Inj, tofidence, 1 mg at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$5,719.74
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.
$16,342.09
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.
$781.08 with Aetna-Kelsey Care vs $3,550.36 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $781.08 | ↓ -86% |
| United | Commercial|Exchange | $923.10 | ↓ -84% |
| Aetna | Commercial|PPO | $923.10 | ↓ -84% |
| Aetna | Commercial|HMO | $923.10 | ↓ -84% |
| OPTUM | Medicare|All Plans | $958.60 | ↓ -83% |
| Aetna | Commercial|Transplant | $1,136.12 | ↓ -80% |
| Bright Health | Commercial|All Plans | $1,171.62 | ↓ -80% |
| United | Commercial|Charter | $1,207.13 | ↓ -79% |
| TCHPCHIP | Medicaid|HMO | $1,242.63 | ↓ -78% |
| Cigna | Commercial|HMO | $1,278.13 | ↓ -78% |
| Cigna | Commercial|PPO | $1,278.13 | ↓ -78% |
| Cigna | Commercial|Surefit | $1,278.13 | ↓ -78% |
| OPTUM | Medicaid|STAR | $1,284.53 | ↓ -78% |
| United | Commercial|HMO | $1,349.14 | ↓ -76% |
| United | Commercial|PPO | $1,349.14 | ↓ -76% |
| United | Commercial|Optum | $1,668.67 | ↓ -71% |
| Humana | Commercial|HMO | $1,704.18 | ↓ -70% |
| Humana | Commercial|PPO | $1,704.18 | ↓ -70% |
| KelseyCare | Commercial|All Other Plans | $1,739.68 | ↓ -70% |
| CHC | Medicaid|CHIP | $1,952.70 | ↓ -66% |
| CHC | Medicaid|HMO | $1,952.70 | ↓ -66% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,952.70 | ↓ -66% |
| Cigna Lifesource | Commercial|Transplant | $2,130.22 | ↓ -63% |
| Independent Med System | Commercial|All Plans | $2,130.22 | ↓ -63% |
| First Health | Commercial|All Plans | $2,307.74 | ↓ -60% |
| Coventry | Commercial|PPO | $2,307.74 | ↓ -60% |
| Humana | Commercial|Transplant | $2,307.74 | ↓ -60% |
| PHCS | Commercial|All Plans | $2,485.26 | ↓ -57% |
| PHCS Savility | Commercial|PPO | $2,485.26 | ↓ -57% |
| Interlink | Commercial|Transplant | $2,485.26 | ↓ -57% |
| Healthsmart | Commercial|PPO | $2,485.26 | ↓ -57% |
| Cigna | Commercial|Transplant | $2,485.26 | ↓ -57% |
| MultiPlan | Commercial|All Plans | $2,662.77 | ↓ -53% |
| OPTUM | Medicaid|STARPLUS | $2,933.31 | ↓ -49% |
| USA Health Network | Commercial|All Plans | $3,017.81 | ↓ -47% |
| MHealth Network | Commercial|PPO | $3,550.36 | ↓ -38% |
Visitor-reported prices
Comments
Inj, tofidence, 1 mg at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $25.91 – $25.91 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $5.97 – $14.01 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $5.97 – $14.01 |
| Covenant Children's Hospital | Lubbock | not published | $20.28 – $20.28 |
| HCA HOUSTON CONROE | CONROE | not published | $5.59 – $14.01 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $5.59 – $14.01 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $5.97 – $14.01 |
| HCA HOUSTON PEARLAND | Pearland | not published | $5.97 – $14.01 |