Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$1,723.75
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.
$4,925.00
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.
$32.21 with BCBS-TX vs $4,925.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $32.21 | ↓ -98% |
| Wellpoint | Medicaid|All Other Plans | $39.86 | ↓ -98% |
| TCHP | Medicaid|STARKIDS | $39.86 | ↓ -98% |
| TCHP | Medicaid|Lakeside | $39.86 | ↓ -98% |
| Wellpoint | Medicaid|STARKIDS | $39.86 | ↓ -98% |
| Wellpoint | Medicaid|CHIP | $39.86 | ↓ -98% |
| UNITED | Medicaid|All Other Plans | $40.66 | ↓ -98% |
| UHC | Medicaid|CHIP | $40.66 | ↓ -98% |
| UHC | Medicaid|STARKIDS | $40.66 | ↓ -98% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $41.23 | ↓ -98% |
| BCBS | Medicaid|All Plans | $41.85 | ↓ -98% |
| CHC | Medicaid|All Other Plans | $45.84 | ↓ -97% |
| Wellpoint | Medicaid|STAR | $53.41 | ↓ -97% |
| TCHP | Medicaid|STAR | $53.41 | ↓ -97% |
| UNITED | Medicaid|STAR | $54.61 | ↓ -97% |
| CHC | Medicaid|STAR | $61.38 | ↓ -96% |
| BCBS-TX | Commercial|Blue Premier | $62.28 | ↓ -96% |
| BCBS-TX | Commercial|HMO | $73.87 | ↓ -96% |
| BCBS-TX | Commercial|PPO | $82.46 | ↓ -95% |
| UNITED | Medicaid|STARPLUS | $124.36 | ↓ -93% |
| UHC | Medicaid|STARPLUS | $124.36 | ↓ -93% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -92% |
| Cigna | Commercial|HMO | $154.00 | ↓ -91% |
| Renaissance | Commercial|All Plans | $212.88 | ↓ -88% |
| KELSEY | Medicare|All Plans | $295.67 | ↓ -83% |
| BCBS | Medicare|All Plans | $295.67 | ↓ -83% |
| SELECTCARE | Medicare|All Plans | $295.67 | ↓ -83% |
| CIGNA HEALTHSPRING | Medicare|HMO | $295.67 | ↓ -83% |
| HUMANA | Medicare|All Other Plans | $295.67 | ↓ -83% |
| HUMANA | Medicare|TRANSPLANT | $295.67 | ↓ -83% |
| CIGNA HEALTHSPRING | Medicare|PPO | $298.63 | ↓ -83% |
| AETNA | Medicare|All Plans | $301.58 | ↓ -83% |
| UHC-SecureHorizons | Medicare|All Plans | $301.58 | ↓ -83% |
| Amerivantage | Medicare|All Plans | $304.54 | ↓ -82% |
| SCANHealth | Medicare|All Plans | $316.37 | ↓ -82% |
| DEVOTED | Medicare|All Plans | $316.37 | ↓ -82% |
| KINDRED | Medicare|All Plans | $325.24 | ↓ -81% |
| Cigna | Commercial|PPO | $387.00 | ↓ -78% |
| KelseyCare | Commercial|Exchange | $399.15 | ↓ -77% |
| Bright Health | Commercial|All Plans | $436.92 | ↓ -75% |
| Harris Health | Commercial|ERS | $443.50 | ↓ -74% |
| Community Health Choice | Commercial|All Other Plans | $443.50 | ↓ -74% |
| Wellpoint | Commercial|Exchange | $443.50 | ↓ -74% |
| Ambetter | Commercial|All Plans | $443.50 | ↓ -74% |
| Community Health Choice | Commercial|Exchange | $443.50 | ↓ -74% |
| Aetna | Commercial|Exchange | $455.33 | ↓ -74% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -53% |
| NX Health | Commercial|PPO | $960.93 | ↓ -44% |
| Aetna | Commercial|HMO | $972.00 | ↓ -44% |
| OPTUM | Medicare|All Plans | $1,329.75 | ↓ -23% |
| United | Commercial|Exchange | $1,676.00 | ↓ -3% |
| TCHPCHIP | Medicaid|HMO | $1,723.75 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,781.87 | ↑ +3% |
| United | Commercial|Optum | $2,314.75 | ↑ +34% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +40% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +41% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +41% |
| United | Commercial|Charter | $2,474.00 | ↑ +44% |
| CHC | Medicaid|HMO | $2,708.75 | ↑ +57% |
| CHC | Medicaid|CHIP | $2,708.75 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,708.75 | ↑ +57% |
| United | Commercial|PPO | $2,749.00 | ↑ +59% |
| United | Commercial|HMO | $2,749.00 | ↑ +59% |
| Cigna Lifesource | Commercial|Transplant | $2,955.00 | ↑ +71% |
| Humana | Commercial|Transplant | $3,201.25 | ↑ +86% |
| First Health | Commercial|All Plans | $3,201.25 | ↑ +86% |
| Coventry | Commercial|PPO | $3,201.25 | ↑ +86% |
| Aetna | Commercial|PPO | $3,349.00 | ↑ +94% |
| Healthsmart | Commercial|PPO | $3,447.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $3,447.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $3,447.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,693.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $3,743.00 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $4,069.04 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $4,186.25 | ↑ +143% |
| MHealth Network | Commercial|PPO | $4,925.00 | ↑ +186% |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $807.56 | $39.86 – $1,009.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,000.01 | $42.65 – $1,500.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $944.18 | $39.86 – $1,180.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $807.56 | $39.86 – $1,009.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,000.01 | $42.65 – $1,500.02 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,000.01 | $39.86 – $1,500.02 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $944.18 | $39.86 – $1,416.27 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $807.56 | $39.86 – $1,009.46 |