Aspirate/inj ganglion cyst 20612 at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$240.45
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.
$687.00
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.
$26.26 with BCBS-TX vs $5,160.00 with Cigna — 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 | $26.26 | ↓ -89% |
| Wellpoint | Medicaid|All Other Plans | $30.46 | ↓ -87% |
| TCHP | Medicaid|STARKIDS | $30.46 | ↓ -87% |
| TCHP | Medicaid|Lakeside | $30.46 | ↓ -87% |
| Wellpoint | Medicaid|STARKIDS | $30.46 | ↓ -87% |
| Wellpoint | Medicaid|CHIP | $30.46 | ↓ -87% |
| UNITED | Medicaid|All Other Plans | $31.07 | ↓ -87% |
| UHC | Medicaid|STARKIDS | $31.07 | ↓ -87% |
| UHC | Medicaid|CHIP | $31.07 | ↓ -87% |
| BCBS | Medicaid|All Plans | $31.98 | ↓ -87% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $33.61 | ↓ -86% |
| CHC | Medicaid|All Other Plans | $35.03 | ↓ -85% |
| TCHP | Medicaid|STAR | $40.82 | ↓ -83% |
| Wellpoint | Medicaid|STAR | $40.82 | ↓ -83% |
| UNITED | Medicaid|STAR | $41.73 | ↓ -83% |
| CHC | Medicaid|STAR | $46.91 | ↓ -80% |
| BCBS-TX | Commercial|Blue Premier | $50.76 | ↓ -79% |
| BCBS-TX | Commercial|HMO | $60.22 | ↓ -75% |
| BCBS-TX | Commercial|PPO | $67.22 | ↓ -72% |
| UNITED | Medicaid|STARPLUS | $95.04 | ↓ -60% |
| UHC | Medicaid|STARPLUS | $95.04 | ↓ -60% |
| OPTUM | Medicare|All Plans | $185.49 | ↓ -23% |
| Renaissance | Commercial|All Plans | $212.88 | ↓ -11% |
| TCHPCHIP | Medicaid|HMO | $240.45 | ↑ +0% |
| OPTUM | Medicaid|STAR | $248.56 | ↑ +3% |
| CIGNA HEALTHSPRING | Medicare|HMO | $295.67 | ↑ +23% |
| BCBS | Medicare|All Plans | $295.67 | ↑ +23% |
| HUMANA | Medicare|All Other Plans | $295.67 | ↑ +23% |
| HUMANA | Medicare|TRANSPLANT | $295.67 | ↑ +23% |
| SELECTCARE | Medicare|All Plans | $295.67 | ↑ +23% |
| KELSEY | Medicare|All Plans | $295.67 | ↑ +23% |
| CIGNA HEALTHSPRING | Medicare|PPO | $298.63 | ↑ +24% |
| AETNA | Medicare|All Plans | $301.58 | ↑ +25% |
| UHC-SecureHorizons | Medicare|All Plans | $301.58 | ↑ +25% |
| Amerivantage | Medicare|All Plans | $304.54 | ↑ +27% |
| SCANHealth | Medicare|All Plans | $316.37 | ↑ +32% |
| DEVOTED | Medicare|All Plans | $316.37 | ↑ +32% |
| United | Commercial|Optum | $322.89 | ↑ +34% |
| KINDRED | Medicare|All Plans | $325.24 | ↑ +35% |
| TEXASTRUECHOICE | Medicaid|CHIP | $377.85 | ↑ +57% |
| CHC | Medicaid|CHIP | $377.85 | ↑ +57% |
| CHC | Medicaid|HMO | $377.85 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $399.15 | ↑ +66% |
| Independent Med System | Commercial|All Plans | $412.20 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $412.20 | ↑ +71% |
| Bright Health | Commercial|All Plans | $436.92 | ↑ +82% |
| Community Health Choice | Commercial|All Other Plans | $443.50 | ↑ +84% |
| Ambetter | Commercial|All Plans | $443.50 | ↑ +84% |
| Harris Health | Commercial|ERS | $443.50 | ↑ +84% |
| Wellpoint | Commercial|Exchange | $443.50 | ↑ +84% |
| Community Health Choice | Commercial|Exchange | $443.50 | ↑ +84% |
| PHCS | Commercial|All Plans | $446.55 | ↑ +86% |
| First Health | Commercial|All Plans | $446.55 | ↑ +86% |
| Coventry | Commercial|PPO | $446.55 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $446.55 | ↑ +86% |
| Humana | Commercial|Transplant | $446.55 | ↑ +86% |
| Aetna | Commercial|Exchange | $455.33 | ↑ +89% |
| Aetna | Commercial|PPO | $467.16 | ↑ +94% |
| Interlink | Commercial|Transplant | $480.90 | ↑ +100% |
| Healthsmart | Commercial|PPO | $480.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $480.90 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $515.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $522.12 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $567.60 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $583.95 | ↑ +143% |
| MHealth Network | Commercial|PPO | $687.00 | ↑ +186% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +236% |
| NX Health | Commercial|PPO | $960.93 | ↑ +300% |
| Aetna | Commercial|HMO | $972.00 | ↑ +304% |
| United | Commercial|Exchange | $1,676.00 | ↑ +597% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +675% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +754% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +900% |
| United | Commercial|Charter | $2,474.00 | ↑ +929% |
| United | Commercial|PPO | $2,749.00 | ↑ +1043% |
| United | Commercial|HMO | $2,749.00 | ↑ +1043% |
| Humana | Commercial|PPO | $4,000.00 | ↑ +1564% |
| Humana | Commercial|HMO | $4,000.00 | ↑ +1564% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +2046% |
Visitor-reported prices
Comments
Aspirate/inj ganglion cyst 20612 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $433.07 | $30.46 – $733.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $470.31 | $32.59 – $733.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $436.10 | $30.46 – $733.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $433.07 | $30.46 – $733.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $470.31 | $32.59 – $733.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $470.31 | $30.46 – $733.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $436.10 | $30.46 – $733.72 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $433.07 | $30.46 – $733.72 |