Biliary endoscopy thru skin at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$8,487.50
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.
$24,250.00
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.
$1,233.00 with Aetna-Kelsey Care vs $33,891.29 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↓ -85% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -82% |
| TCHP | Medicaid|STARKIDS | $2,819.34 | ↓ -67% |
| Wellpoint | Medicaid|All Other Plans | $2,819.34 | ↓ -67% |
| TCHP | Medicaid|Lakeside | $2,819.34 | ↓ -67% |
| Wellpoint | Medicaid|STARKIDS | $2,819.34 | ↓ -67% |
| Wellpoint | Medicaid|CHIP | $2,819.34 | ↓ -67% |
| UHC | Medicaid|STARKIDS | $2,875.73 | ↓ -66% |
| UHC | Medicaid|CHIP | $2,875.73 | ↓ -66% |
| UNITED | Medicaid|All Other Plans | $2,875.73 | ↓ -66% |
| BCBS | Medicaid|All Plans | $2,960.31 | ↓ -65% |
| KelseyCare | Commercial|All Other Plans | $3,054.60 | ↓ -64% |
| CHC | Medicaid|All Other Plans | $3,242.24 | ↓ -62% |
| BCBS-TX | Commercial|Exchange | $3,625.28 | ↓ -57% |
| TCHP | Medicaid|STAR | $3,777.92 | ↓ -55% |
| Wellpoint | Medicaid|STAR | $3,777.92 | ↓ -55% |
| UNITED | Medicaid|STAR | $3,862.50 | ↓ -54% |
| CHC | Medicaid|STAR | $4,341.78 | ↓ -49% |
| Independent Med System | Commercial|All Plans | $4,611.00 | ↓ -46% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $4,640.36 | ↓ -45% |
| United | Commercial|Exchange | $4,853.00 | ↓ -43% |
| Humana | Commercial|HMO | $5,265.00 | ↓ -38% |
| Humana | Commercial|PPO | $5,265.00 | ↓ -38% |
| OPTUM | Medicare|All Plans | $6,547.50 | ↓ -23% |
| BCBS-TX | Commercial|Blue Premier | $7,008.88 | ↓ -17% |
| United | Commercial|Charter | $7,164.00 | ↓ -16% |
| Renaissance | Commercial|All Plans | $7,508.22 | ↓ -12% |
| United | Commercial|HMO | $7,961.00 | ↓ -6% |
| United | Commercial|PPO | $7,961.00 | ↓ -6% |
| BCBS-TX | Commercial|HMO | $8,313.98 | ↓ -2% |
| Bright Health | Commercial|All Plans | $8,461.71 | ↓ -0% |
| TCHPCHIP | Medicaid|HMO | $8,487.50 | ↑ +0% |
| OPTUM | Medicaid|STAR | $8,773.65 | ↑ +3% |
| UNITED | Medicaid|STARPLUS | $8,796.34 | ↑ +4% |
| UHC | Medicaid|STARPLUS | $8,796.34 | ↑ +4% |
| BCBS-TX | Commercial|PPO | $9,280.72 | ↑ +9% |
| PHCS Savility | Commercial|PPO | $10,216.00 | ↑ +20% |
| PHCS | Commercial|All Plans | $10,216.00 | ↑ +20% |
| HUMANA | Medicare|All Other Plans | $10,428.09 | ↑ +23% |
| KELSEY | Medicare|All Plans | $10,428.09 | ↑ +23% |
| CIGNA HEALTHSPRING | Medicare|HMO | $10,428.09 | ↑ +23% |
| BCBS | Medicare|All Plans | $10,428.09 | ↑ +23% |
| SELECTCARE | Medicare|All Plans | $10,428.09 | ↑ +23% |
| HUMANA | Medicare|TRANSPLANT | $10,428.09 | ↑ +23% |
| CIGNA HEALTHSPRING | Medicare|PPO | $10,532.37 | ↑ +24% |
| UHC-SecureHorizons | Medicare|All Plans | $10,636.65 | ↑ +25% |
| AETNA | Medicare|All Plans | $10,636.65 | ↑ +25% |
| Amerivantage | Medicare|All Plans | $10,740.93 | ↑ +27% |
| DEVOTED | Medicare|All Plans | $11,158.06 | ↑ +31% |
| SCANHealth | Medicare|All Plans | $11,158.06 | ↑ +31% |
| Cigna | Commercial|Surefit | $11,164.00 | ↑ +32% |
| United | Commercial|Optum | $11,397.50 | ↑ +34% |
| KINDRED | Medicare|All Plans | $11,470.90 | ↑ +35% |
| Cigna | Commercial|HMO | $12,302.00 | ↑ +45% |
| TEXASTRUECHOICE | Medicaid|CHIP | $13,337.50 | ↑ +57% |
| CHC | Medicaid|CHIP | $13,337.50 | ↑ +57% |
| CHC | Medicaid|HMO | $13,337.50 | ↑ +57% |
| KelseyCare | Commercial|Exchange | $14,077.92 | ↑ +66% |
| Cigna Lifesource | Commercial|Transplant | $14,550.00 | ↑ +71% |
| Community Health Choice | Commercial|Exchange | $15,642.14 | ↑ +84% |
| Community Health Choice | Commercial|All Other Plans | $15,642.14 | ↑ +84% |
| Wellpoint | Commercial|Exchange | $15,642.14 | ↑ +84% |
| Ambetter | Commercial|All Plans | $15,642.14 | ↑ +84% |
| Harris Health | Commercial|ERS | $15,642.14 | ↑ +84% |
| Coventry | Commercial|PPO | $15,762.50 | ↑ +86% |
| First Health | Commercial|All Plans | $15,762.50 | ↑ +86% |
| Humana | Commercial|Transplant | $15,762.50 | ↑ +86% |
| Aetna | Commercial|Exchange | $16,059.26 | ↑ +89% |
| Aetna | Commercial|PPO | $16,490.00 | ↑ +94% |
| Cigna | Commercial|Transplant | $16,975.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $16,975.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $16,975.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $18,187.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $18,430.00 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $20,035.35 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $20,612.50 | ↑ +143% |
| MHealth Network | Commercial|PPO | $24,250.00 | ↑ +186% |
| Cigna | Commercial|PPO | $30,902.00 | ↑ +264% |
| NX Health | Commercial|PPO | $33,891.29 | ↑ +299% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $12,366.52 | $2,762.95 – $10,731.66 |
| Baylor St Luke's Medical Center | Houston | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Joseph Health Madison Hospital | Madisonville | $1,594.60 | $1,160.87 – $9,112.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Joseph Health College Station Hospital | College Station | $1,594.60 | $5,011.60 – $9,112.00 |
| St. Joseph Health Grimes Hospital | Navasota | $1,594.60 | $3,304.02 – $10,114.32 |
| St. Luke's Health - The Vintage Hospital | Houston | $8,487.50 | $5,460.00 – $24,250.00 |