Established Patient Office Visit (level 1) at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$340.55
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.
$973.00
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.
$13.68 with BCBS - TX vs $255.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $13.68 | ↓ -96% |
| BCBS-TX | Commercial|Exchange | $15.84 | ↓ -95% |
| BCBS-TX | Commercial|Blue Premier | $19.86 | ↓ -94% |
| BCBS-TX | Commercial|HMO | $26.24 | ↓ -92% |
| BCBS-TX | Commercial|PPO | $29.80 | ↓ -91% |
| OPTUM | Medicare|All Plans | $68.85 | ↓ -80% |
| United | Commercial|Exchange | $74.00 | ↓ -78% |
| TCHPCHIP | Medicaid|HMO | $89.25 | ↓ -74% |
| OPTUM | Medicaid|STAR | $92.26 | ↓ -73% |
| United | Commercial|Charter | $109.00 | ↓ -68% |
| United | Commercial|Optum | $119.85 | ↓ -65% |
| United | Commercial|HMO | $122.00 | ↓ -64% |
| United | Commercial|PPO | $122.00 | ↓ -64% |
| CHC | Medicaid|CHIP | $140.25 | ↓ -59% |
| CHC | Medicaid|HMO | $140.25 | ↓ -59% |
| TEXASTRUECHOICE | Medicaid|CHIP | $140.25 | ↓ -59% |
| Cigna Lifesource | Commercial|Transplant | $153.00 | ↓ -55% |
| Coventry | Commercial|PPO | $165.75 | ↓ -51% |
| Humana | Commercial|Transplant | $165.75 | ↓ -51% |
| First Health | Commercial|All Plans | $165.75 | ↓ -51% |
| Cigna | Commercial|Transplant | $178.50 | ↓ -48% |
| Interlink | Commercial|Transplant | $178.50 | ↓ -48% |
| Healthsmart | Commercial|PPO | $178.50 | ↓ -48% |
| MultiPlan | Commercial|All Plans | $191.25 | ↓ -44% |
| OPTUM | Medicaid|STARPLUS | $210.69 | ↓ -38% |
| USA Health Network | Commercial|All Plans | $216.75 | ↓ -36% |
| MHealth Network | Commercial|PPO | $255.00 | ↓ -25% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $256.64 | $36.07 – $36.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $134.02 | $15.44 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $96.94 | $15.00 – $93.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $134.02 | $24.07 – $112.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $134.02 | $38.75 – $112.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $96.94 | $25.00 – $112.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $134.02 | $15.00 – $106.25 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $134.02 | $8.82 – $112.50 |