Cath follower heyman 20f at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$12.87
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.
$36.75
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.
$8.10 with BCBS - TX vs $36.75 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|MyBlue Health Exchange | $8.10 | ↓ -37% |
| BCBS-TX | Commercial|Exchange | $8.92 | ↓ -31% |
| OPTUM | Medicare|All Plans | $9.93 | ↓ -23% |
| BCBS-TX | Commercial|Blue Premier | $11.96 | ↓ -7% |
| TCHPCHIP | Medicaid|HMO | $12.87 | ↑ +0% |
| OPTUM | Medicaid|STAR | $13.30 | ↑ +3% |
| BCBS-TX | Commercial|HMO | $15.23 | ↑ +18% |
| BCBS-TX | Commercial|PPO | $16.94 | ↑ +32% |
| United | Commercial|Optum | $17.28 | ↑ +34% |
| CHC | Medicaid|CHIP | $20.22 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $20.22 | ↑ +57% |
| CHC | Medicaid|HMO | $20.22 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $22.05 | ↑ +71% |
| First Health | Commercial|All Plans | $23.89 | ↑ +86% |
| Humana | Commercial|Transplant | $23.89 | ↑ +86% |
| Coventry | Commercial|PPO | $23.89 | ↑ +86% |
| Interlink | Commercial|Transplant | $25.73 | ↑ +100% |
| Cigna | Commercial|Transplant | $25.73 | ↑ +100% |
| Healthsmart | Commercial|PPO | $25.73 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $27.57 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $30.37 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $31.24 | ↑ +143% |
| Cigna | Commercial|HMO | $36.75 | ↑ +186% |
| Cigna | Commercial|PPO | $36.75 | ↑ +186% |
| Cigna | Commercial|Surefit | $36.75 | ↑ +186% |
| MHealth Network | Commercial|PPO | $36.75 | ↑ +186% |
Visitor-reported prices
Comments
Cath follower heyman 20f at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $12.87 | $6.61 – $36.75 |
| St. Joseph Health Madison Hospital | Madisonville | $12.25 | $8.92 – $63.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $12.87 | $8.10 – $36.75 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $12.87 | $8.10 – $36.75 |
| St. Joseph Health College Station Hospital | College Station | $12.25 | $10.70 – $59.50 |
| St. Joseph Health Grimes Hospital | Navasota | $12.25 | $10.70 – $77.70 |
| St. Luke's Health - The Vintage Hospital | Houston | $12.87 | $8.10 – $36.75 |
| St. Joseph Health Burleson Hospital | Caldwell | $12.25 | $10.70 – $63.00 |