Bx vulva or perineum/1 lesion 56605 at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$528.50
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.
$1,510.00
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.
$35.73 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 | $35.73 | ↓ -93% |
| TCHP | Medicaid|Lakeside | $44.85 | ↓ -92% |
| Wellpoint | Medicaid|STARKIDS | $44.85 | ↓ -92% |
| TCHP | Medicaid|STARKIDS | $44.85 | ↓ -92% |
| Wellpoint | Medicaid|CHIP | $44.85 | ↓ -92% |
| Wellpoint | Medicaid|All Other Plans | $44.85 | ↓ -92% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $45.73 | ↓ -91% |
| UHC | Medicaid|CHIP | $45.75 | ↓ -91% |
| UHC | Medicaid|STARKIDS | $45.75 | ↓ -91% |
| UNITED | Medicaid|All Other Plans | $45.75 | ↓ -91% |
| BCBS | Medicaid|All Plans | $47.09 | ↓ -91% |
| CHC | Medicaid|All Other Plans | $51.58 | ↓ -90% |
| TCHP | Medicaid|STAR | $60.10 | ↓ -89% |
| Wellpoint | Medicaid|STAR | $60.10 | ↓ -89% |
| UNITED | Medicaid|STAR | $61.44 | ↓ -88% |
| CHC | Medicaid|STAR | $69.07 | ↓ -87% |
| BCBS-TX | Commercial|Blue Premier | $69.08 | ↓ -87% |
| BCBS-TX | Commercial|HMO | $81.94 | ↓ -84% |
| BCBS-TX | Commercial|PPO | $91.47 | ↓ -83% |
| UHC | Medicaid|STARPLUS | $139.93 | ↓ -74% |
| UNITED | Medicaid|STARPLUS | $139.93 | ↓ -74% |
| OPTUM | Medicare|All Plans | $407.70 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $528.50 | ↑ +0% |
| OPTUM | Medicaid|STAR | $546.32 | ↑ +3% |
| Renaissance | Commercial|All Plans | $627.95 | ↑ +19% |
| United | Commercial|Optum | $709.70 | ↑ +34% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +53% |
| TEXASTRUECHOICE | Medicaid|CHIP | $830.50 | ↑ +57% |
| CHC | Medicaid|CHIP | $830.50 | ↑ +57% |
| CHC | Medicaid|HMO | $830.50 | ↑ +57% |
| BCBS | Medicare|All Plans | $872.15 | ↑ +65% |
| SELECTCARE | Medicare|All Plans | $872.15 | ↑ +65% |
| KELSEY | Medicare|All Plans | $872.15 | ↑ +65% |
| HUMANA | Medicare|All Other Plans | $872.15 | ↑ +65% |
| HUMANA | Medicare|TRANSPLANT | $872.15 | ↑ +65% |
| CIGNA HEALTHSPRING | Medicare|HMO | $872.15 | ↑ +65% |
| CIGNA HEALTHSPRING | Medicare|PPO | $880.87 | ↑ +67% |
| AETNA | Medicare|All Plans | $889.59 | ↑ +68% |
| UHC-SecureHorizons | Medicare|All Plans | $889.59 | ↑ +68% |
| Amerivantage | Medicare|All Plans | $898.31 | ↑ +70% |
| Independent Med System | Commercial|All Plans | $906.00 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $906.00 | ↑ +71% |
| DEVOTED | Medicare|All Plans | $933.20 | ↑ +77% |
| SCANHealth | Medicare|All Plans | $933.20 | ↑ +77% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +78% |
| KINDRED | Medicare|All Plans | $959.37 | ↑ +82% |
| Aetna | Commercial|HMO | $972.00 | ↑ +84% |
| Humana | Commercial|Transplant | $981.50 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $981.50 | ↑ +86% |
| First Health | Commercial|All Plans | $981.50 | ↑ +86% |
| PHCS | Commercial|All Plans | $981.50 | ↑ +86% |
| Coventry | Commercial|PPO | $981.50 | ↑ +86% |
| Aetna | Commercial|PPO | $1,026.80 | ↑ +94% |
| Cigna | Commercial|Transplant | $1,057.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,057.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,057.00 | ↑ +100% |
| Bright Health | Commercial|All Plans | $1,060.19 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $1,132.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,147.60 | ↑ +117% |
| KelseyCare | Commercial|Exchange | $1,177.40 | ↑ +123% |
| OPTUM | Medicaid|STARPLUS | $1,247.57 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,283.50 | ↑ +143% |
| Community Health Choice | Commercial|Exchange | $1,308.22 | ↑ +148% |
| Community Health Choice | Commercial|All Other Plans | $1,308.22 | ↑ +148% |
| Ambetter | Commercial|All Plans | $1,308.22 | ↑ +148% |
| Wellpoint | Commercial|Exchange | $1,308.22 | ↑ +148% |
| Harris Health | Commercial|ERS | $1,308.22 | ↑ +148% |
| Aetna | Commercial|Exchange | $1,343.11 | ↑ +154% |
| MHealth Network | Commercial|PPO | $1,510.00 | ↑ +186% |
| United | Commercial|Exchange | $1,676.00 | ↑ +217% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +253% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +289% |
| United | Commercial|Charter | $2,474.00 | ↑ +368% |
| United | Commercial|PPO | $2,749.00 | ↑ +420% |
| United | Commercial|HMO | $2,749.00 | ↑ +420% |
| NX Health | Commercial|PPO | $2,834.49 | ↑ +436% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +876% |
Visitor-reported prices
Comments
Bx vulva or perineum/1 lesion 56605 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $813.53 | $44.85 – $1,991.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,148.20 | $47.99 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,117.94 | $44.85 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $813.53 | $44.85 – $1,991.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,148.20 | $47.99 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,148.20 | $44.85 – $1,991.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,117.94 | $44.85 – $2,975.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $813.53 | $44.85 – $1,991.50 |