App high cost ss f/n/g/h/f <100sq cm addl <25sq cm at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$408.45
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.
$1,167.00
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.
$36.00 with BCBS - TX vs $2,749.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $36.00 | ↓ -91% |
| BCBS-TX | Commercial|Exchange | $52.00 | ↓ -87% |
| BCBS-TX | Commercial|Blue Premier | $56.00 | ↓ -86% |
| BCBS-TX | Commercial|HMO | $67.00 | ↓ -84% |
| BCBS-TX | Commercial|PPO | $76.00 | ↓ -81% |
| Cigna | Commercial|HMO | $100.00 | ↓ -76% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -76% |
| Cigna | Commercial|PPO | $100.00 | ↓ -76% |
| OPTUM | Medicare|All Plans | $315.09 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $408.45 | ↑ +0% |
| OPTUM | Medicaid|STAR | $422.23 | ↑ +3% |
| United | Commercial|Optum | $548.49 | ↑ +34% |
| CHC | Medicaid|CHIP | $641.85 | ↑ +57% |
| CHC | Medicaid|HMO | $641.85 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $641.85 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $700.20 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $700.20 | ↑ +71% |
| Humana | Commercial|Transplant | $758.55 | ↑ +86% |
| First Health | Commercial|All Plans | $758.55 | ↑ +86% |
| Coventry | Commercial|PPO | $758.55 | ↑ +86% |
| PHCS | Commercial|All Plans | $758.55 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $758.55 | ↑ +86% |
| Aetna | Commercial|PPO | $793.56 | ↑ +94% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +98% |
| Interlink | Commercial|Transplant | $816.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $816.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $816.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $875.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $886.92 | ↑ +117% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +131% |
| OPTUM | Medicaid|STARPLUS | $964.18 | ↑ +136% |
| Aetna | Commercial|HMO | $972.00 | ↑ +138% |
| USA Health Network | Commercial|All Plans | $991.95 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,167.00 | ↑ +186% |
| United | Commercial|Exchange | $1,676.00 | ↑ +310% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +495% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +495% |
| United | Commercial|Charter | $2,474.00 | ↑ +506% |
| United | Commercial|PPO | $2,749.00 | ↑ +573% |
| United | Commercial|HMO | $2,749.00 | ↑ +573% |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,317.32 | $4,826.69 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $930.11 | $263.53 – $1,317.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $245.53 | $50.54 – $368.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $223.21 | $44.64 – $279.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $930.11 | $248.03 – $1,317.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $245.53 | $78.82 – $368.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $245.53 | $126.86 – $368.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $223.21 | $71.00 – $334.82 |