CT upper extremity w/contrast (both sides) at St. Luke's Health - Lakeside Hospital

17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$1,965.95

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$5,617.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$206.49 with Wellpoint vs $5,617.00 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 →

Payer
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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
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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|All Other Plans $206.49 ↓ -89%
Wellpoint Medicaid|CHIP $209.84 ↓ -89%
Wellpoint Medicaid|STARKIDS $209.84 ↓ -89%
UHC Medicaid|STARKIDS $210.62 ↓ -89%
UHC Medicaid|CHIP $210.62 ↓ -89%
UNITED Medicaid|All Other Plans $214.04 ↓ -89%
BCBS Medicaid|All Plans $216.81 ↓ -89%
CHC Medicaid|All Other Plans $241.32 ↓ -88%
Renaissance Commercial|All Plans $257.55 ↓ -87%
Wellpoint Medicaid|STAR $281.19 ↓ -86%
UNITED Medicaid|STAR $287.48 ↓ -85%
CHC Medicaid|STAR $323.15 ↓ -84%
HUMANA Medicare|TRANSPLANT $357.71 ↓ -82%
SELECTCARE Medicare|All Plans $357.71 ↓ -82%
KELSEY Medicare|All Plans $357.71 ↓ -82%
BCBS Medicare|All Plans $357.71 ↓ -82%
CIGNA HEALTHSPRING Medicare|HMO $357.71 ↓ -82%
HUMANA Medicare|All Other Plans $357.71 ↓ -82%
CIGNA HEALTHSPRING Medicare|PPO $361.29 ↓ -82%
UHC-SecureHorizons Medicare|All Plans $364.86 ↓ -81%
AETNA Medicare|All Plans $364.86 ↓ -81%
Amerivantage Medicare|All Plans $368.44 ↓ -81%
SCANHealth Medicare|All Plans $382.75 ↓ -81%
DEVOTED Medicare|All Plans $382.75 ↓ -81%
KINDRED Medicare|All Plans $393.48 ↓ -80%
TCHP Medicaid|Lakeside $449.36 ↓ -77%
TCHP Medicaid|STARKIDS $449.36 ↓ -77%
KelseyCare Commercial|Exchange $482.91 ↓ -75%
Cigna Commercial|Surefit $507.00 ↓ -74%
Community Health Choice Commercial|Exchange $536.57 ↓ -73%
Ambetter Commercial|All Plans $536.57 ↓ -73%
Harris Health Commercial|ERS $536.57 ↓ -73%
Wellpoint Commercial|Exchange $536.57 ↓ -73%
Community Health Choice Commercial|All Other Plans $536.57 ↓ -73%
Aetna Commercial|Exchange $550.87 ↓ -72%
BCBS - TX Commercial|MyBlue Health Exchange $557.50 ↓ -72%
Cigna Commercial|HMO $559.00 ↓ -72%
Aetna Commercial|Transplant $590.00 ↓ -70%
TCHP Medicaid|STAR $602.15 ↓ -69%
Bright Health Commercial|All Plans $615.81 ↓ -69%
BCBS-TX Commercial|Exchange $649.15 ↓ -67%
UNITED Medicaid|STARPLUS $654.70 ↓ -67%
UHC Medicaid|STARPLUS $654.70 ↓ -67%
Aetna Commercial|PPO $667.00 ↓ -66%
Humana Commercial|HMO $800.00 ↓ -59%
Humana Commercial|PPO $800.00 ↓ -59%
KelseyCare Commercial|All Other Plans $1,154.70 ↓ -41%
NX Health Commercial|PPO $1,162.56 ↓ -41%
BCBS-TX Commercial|Blue Premier $1,183.74 ↓ -40%
United Commercial|Exchange $1,315.00 ↓ -33%
Cigna Commercial|PPO $1,405.00 ↓ -29%
BCBS-TX Commercial|HMO $1,477.76 ↓ -25%
OPTUM Medicare|All Plans $1,516.59 ↓ -23%
BCBS-TX Commercial|PPO $1,661.05 ↓ -16%
United Commercial|Charter $1,942.00 ↓ -1%
TCHPCHIP Medicaid|HMO $1,965.95 ↑ +0%
OPTUM Medicaid|STAR $2,032.24 ↑ +3%
United Commercial|HMO $2,156.00 ↑ +10%
United Commercial|PPO $2,156.00 ↑ +10%
United Commercial|Optum $2,639.99 ↑ +34%
CHC Medicaid|HMO $3,089.35 ↑ +57%
CHC Medicaid|CHIP $3,089.35 ↑ +57%
TEXASTRUECHOICE Medicaid|CHIP $3,089.35 ↑ +57%
Aetna-Kelsey Care Commercial|HMO $3,314.03 ↑ +69%
Cigna Lifesource Commercial|Transplant $3,370.20 ↑ +71%
First Health Commercial|All Plans $3,651.05 ↑ +86%
Coventry Commercial|PPO $3,651.05 ↑ +86%
Humana Commercial|Transplant $3,651.05 ↑ +86%
Aetna Commercial|HMO $3,819.56 ↑ +94%
Healthsmart Commercial|PPO $3,931.90 ↑ +100%
Cigna Commercial|Transplant $3,931.90 ↑ +100%
Interlink Commercial|Transplant $3,931.90 ↑ +100%
MultiPlan Commercial|All Plans $4,212.75 ↑ +114%
OPTUM Medicaid|STARPLUS $4,640.77 ↑ +136%
USA Health Network Commercial|All Plans $4,774.45 ↑ +143%
MHealth Network Commercial|PPO $5,617.00 ↑ +186%

Visitor-reported prices

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CT upper extremity w/contrast (both sides) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $4,549.97 $1,779.42 – $1,779.42
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $2,394.81 $206.49 – $2,993.51
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,824.46 $375.53 – $2,736.68
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $2,067.90 $206.49 – $2,584.88
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $2,394.81 $206.49 – $2,993.51
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $1,824.46 $220.94 – $2,736.68
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $1,824.46 $206.49 – $2,736.68
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $2,067.90 $206.49 – $3,101.85

All Texas hospitals for this procedure →