Emg 3 ext w-w/o paraspinal area 95863 at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$376.60
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.
$1,076.00
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.
$100.00 with Cigna vs $1,076.00 with MHealth Network — 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 |
|---|---|---|---|
| Cigna | Commercial|HMO | $100.00 | ↓ -73% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -73% |
| Cigna | Commercial|PPO | $100.00 | ↓ -73% |
| Renaissance | Commercial|All Plans | $112.83 | ↓ -70% |
| CIGNA HEALTHSPRING | Medicare|HMO | $156.71 | ↓ -58% |
| HUMANA | Medicare|All Other Plans | $156.71 | ↓ -58% |
| SELECTCARE | Medicare|All Plans | $156.71 | ↓ -58% |
| HUMANA | Medicare|TRANSPLANT | $156.71 | ↓ -58% |
| BCBS | Medicare|All Plans | $156.71 | ↓ -58% |
| KELSEY | Medicare|All Plans | $156.71 | ↓ -58% |
| CIGNA HEALTHSPRING | Medicare|PPO | $158.28 | ↓ -58% |
| AETNA | Medicare|All Plans | $159.84 | ↓ -58% |
| UHC-SecureHorizons | Medicare|All Plans | $159.84 | ↓ -58% |
| Amerivantage | Medicare|All Plans | $161.41 | ↓ -57% |
| SCANHealth | Medicare|All Plans | $167.68 | ↓ -55% |
| DEVOTED | Medicare|All Plans | $167.68 | ↓ -55% |
| KINDRED | Medicare|All Plans | $172.38 | ↓ -54% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $173.64 | ↓ -54% |
| BCBS-TX | Commercial|Exchange | $200.99 | ↓ -47% |
| KelseyCare | Commercial|Exchange | $211.56 | ↓ -44% |
| United | Commercial|Exchange | $217.00 | ↓ -42% |
| Bright Health | Commercial|All Plans | $233.47 | ↓ -38% |
| Community Health Choice | Commercial|Exchange | $235.06 | ↓ -38% |
| Ambetter | Commercial|All Plans | $235.06 | ↓ -38% |
| Wellpoint | Commercial|Exchange | $235.06 | ↓ -38% |
| Community Health Choice | Commercial|All Other Plans | $235.06 | ↓ -38% |
| Harris Health | Commercial|ERS | $235.06 | ↓ -38% |
| Aetna | Commercial|Exchange | $241.33 | ↓ -36% |
| BCBS-TX | Commercial|Blue Premier | $252.13 | ↓ -33% |
| OPTUM | Medicare|All Plans | $290.52 | ↓ -23% |
| United | Commercial|Charter | $322.00 | ↓ -14% |
| BCBS-TX | Commercial|HMO | $333.00 | ↓ -12% |
| United | Commercial|HMO | $355.00 | ↓ -6% |
| United | Commercial|PPO | $355.00 | ↓ -6% |
| TCHPCHIP | Medicaid|HMO | $376.60 | ↑ +0% |
| BCBS-TX | Commercial|PPO | $378.20 | ↑ +0% |
| OPTUM | Medicaid|STAR | $389.30 | ↑ +3% |
| United | Commercial|Optum | $505.72 | ↑ +34% |
| NX Health | Commercial|PPO | $509.31 | ↑ +35% |
| CHC | Medicaid|HMO | $591.80 | ↑ +57% |
| CHC | Medicaid|CHIP | $591.80 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $591.80 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $645.60 | ↑ +71% |
| First Health | Commercial|All Plans | $699.40 | ↑ +86% |
| Humana | Commercial|Transplant | $699.40 | ↑ +86% |
| Coventry | Commercial|PPO | $699.40 | ↑ +86% |
| Healthsmart | Commercial|PPO | $753.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $753.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $753.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $807.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $889.00 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $914.60 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,076.00 | ↑ +186% |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $545.38 | $122.80 – $681.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $647.91 | $133.36 – $971.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $572.65 | $114.53 – $715.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $545.38 | $122.80 – $681.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $647.91 | $122.80 – $971.87 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $647.91 | $334.75 – $971.87 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $572.65 | $122.80 – $858.97 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $545.38 | $122.80 – $681.72 |