Ins mark thor for right perq at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$905.80
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.
$2,588.00
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.
$522.73 with Wellpoint vs $11,090.00 with Cigna — 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $522.73 | ↓ -42% |
| TCHP | Medicaid|STARKIDS | $522.73 | ↓ -42% |
| TCHP | Medicaid|Lakeside | $522.73 | ↓ -42% |
| Wellpoint | Medicaid|STARKIDS | $522.73 | ↓ -42% |
| Wellpoint | Medicaid|CHIP | $522.73 | ↓ -42% |
| UHC | Medicaid|CHIP | $533.18 | ↓ -41% |
| UNITED | Medicaid|All Other Plans | $533.18 | ↓ -41% |
| UHC | Medicaid|STARKIDS | $533.18 | ↓ -41% |
| BCBS | Medicaid|All Plans | $548.87 | ↓ -39% |
| CHC | Medicaid|All Other Plans | $601.14 | ↓ -34% |
| OPTUM | Medicare|All Plans | $698.76 | ↓ -23% |
| Wellpoint | Medicaid|STAR | $700.46 | ↓ -23% |
| TCHP | Medicaid|STAR | $700.46 | ↓ -23% |
| UNITED | Medicaid|STAR | $716.14 | ↓ -21% |
| CHC | Medicaid|STAR | $805.00 | ↓ -11% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -11% |
| TCHPCHIP | Medicaid|HMO | $905.80 | ↑ +0% |
| BCBS-TX | Commercial|Exchange | $934.01 | ↑ +3% |
| OPTUM | Medicaid|STAR | $936.34 | ↑ +3% |
| Aetna | Commercial|HMO | $972.00 | ↑ +7% |
| Renaissance | Commercial|All Plans | $986.75 | ↑ +9% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,195.53 | ↑ +32% |
| United | Commercial|Optum | $1,216.36 | ↑ +34% |
| KELSEY | Medicare|All Plans | $1,370.48 | ↑ +51% |
| SELECTCARE | Medicare|All Plans | $1,370.48 | ↑ +51% |
| BCBS | Medicare|All Plans | $1,370.48 | ↑ +51% |
| HUMANA | Medicare|All Other Plans | $1,370.48 | ↑ +51% |
| HUMANA | Medicare|TRANSPLANT | $1,370.48 | ↑ +51% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,370.48 | ↑ +51% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,384.18 | ↑ +53% |
| AETNA | Medicare|All Plans | $1,397.89 | ↑ +54% |
| UHC-SecureHorizons | Medicare|All Plans | $1,397.89 | ↑ +54% |
| Amerivantage | Medicare|All Plans | $1,411.59 | ↑ +56% |
| CHC | Medicaid|CHIP | $1,423.40 | ↑ +57% |
| CHC | Medicaid|HMO | $1,423.40 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,423.40 | ↑ +57% |
| SCANHealth | Medicare|All Plans | $1,466.41 | ↑ +62% |
| DEVOTED | Medicare|All Plans | $1,466.41 | ↑ +62% |
| KINDRED | Medicare|All Plans | $1,507.53 | ↑ +66% |
| Cigna Lifesource | Commercial|Transplant | $1,552.80 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $1,552.80 | ↑ +71% |
| UHC | Medicaid|STARPLUS | $1,630.92 | ↑ +80% |
| UNITED | Medicaid|STARPLUS | $1,630.92 | ↑ +80% |
| First Health | Commercial|All Plans | $1,682.20 | ↑ +86% |
| PHCS | Commercial|All Plans | $1,682.20 | ↑ +86% |
| Humana | Commercial|Transplant | $1,682.20 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $1,682.20 | ↑ +86% |
| Coventry | Commercial|PPO | $1,682.20 | ↑ +86% |
| Aetna | Commercial|PPO | $1,759.84 | ↑ +94% |
| BCBS-TX | Commercial|Blue Premier | $1,805.74 | ↑ +99% |
| Healthsmart | Commercial|PPO | $1,811.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,811.60 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,811.60 | ↑ +100% |
| KelseyCare | Commercial|Exchange | $1,850.15 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $1,941.00 | ↑ +114% |
| Aetna | Commercial|Transplant | $1,966.88 | ↑ +117% |
| Wellpoint | Commercial|Exchange | $2,055.72 | ↑ +127% |
| Ambetter | Commercial|All Plans | $2,055.72 | ↑ +127% |
| Community Health Choice | Commercial|All Other Plans | $2,055.72 | ↑ +127% |
| Community Health Choice | Commercial|Exchange | $2,055.72 | ↑ +127% |
| Harris Health | Commercial|ERS | $2,055.72 | ↑ +127% |
| Aetna | Commercial|Exchange | $2,110.54 | ↑ +133% |
| Bright Health | Commercial|All Plans | $2,111.74 | ↑ +133% |
| OPTUM | Medicaid|STARPLUS | $2,138.21 | ↑ +136% |
| BCBS-TX | Commercial|HMO | $2,141.98 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,199.80 | ↑ +143% |
| United | Commercial|Exchange | $2,303.00 | ↑ +154% |
| BCBS-TX | Commercial|PPO | $2,391.05 | ↑ +164% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +165% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +168% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +168% |
| MHealth Network | Commercial|PPO | $2,588.00 | ↑ +186% |
| United | Commercial|Charter | $3,400.00 | ↑ +275% |
| United | Commercial|PPO | $3,778.00 | ↑ +317% |
| United | Commercial|HMO | $3,778.00 | ↑ +317% |
| Cigna | Commercial|Surefit | $4,007.00 | ↑ +342% |
| Cigna | Commercial|HMO | $4,415.00 | ↑ +387% |
| NX Health | Commercial|PPO | $4,454.06 | ↑ +392% |
| Cigna | Commercial|PPO | $11,090.00 | ↑ +1124% |
Visitor-reported prices
Comments
Ins mark thor for right perq at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,477.45 | $522.73 – $3,432.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,774.79 | $71.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,569.25 | $71.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,477.45 | $522.73 – $3,432.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,774.79 | $85.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,774.79 | $522.73 – $4,162.19 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,569.25 | $71.00 – $5,645.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,477.45 | $522.73 – $3,432.55 |