Ghs layer closure 2.5 cm or less - 12031 at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$1,485.75
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.
$4,245.00
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.
$121.09 with BCBS-TX vs $4,245.00 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|Exchange | $121.09 | ↓ -92% |
| Cigna | Commercial|Surefit | $140.00 | ↓ -91% |
| Wellpoint | Medicaid|All Other Plans | $143.08 | ↓ -90% |
| Wellpoint | Medicaid|STARKIDS | $143.08 | ↓ -90% |
| TCHP | Medicaid|Lakeside | $143.08 | ↓ -90% |
| Wellpoint | Medicaid|CHIP | $143.08 | ↓ -90% |
| TCHP | Medicaid|STARKIDS | $143.08 | ↓ -90% |
| UHC | Medicaid|CHIP | $145.94 | ↓ -90% |
| UNITED | Medicaid|All Other Plans | $145.94 | ↓ -90% |
| UHC | Medicaid|STARKIDS | $145.94 | ↓ -90% |
| BCBS | Medicaid|All Plans | $150.23 | ↓ -90% |
| Cigna | Commercial|HMO | $154.00 | ↓ -90% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $154.99 | ↓ -90% |
| CHC | Medicaid|All Other Plans | $164.54 | ↓ -89% |
| TCHP | Medicaid|STAR | $191.73 | ↓ -87% |
| Wellpoint | Medicaid|STAR | $191.73 | ↓ -87% |
| UNITED | Medicaid|STAR | $196.02 | ↓ -87% |
| CHC | Medicaid|STAR | $220.34 | ↓ -85% |
| BCBS-TX | Commercial|Blue Premier | $234.10 | ↓ -84% |
| BCBS-TX | Commercial|HMO | $277.69 | ↓ -81% |
| Renaissance | Commercial|All Plans | $288.13 | ↓ -81% |
| BCBS-TX | Commercial|PPO | $309.98 | ↓ -79% |
| Cigna | Commercial|PPO | $387.00 | ↓ -74% |
| HUMANA | Medicare|TRANSPLANT | $400.18 | ↓ -73% |
| SELECTCARE | Medicare|All Plans | $400.18 | ↓ -73% |
| KELSEY | Medicare|All Plans | $400.18 | ↓ -73% |
| CIGNA HEALTHSPRING | Medicare|HMO | $400.18 | ↓ -73% |
| HUMANA | Medicare|All Other Plans | $400.18 | ↓ -73% |
| BCBS | Medicare|All Plans | $400.18 | ↓ -73% |
| CIGNA HEALTHSPRING | Medicare|PPO | $404.18 | ↓ -73% |
| AETNA | Medicare|All Plans | $408.18 | ↓ -73% |
| UHC-SecureHorizons | Medicare|All Plans | $408.18 | ↓ -73% |
| Amerivantage | Medicare|All Plans | $412.19 | ↓ -72% |
| SCANHealth | Medicare|All Plans | $428.19 | ↓ -71% |
| DEVOTED | Medicare|All Plans | $428.19 | ↓ -71% |
| KINDRED | Medicare|All Plans | $440.20 | ↓ -70% |
| UHC | Medicaid|STARPLUS | $446.41 | ↓ -70% |
| UNITED | Medicaid|STARPLUS | $446.41 | ↓ -70% |
| KelseyCare | Commercial|Exchange | $540.24 | ↓ -64% |
| Bright Health | Commercial|All Plans | $578.01 | ↓ -61% |
| Wellpoint | Commercial|Exchange | $600.27 | ↓ -60% |
| Ambetter | Commercial|All Plans | $600.27 | ↓ -60% |
| Community Health Choice | Commercial|All Other Plans | $600.27 | ↓ -60% |
| Community Health Choice | Commercial|Exchange | $600.27 | ↓ -60% |
| Harris Health | Commercial|ERS | $600.27 | ↓ -60% |
| Aetna | Commercial|Exchange | $616.28 | ↓ -59% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -46% |
| Aetna | Commercial|HMO | $972.00 | ↓ -35% |
| OPTUM | Medicare|All Plans | $1,146.15 | ↓ -23% |
| NX Health | Commercial|PPO | $1,300.59 | ↓ -12% |
| KelseyCare | Commercial|All Other Plans | $1,361.70 | ↓ -8% |
| TCHPCHIP | Medicaid|HMO | $1,485.75 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,535.85 | ↑ +3% |
| United | Commercial|Exchange | $1,676.00 | ↑ +13% |
| United | Commercial|Optum | $1,995.15 | ↑ +34% |
| CHC | Medicaid|CHIP | $2,334.75 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,334.75 | ↑ +57% |
| CHC | Medicaid|HMO | $2,334.75 | ↑ +57% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +64% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +64% |
| United | Commercial|Charter | $2,474.00 | ↑ +67% |
| Cigna Lifesource | Commercial|Transplant | $2,547.00 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $2,547.00 | ↑ +71% |
| United | Commercial|HMO | $2,749.00 | ↑ +85% |
| United | Commercial|PPO | $2,749.00 | ↑ +85% |
| Humana | Commercial|Transplant | $2,759.25 | ↑ +86% |
| Coventry | Commercial|PPO | $2,759.25 | ↑ +86% |
| PHCS | Commercial|All Plans | $2,759.25 | ↑ +86% |
| First Health | Commercial|All Plans | $2,759.25 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $2,759.25 | ↑ +86% |
| Aetna | Commercial|PPO | $2,886.60 | ↑ +94% |
| Interlink | Commercial|Transplant | $2,971.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $2,971.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $2,971.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,183.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $3,226.20 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $3,507.22 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $3,608.25 | ↑ +143% |
| MHealth Network | Commercial|PPO | $4,245.00 | ↑ +186% |
Visitor-reported prices
Comments
Ghs layer closure 2.5 cm or less - 12031 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $5,916.16 | $201.81 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $705.58 | $111.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $875.88 | $71.00 – $1,313.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $831.16 | $71.00 – $1,038.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $705.58 | $111.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $875.88 | $85.00 – $1,313.82 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $875.88 | $143.08 – $1,313.82 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $831.16 | $71.00 – $1,246.74 |