ER Visit (level 4) at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$1,372.00
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.
$3,920.00
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.
$307.09 with Renaissance vs $5,609.00 with Aetna — 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $307.09 | ↓ -78% |
| Wellpoint | Medicaid|All Other Plans | $313.60 | ↓ -77% |
| Wellpoint | Medicaid|CHIP | $313.60 | ↓ -77% |
| Wellpoint | Medicaid|STARKIDS | $313.60 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $313.60 | ↓ -77% |
| TCHP | Medicaid|Lakeside | $313.60 | ↓ -77% |
| CHC | Medicaid|All Other Plans | $313.60 | ↓ -77% |
| UHC | Medicaid|STARKIDS | $319.88 | ↓ -77% |
| UHC | Medicaid|CHIP | $319.88 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $319.88 | ↓ -77% |
| BCBS | Medicaid|All Plans | $329.28 | ↓ -76% |
| CHC | Medicaid|STAR | $420.23 | ↓ -69% |
| Wellpoint | Medicaid|STAR | $420.23 | ↓ -69% |
| TCHP | Medicaid|STAR | $420.23 | ↓ -69% |
| HUMANA | Medicare|TRANSPLANT | $426.51 | ↓ -69% |
| SELECTCARE | Medicare|All Plans | $426.51 | ↓ -69% |
| KELSEY | Medicare|All Plans | $426.51 | ↓ -69% |
| BCBS | Medicare|All Plans | $426.51 | ↓ -69% |
| CIGNA HEALTHSPRING | Medicare|HMO | $426.51 | ↓ -69% |
| HUMANA | Medicare|All Other Plans | $426.51 | ↓ -69% |
| UNITED | Medicaid|STAR | $429.64 | ↓ -69% |
| CIGNA HEALTHSPRING | Medicare|PPO | $430.78 | ↓ -69% |
| AETNA | Medicare|All Plans | $435.04 | ↓ -68% |
| UHC-SecureHorizons | Medicare|All Plans | $435.04 | ↓ -68% |
| Amerivantage | Medicare|All Plans | $439.31 | ↓ -68% |
| DEVOTED | Medicare|All Plans | $456.37 | ↓ -67% |
| SCANHealth | Medicare|All Plans | $456.37 | ↓ -67% |
| KINDRED | Medicare|All Plans | $469.16 | ↓ -66% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $513.61 | ↓ -63% |
| KelseyCare | Commercial|Exchange | $575.79 | ↓ -58% |
| BCBS-TX | Commercial|Exchange | $594.53 | ↓ -57% |
| Bright Health | Commercial|All Plans | $608.34 | ↓ -56% |
| Community Health Choice | Commercial|All Other Plans | $639.76 | ↓ -53% |
| Ambetter | Commercial|All Plans | $639.76 | ↓ -53% |
| Wellpoint | Commercial|Exchange | $639.76 | ↓ -53% |
| Community Health Choice | Commercial|Exchange | $639.76 | ↓ -53% |
| Harris Health | Commercial|ERS | $639.76 | ↓ -53% |
| Aetna | Commercial|Exchange | $656.83 | ↓ -52% |
| BCBS-TX | Commercial|Blue Premier | $745.79 | ↓ -46% |
| UNITED | Medicaid|STARPLUS | $978.44 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $978.44 | ↓ -29% |
| BCBS-TX | Commercial|HMO | $985.01 | ↓ -28% |
| OPTUM | Medicare|All Plans | $1,058.40 | ↓ -23% |
| BCBS-TX | Commercial|PPO | $1,118.69 | ↓ -18% |
| KelseyCare | Commercial|All Other Plans | $1,240.20 | ↓ -10% |
| United | Commercial|Exchange | $1,333.00 | ↓ -3% |
| TCHPCHIP | Medicaid|HMO | $1,372.00 | ↑ +0% |
| NX Health | Commercial|PPO | $1,386.16 | ↑ +1% |
| OPTUM | Medicaid|STAR | $1,418.26 | ↑ +3% |
| United | Commercial|Optum | $1,842.40 | ↑ +34% |
| Cigna | Commercial|Surefit | $1,862.00 | ↑ +36% |
| United | Commercial|Charter | $1,968.00 | ↑ +43% |
| Cigna | Commercial|HMO | $2,052.00 | ↑ +50% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,156.00 | ↑ +57% |
| CHC | Medicaid|CHIP | $2,156.00 | ↑ +57% |
| CHC | Medicaid|HMO | $2,156.00 | ↑ +57% |
| Humana | Commercial|PPO | $2,160.00 | ↑ +57% |
| Humana | Commercial|HMO | $2,160.00 | ↑ +57% |
| United | Commercial|PPO | $2,186.00 | ↑ +59% |
| United | Commercial|HMO | $2,186.00 | ↑ +59% |
| Cigna Lifesource | Commercial|Transplant | $2,352.00 | ↑ +71% |
| First Health | Commercial|All Plans | $2,548.00 | ↑ +86% |
| Humana | Commercial|Transplant | $2,548.00 | ↑ +86% |
| Coventry | Commercial|PPO | $2,548.00 | ↑ +86% |
| Aetna | Commercial|PPO | $2,665.60 | ↑ +94% |
| Healthsmart | Commercial|PPO | $2,744.00 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,744.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $2,744.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,940.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $2,979.20 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $3,238.71 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,332.00 | ↑ +143% |
| MHealth Network | Commercial|PPO | $3,920.00 | ↑ +186% |
| Aetna-Kelsey Care | Commercial|HMO | $4,649.00 | ↑ +239% |
| Cigna | Commercial|PPO | $5,154.00 | ↑ +276% |
| Aetna | Commercial|HMO | $5,609.00 | ↑ +309% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,386.19 | $1,354.39 – $1,354.39 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,273.68 | $360.88 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,601.69 | $329.68 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,676.36 | $335.27 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,273.68 | $339.65 – $3,894.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,601.69 | $398.20 – $4,008.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,601.69 | $827.54 – $3,780.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,676.36 | $398.20 – $3,780.00 |