Complx repair sal addl 5 cm/> 13122 at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$66.85
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.
$191.00
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.
$15.28 with Wellpoint vs $4,487.00 with PHCS Savility — 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 |
|---|---|---|---|
| Wellpoint | Medicaid|STARKIDS | $15.28 | ↓ -77% |
| CHC | Medicaid|All Other Plans | $15.28 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $15.28 | ↓ -77% |
| Wellpoint | Medicaid|CHIP | $15.28 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $15.28 | ↓ -77% |
| TCHP | Medicaid|Lakeside | $15.28 | ↓ -77% |
| UHC | Medicaid|CHIP | $15.59 | ↓ -77% |
| UHC | Medicaid|STARKIDS | $15.59 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $15.59 | ↓ -77% |
| BCBS | Medicaid|All Plans | $16.05 | ↓ -76% |
| CHC | Medicaid|STAR | $20.48 | ↓ -69% |
| TCHP | Medicaid|STAR | $20.48 | ↓ -69% |
| Wellpoint | Medicaid|STAR | $20.48 | ↓ -69% |
| UNITED | Medicaid|STAR | $20.94 | ↓ -69% |
| UHC | Medicaid|STARPLUS | $47.68 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $47.68 | ↓ -29% |
| OPTUM | Medicare|All Plans | $51.57 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $66.85 | ↑ +0% |
| OPTUM | Medicaid|STAR | $69.11 | ↑ +3% |
| United | Commercial|Optum | $89.77 | ↑ +34% |
| Cigna | Commercial|PPO | $100.00 | ↑ +50% |
| Cigna | Commercial|Surefit | $100.00 | ↑ +50% |
| Cigna | Commercial|HMO | $100.00 | ↑ +50% |
| TEXASTRUECHOICE | Medicaid|CHIP | $105.05 | ↑ +57% |
| CHC | Medicaid|CHIP | $105.05 | ↑ +57% |
| CHC | Medicaid|HMO | $105.05 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $114.60 | ↑ +71% |
| First Health | Commercial|All Plans | $124.15 | ↑ +86% |
| Humana | Commercial|Transplant | $124.15 | ↑ +86% |
| Coventry | Commercial|PPO | $124.15 | ↑ +86% |
| Aetna | Commercial|PPO | $129.88 | ↑ +94% |
| Healthsmart | Commercial|PPO | $133.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $133.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $133.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $143.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $145.16 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $157.81 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $162.35 | ↑ +143% |
| MHealth Network | Commercial|PPO | $191.00 | ↑ +186% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +1107% |
| KelseyCare | Commercial|All Other Plans | $942.30 | ↑ +1310% |
| Aetna | Commercial|HMO | $972.00 | ↑ +1354% |
| Humana | Commercial|HMO | $1,345.00 | ↑ +1912% |
| Humana | Commercial|PPO | $1,345.00 | ↑ +1912% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +2406% |
| United | Commercial|Exchange | $1,676.00 | ↑ +2407% |
| United | Commercial|Charter | $2,474.00 | ↑ +3601% |
| United | Commercial|PPO | $2,749.00 | ↑ +4012% |
| United | Commercial|HMO | $2,749.00 | ↑ +4012% |
| PHCS | Commercial|All Plans | $4,487.00 | ↑ +6612% |
| PHCS Savility | Commercial|PPO | $4,487.00 | ↑ +6612% |
Visitor-reported prices
Comments
Complx repair sal addl 5 cm/> 13122 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,125.35 | $4,826.69 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $592.69 | $167.93 – $839.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $538.64 | $71.00 – $807.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $546.29 | $71.00 – $682.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $592.69 | $158.05 – $839.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $538.64 | $85.00 – $807.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $538.64 | $278.30 – $807.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $546.29 | $71.00 – $819.44 |