Coombs direct at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$81.90
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.
$234.00
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.
$4.53 with TCHP vs $234.00 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 |
|---|---|---|---|
| TCHP | Medicaid|Lakeside | $4.53 | ↓ -94% |
| Wellpoint | Medicaid|STARKIDS | $4.53 | ↓ -94% |
| Wellpoint | Medicaid|CHIP | $4.53 | ↓ -94% |
| Wellpoint | Medicaid|All Other Plans | $4.53 | ↓ -94% |
| TCHP | Medicaid|STARKIDS | $4.53 | ↓ -94% |
| UNITED | Medicaid|All Other Plans | $4.62 | ↓ -94% |
| UHC | Medicaid|STARKIDS | $4.62 | ↓ -94% |
| UHC | Medicaid|CHIP | $4.62 | ↓ -94% |
| BCBS | Medicaid|All Plans | $4.76 | ↓ -94% |
| CHC | Medicaid|All Other Plans | $5.21 | ↓ -94% |
| Wellpoint | Medicaid|STAR | $6.07 | ↓ -93% |
| TCHP | Medicaid|STAR | $6.07 | ↓ -93% |
| UNITED | Medicaid|STAR | $6.21 | ↓ -92% |
| CHC | Medicaid|STAR | $6.98 | ↓ -91% |
| United | Commercial|Exchange | $9.98 | ↓ -88% |
| United | Commercial|PPO | $9.98 | ↓ -88% |
| United | Commercial|HMO | $9.98 | ↓ -88% |
| United | Commercial|Charter | $9.98 | ↓ -88% |
| Cigna | Commercial|Surefit | $13.22 | ↓ -84% |
| UNITED | Medicaid|STARPLUS | $14.13 | ↓ -83% |
| UHC | Medicaid|STARPLUS | $14.13 | ↓ -83% |
| Cigna | Commercial|HMO | $14.59 | ↓ -82% |
| Cigna | Commercial|PPO | $19.94 | ↓ -76% |
| Renaissance | Commercial|All Plans | $42.84 | ↓ -48% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $48.81 | ↓ -40% |
| HUMANA | Medicare|TRANSPLANT | $59.50 | ↓ -27% |
| SELECTCARE | Medicare|All Plans | $59.50 | ↓ -27% |
| BCBS | Medicare|All Plans | $59.50 | ↓ -27% |
| CIGNA HEALTHSPRING | Medicare|HMO | $59.50 | ↓ -27% |
| HUMANA | Medicare|All Other Plans | $59.50 | ↓ -27% |
| KELSEY | Medicare|All Plans | $59.50 | ↓ -27% |
| CIGNA HEALTHSPRING | Medicare|PPO | $60.09 | ↓ -27% |
| AETNA | Medicare|All Plans | $60.69 | ↓ -26% |
| UHC-SecureHorizons | Medicare|All Plans | $60.69 | ↓ -26% |
| Amerivantage | Medicare|All Plans | $61.28 | ↓ -25% |
| OPTUM | Medicare|All Plans | $63.18 | ↓ -23% |
| BCBS-TX | Commercial|Exchange | $63.52 | ↓ -22% |
| SCANHealth | Medicare|All Plans | $63.66 | ↓ -22% |
| DEVOTED | Medicare|All Plans | $63.66 | ↓ -22% |
| KINDRED | Medicare|All Plans | $65.45 | ↓ -20% |
| KelseyCare | Commercial|Exchange | $80.33 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $81.90 | ↑ +0% |
| OPTUM | Medicaid|STAR | $84.67 | ↑ +3% |
| Community Health Choice | Commercial|Exchange | $89.25 | ↑ +9% |
| Ambetter | Commercial|All Plans | $89.25 | ↑ +9% |
| Community Health Choice | Commercial|All Other Plans | $89.25 | ↑ +9% |
| Wellpoint | Commercial|Exchange | $89.25 | ↑ +9% |
| Harris Health | Commercial|ERS | $89.25 | ↑ +9% |
| Aetna | Commercial|Exchange | $91.63 | ↑ +12% |
| Bright Health | Commercial|All Plans | $93.09 | ↑ +14% |
| BCBS-TX | Commercial|Blue Premier | $108.98 | ↑ +33% |
| United | Commercial|Optum | $109.98 | ↑ +34% |
| CHC | Medicaid|HMO | $128.70 | ↑ +57% |
| CHC | Medicaid|CHIP | $128.70 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $128.70 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $140.40 | ↑ +71% |
| BCBS-TX | Commercial|HMO | $146.42 | ↑ +79% |
| First Health | Commercial|All Plans | $152.10 | ↑ +86% |
| Coventry | Commercial|PPO | $152.10 | ↑ +86% |
| Humana | Commercial|Transplant | $152.10 | ↑ +86% |
| Aetna | Commercial|HMO | $159.12 | ↑ +94% |
| Interlink | Commercial|Transplant | $163.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $163.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $163.80 | ↑ +100% |
| BCBS-TX | Commercial|PPO | $171.50 | ↑ +109% |
| MultiPlan | Commercial|All Plans | $175.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $193.34 | ↑ +136% |
| NX Health | Commercial|PPO | $193.38 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $198.90 | ↑ +143% |
| MHealth Network | Commercial|PPO | $234.00 | ↑ +186% |
Visitor-reported prices
Comments
Coombs direct at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $153.56 | $4.85 – $128.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $71.74 | $3.76 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $77.75 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $71.74 | $4.85 – $151.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $71.74 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $77.75 | $4.53 – $151.53 |