Established Patient Office Visit (level 5) at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$174.65
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.
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What you pay up front if you don't use insurance.
$499.00
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.
$74.00 with United vs $499.00 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 |
|---|---|---|---|
| United | Commercial|Exchange | $74.00 | ↓ -58% |
| United | Commercial|Charter | $109.00 | ↓ -38% |
| United | Commercial|HMO | $122.00 | ↓ -30% |
| United | Commercial|PPO | $122.00 | ↓ -30% |
| OPTUM | Medicare|All Plans | $134.73 | ↓ -23% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $164.69 | ↓ -6% |
| TCHPCHIP | Medicaid|HMO | $174.65 | ↑ +0% |
| OPTUM | Medicaid|STAR | $180.54 | ↑ +3% |
| BCBS-TX | Commercial|Exchange | $190.63 | ↑ +9% |
| United | Commercial|Optum | $234.53 | ↑ +34% |
| BCBS-TX | Commercial|Blue Premier | $239.14 | ↑ +37% |
| CHC | Medicaid|CHIP | $274.45 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $274.45 | ↑ +57% |
| CHC | Medicaid|HMO | $274.45 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $299.40 | ↑ +71% |
| BCBS-TX | Commercial|HMO | $315.84 | ↑ +81% |
| First Health | Commercial|All Plans | $324.35 | ↑ +86% |
| Humana | Commercial|Transplant | $324.35 | ↑ +86% |
| Coventry | Commercial|PPO | $324.35 | ↑ +86% |
| Cigna | Commercial|Transplant | $349.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $349.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $349.30 | ↑ +100% |
| BCBS-TX | Commercial|PPO | $358.70 | ↑ +105% |
| MultiPlan | Commercial|All Plans | $374.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $412.28 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $424.15 | ↑ +143% |
| MHealth Network | Commercial|PPO | $499.00 | ↑ +186% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $450.00 | $434.28 – $434.28 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $884.58 | $263.95 – $315.77 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,971.10 | $263.95 – $315.77 |
| Baylor St Luke's Medical Center | Houston | $174.65 | $82.00 – $499.00 |
| St. Joseph Health Madison Hospital | Madisonville | $113.58 | $30.45 – $224.47 |
| St. Luke's Health Memorial Lufkin | Lufkin | $253.49 | $83.24 – $499.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $174.65 | $74.00 – $499.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $174.65 | $74.00 – $499.00 |