Drainage of rectal abscess at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$601.65
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.
?
What you pay up front if you don't use insurance.
$1,719.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$429.26 with Wellpoint vs $7,221.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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|All Other Plans | $429.26 | ↓ -29% |
| Wellpoint | Medicaid|CHIP | $429.26 | ↓ -29% |
| TCHP | Medicaid|Lakeside | $429.26 | ↓ -29% |
| Wellpoint | Medicaid|STARKIDS | $429.26 | ↓ -29% |
| TCHP | Medicaid|STARKIDS | $429.26 | ↓ -29% |
| UNITED | Medicaid|All Other Plans | $437.85 | ↓ -27% |
| UHC | Medicaid|CHIP | $437.85 | ↓ -27% |
| UHC | Medicaid|STARKIDS | $437.85 | ↓ -27% |
| BCBS | Medicaid|All Plans | $450.72 | ↓ -25% |
| OPTUM | Medicare|All Plans | $464.13 | ↓ -23% |
| CHC | Medicaid|All Other Plans | $493.65 | ↓ -18% |
| Wellpoint | Medicaid|STAR | $575.21 | ↓ -4% |
| TCHP | Medicaid|STAR | $575.21 | ↓ -4% |
| UNITED | Medicaid|STAR | $588.09 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $601.65 | ↑ +0% |
| OPTUM | Medicaid|STAR | $621.94 | ↑ +3% |
| CHC | Medicaid|STAR | $661.06 | ↑ +10% |
| BCBS-TX | Commercial|Exchange | $753.17 | ↑ +25% |
| United | Commercial|Optum | $807.93 | ↑ +34% |
| Renaissance | Commercial|All Plans | $850.31 | ↑ +41% |
| TEXASTRUECHOICE | Medicaid|CHIP | $945.45 | ↑ +57% |
| CHC | Medicaid|HMO | $945.45 | ↑ +57% |
| CHC | Medicaid|CHIP | $945.45 | ↑ +57% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $964.05 | ↑ +60% |
| Cigna Lifesource | Commercial|Transplant | $1,031.40 | ↑ +71% |
| Aetna-Kelsey Care | Commercial|HMO | $1,076.00 | ↑ +79% |
| First Health | Commercial|All Plans | $1,117.35 | ↑ +86% |
| Humana | Commercial|Transplant | $1,117.35 | ↑ +86% |
| Coventry | Commercial|PPO | $1,117.35 | ↑ +86% |
| Aetna | Commercial|PPO | $1,168.92 | ↑ +94% |
| HUMANA | Medicare|TRANSPLANT | $1,180.99 | ↑ +96% |
| BCBS | Medicare|All Plans | $1,180.99 | ↑ +96% |
| HUMANA | Medicare|All Other Plans | $1,180.99 | ↑ +96% |
| SELECTCARE | Medicare|All Plans | $1,180.99 | ↑ +96% |
| KELSEY | Medicare|All Plans | $1,180.99 | ↑ +96% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,180.99 | ↑ +96% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,192.80 | ↑ +98% |
| Healthsmart | Commercial|PPO | $1,203.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,203.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,203.30 | ↑ +100% |
| UHC-SecureHorizons | Medicare|All Plans | $1,204.61 | ↑ +100% |
| AETNA | Medicare|All Plans | $1,204.61 | ↑ +100% |
| Amerivantage | Medicare|All Plans | $1,216.42 | ↑ +102% |
| SCANHealth | Medicare|All Plans | $1,263.66 | ↑ +110% |
| DEVOTED | Medicare|All Plans | $1,263.66 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $1,289.25 | ↑ +114% |
| Aetna | Commercial|HMO | $1,298.00 | ↑ +116% |
| KINDRED | Medicare|All Plans | $1,299.09 | ↑ +116% |
| Aetna | Commercial|Transplant | $1,306.44 | ↑ +117% |
| UNITED | Medicaid|STARPLUS | $1,339.29 | ↑ +123% |
| UHC | Medicaid|STARPLUS | $1,339.29 | ↑ +123% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↑ +126% |
| OPTUM | Medicaid|STARPLUS | $1,420.24 | ↑ +136% |
| BCBS-TX | Commercial|Blue Premier | $1,456.12 | ↑ +142% |
| USA Health Network | Commercial|All Plans | $1,461.15 | ↑ +143% |
| KelseyCare | Commercial|Exchange | $1,594.34 | ↑ +165% |
| Independent Med System | Commercial|All Plans | $1,675.00 | ↑ +178% |
| MHealth Network | Commercial|PPO | $1,719.00 | ↑ +186% |
| BCBS-TX | Commercial|HMO | $1,727.26 | ↑ +187% |
| Bright Health | Commercial|All Plans | $1,734.13 | ↑ +188% |
| Ambetter | Commercial|All Plans | $1,771.48 | ↑ +194% |
| Wellpoint | Commercial|Exchange | $1,771.48 | ↑ +194% |
| Community Health Choice | Commercial|All Other Plans | $1,771.48 | ↑ +194% |
| Harris Health | Commercial|ERS | $1,771.48 | ↑ +194% |
| Community Health Choice | Commercial|Exchange | $1,771.48 | ↑ +194% |
| Humana | Commercial|PPO | $1,782.00 | ↑ +196% |
| Humana | Commercial|HMO | $1,782.00 | ↑ +196% |
| Aetna | Commercial|Exchange | $1,818.72 | ↑ +202% |
| BCBS-TX | Commercial|PPO | $1,928.10 | ↑ +220% |
| United | Commercial|Exchange | $2,303.00 | ↑ +283% |
| Cigna | Commercial|Surefit | $2,609.00 | ↑ +334% |
| Cigna | Commercial|HMO | $2,875.00 | ↑ +378% |
| United | Commercial|Charter | $3,400.00 | ↑ +465% |
| United | Commercial|HMO | $3,778.00 | ↑ +528% |
| United | Commercial|PPO | $3,778.00 | ↑ +528% |
| NX Health | Commercial|PPO | $3,838.22 | ↑ +538% |
| PHCS Savility | Commercial|PPO | $5,185.00 | ↑ +762% |
| PHCS | Commercial|All Plans | $5,185.00 | ↑ +762% |
| Cigna | Commercial|PPO | $7,221.00 | ↑ +1100% |
Visitor-reported prices
Comments
Drainage of rectal abscess at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,299.90 | $429.26 – $2,923.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,778.55 | $459.31 – $4,167.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,382.16 | $429.26 – $2,977.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,299.90 | $429.26 – $2,923.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,778.55 | $459.31 – $4,167.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,778.55 | $429.26 – $4,167.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,382.16 | $429.26 – $3,573.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,299.90 | $429.26 – $2,923.34 |