
$5.26 with Renaissance vs $95.00 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $5.26 | ↓ -84% |
| Wellpoint | Medicaid|STARKIDS | $6.14 | ↓ -82% |
| TCHP | Medicaid|STARKIDS | $6.14 | ↓ -82% |
| TCHP | Medicaid|Lakeside | $6.14 | ↓ -82% |
| Wellpoint | Medicaid|All Other Plans | $6.14 | ↓ -82% |
| Wellpoint | Medicaid|CHIP | $6.14 | ↓ -82% |
| UHC | Medicaid|STARKIDS | $6.26 | ↓ -81% |
| UHC | Medicaid|CHIP | $6.26 | ↓ -81% |
| UNITED | Medicaid|All Other Plans | $6.26 | ↓ -81% |
| BCBS | Medicaid|All Plans | $6.45 | ↓ -81% |
| CHC | Medicaid|All Other Plans | $7.06 | ↓ -79% |
| HUMANA | Medicare|TRANSPLANT | $7.31 | ↓ -78% |
| SELECTCARE | Medicare|All Plans | $7.31 | ↓ -78% |
| KELSEY | Medicare|All Plans | $7.31 | ↓ -78% |
| BCBS | Medicare|All Plans | $7.31 | ↓ -78% |
| CIGNA HEALTHSPRING | Medicare|HMO | $7.31 | ↓ -78% |
| HUMANA | Medicare|All Other Plans | $7.31 | ↓ -78% |
| CIGNA HEALTHSPRING | Medicare|PPO | $7.38 | ↓ -78% |
| UHC-SecureHorizons | Medicare|All Plans | $7.46 | ↓ -78% |
| AETNA | Medicare|All Plans | $7.46 | ↓ -78% |
| Amerivantage | Medicare|All Plans | $7.53 | ↓ -77% |
| SCANHealth | Medicare|All Plans | $7.82 | ↓ -76% |
| DEVOTED | Medicare|All Plans | $7.82 | ↓ -76% |
| KINDRED | Medicare|All Plans | $8.04 | ↓ -76% |
| Wellpoint | Medicaid|STAR | $8.23 | ↓ -75% |
| TCHP | Medicaid|STAR | $8.23 | ↓ -75% |
| UNITED | Medicaid|STAR | $8.41 | ↓ -75% |
| CHC | Medicaid|STAR | $9.46 | ↓ -72% |
| KelseyCare | Commercial|Exchange | $9.87 | ↓ -70% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $10.67 | ↓ -68% |
| Harris Health | Commercial|ERS | $10.96 | ↓ -67% |
| Ambetter | Commercial|All Plans | $10.96 | ↓ -67% |
| Wellpoint | Commercial|Exchange | $10.96 | ↓ -67% |
| Community Health Choice | Commercial|Exchange | $10.96 | ↓ -67% |
| Community Health Choice | Commercial|All Other Plans | $10.96 | ↓ -67% |
| United | Commercial|HMO | $10.97 | ↓ -67% |
| United | Commercial|Exchange | $10.97 | ↓ -67% |
| United | Commercial|PPO | $10.97 | ↓ -67% |
| United | Commercial|Charter | $10.97 | ↓ -67% |
| Aetna | Commercial|Exchange | $11.26 | ↓ -66% |
| Bright Health | Commercial|All Plans | $12.06 | ↓ -64% |
| BCBS-TX | Commercial|Exchange | $13.89 | ↓ -58% |
| Cigna | Commercial|Surefit | $17.35 | ↓ -48% |
| Cigna | Commercial|HMO | $19.15 | ↓ -42% |
| UNITED | Medicaid|STARPLUS | $19.16 | ↓ -42% |
| UHC | Medicaid|STARPLUS | $19.16 | ↓ -42% |
| NX Health | Commercial|PPO | $23.76 | ↓ -29% |
| BCBS-TX | Commercial|Blue Premier | $23.83 | ↓ -28% |
| OPTUM | Medicare|All Plans | $25.65 | ↓ -23% |
| Cigna | Commercial|PPO | $26.17 | ↓ -21% |
| BCBS-TX | Commercial|HMO | $32.02 | ↓ -4% |
| TCHPCHIP | Medicaid|HMO | $33.25 | ↑ +0% |
| OPTUM | Medicaid|STAR | $34.38 | ↑ +3% |
| BCBS-TX | Commercial|PPO | $37.50 | ↑ +13% |
| United | Commercial|Optum | $44.65 | ↑ +34% |
| CHC | Medicaid|CHIP | $52.25 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $52.25 | ↑ +57% |
| CHC | Medicaid|HMO | $52.25 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $57.00 | ↑ +71% |
| First Health | Commercial|All Plans | $61.75 | ↑ +86% |
| Coventry | Commercial|PPO | $61.75 | ↑ +86% |
| Humana | Commercial|Transplant | $61.75 | ↑ +86% |
| Aetna | Commercial|HMO | $64.60 | ↑ +94% |
| Interlink | Commercial|Transplant | $66.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $66.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $66.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $71.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $78.49 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $80.75 | ↑ +143% |
| MHealth Network | Commercial|PPO | $95.00 | ↑ +186% |
Visitor-reported prices
Comments
#afb mycobacteria suscep. #1 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $38.75 | $7.98 – $58.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $38.75 | $6.14 – $48.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $38.75 | $6.57 – $58.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $38.75 | $6.14 – $58.12 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $38.75 | $6.14 – $58.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $38.75 | $6.14 – $48.44 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $38.75 | $6.14 – $58.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $38.75 | $6.14 – $58.12 |