Ins/rpl pm gen exist sgl lead at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$8,704.15
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.
$24,869.00
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.
$1,233.00 with Aetna-Kelsey Care vs $26,940.52 with NX Health — 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 | $1,233.00 | ↓ -86% |
| Aetna | Commercial|HMO | $1,488.00 | ↓ -83% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↓ -83% |
| Independent Med System | Commercial|All Plans | $1,795.00 | ↓ -79% |
| Humana | Commercial|HMO | $2,025.00 | ↓ -77% |
| Humana | Commercial|PPO | $2,025.00 | ↓ -77% |
| Cigna | Commercial|Surefit | $3,262.00 | ↓ -63% |
| Cigna | Commercial|HMO | $3,594.00 | ↓ -59% |
| PHCS Savility | Commercial|PPO | $5,252.00 | ↓ -40% |
| PHCS | Commercial|All Plans | $5,252.00 | ↓ -40% |
| Wellpoint | Medicaid|All Other Plans | $5,499.92 | ↓ -37% |
| TCHP | Medicaid|STARKIDS | $5,499.92 | ↓ -37% |
| Wellpoint | Medicaid|CHIP | $5,499.92 | ↓ -37% |
| Wellpoint | Medicaid|STARKIDS | $5,499.92 | ↓ -37% |
| TCHP | Medicaid|Lakeside | $5,499.92 | ↓ -37% |
| UHC | Medicaid|STARKIDS | $5,609.92 | ↓ -36% |
| UHC | Medicaid|CHIP | $5,609.92 | ↓ -36% |
| UNITED | Medicaid|All Other Plans | $5,609.92 | ↓ -36% |
| BCBS-TX | Commercial|Exchange | $5,731.39 | ↓ -34% |
| BCBS | Medicaid|All Plans | $5,774.92 | ↓ -34% |
| Renaissance | Commercial|All Plans | $5,968.36 | ↓ -31% |
| CHC | Medicaid|All Other Plans | $6,324.91 | ↓ -27% |
| OPTUM | Medicare|All Plans | $6,714.63 | ↓ -23% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $7,336.18 | ↓ -16% |
| TCHP | Medicaid|STAR | $7,369.89 | ↓ -15% |
| Wellpoint | Medicaid|STAR | $7,369.89 | ↓ -15% |
| UNITED | Medicaid|STAR | $7,534.89 | ↓ -13% |
| KELSEY | Medicare|All Plans | $8,289.39 | ↓ -5% |
| BCBS | Medicare|All Plans | $8,289.39 | ↓ -5% |
| SELECTCARE | Medicare|All Plans | $8,289.39 | ↓ -5% |
| HUMANA | Medicare|TRANSPLANT | $8,289.39 | ↓ -5% |
| CIGNA HEALTHSPRING | Medicare|HMO | $8,289.39 | ↓ -5% |
| HUMANA | Medicare|All Other Plans | $8,289.39 | ↓ -5% |
| CIGNA HEALTHSPRING | Medicare|PPO | $8,372.28 | ↓ -4% |
| AETNA | Medicare|All Plans | $8,455.18 | ↓ -3% |
| UHC-SecureHorizons | Medicare|All Plans | $8,455.18 | ↓ -3% |
| CHC | Medicaid|STAR | $8,469.88 | ↓ -3% |
| Amerivantage | Medicare|All Plans | $8,538.07 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $8,704.15 | ↑ +0% |
| United | Commercial|Exchange | $8,773.00 | ↑ +1% |
| DEVOTED | Medicare|All Plans | $8,869.65 | ↑ +2% |
| SCANHealth | Medicare|All Plans | $8,869.65 | ↑ +2% |
| OPTUM | Medicaid|STAR | $8,997.61 | ↑ +3% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +4% |
| KINDRED | Medicare|All Plans | $9,118.33 | ↑ +5% |
| BCBS-TX | Commercial|Blue Premier | $11,080.68 | ↑ +27% |
| KelseyCare | Commercial|Exchange | $11,190.68 | ↑ +29% |
| United | Commercial|Optum | $11,688.43 | ↑ +34% |
| Wellpoint | Commercial|Exchange | $12,434.08 | ↑ +43% |
| Community Health Choice | Commercial|Exchange | $12,434.08 | ↑ +43% |
| Community Health Choice | Commercial|All Other Plans | $12,434.08 | ↑ +43% |
| Ambetter | Commercial|All Plans | $12,434.08 | ↑ +43% |
| Harris Health | Commercial|ERS | $12,434.08 | ↑ +43% |
| Aetna | Commercial|Exchange | $12,765.66 | ↑ +47% |
| United | Commercial|Charter | $12,952.00 | ↑ +49% |
| BCBS-TX | Commercial|HMO | $13,143.98 | ↑ +51% |
| Bright Health | Commercial|All Plans | $13,643.65 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $13,677.95 | ↑ +57% |
| CHC | Medicaid|HMO | $13,677.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $13,677.95 | ↑ +57% |
| United | Commercial|PPO | $14,390.00 | ↑ +65% |
| United | Commercial|HMO | $14,390.00 | ↑ +65% |
| BCBS-TX | Commercial|PPO | $14,672.35 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $14,921.40 | ↑ +71% |
| Coventry | Commercial|PPO | $16,164.85 | ↑ +86% |
| Humana | Commercial|Transplant | $16,164.85 | ↑ +86% |
| First Health | Commercial|All Plans | $16,164.85 | ↑ +86% |
| Aetna | Commercial|PPO | $16,910.92 | ↑ +94% |
| UNITED | Medicaid|STARPLUS | $17,159.75 | ↑ +97% |
| UHC | Medicaid|STARPLUS | $17,159.75 | ↑ +97% |
| Healthsmart | Commercial|PPO | $17,408.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $17,408.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $17,408.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $18,651.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $18,900.44 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $20,546.77 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $21,138.65 | ↑ +143% |
| MHealth Network | Commercial|PPO | $24,869.00 | ↑ +186% |
| NX Health | Commercial|PPO | $26,940.52 | ↑ +210% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $7,336.78 | $1,510.15 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,030.18 | $5,499.92 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,687.75 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $7,336.78 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,030.18 | $2,763.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $10,687.75 | $2,763.00 – $21,045.99 |