Ionm in operatng room 15 min at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$58.10
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.
$166.00
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.
$44.82 with OPTUM vs $951.00 with United — 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 |
|---|---|---|---|
| OPTUM | Medicare|All Plans | $44.82 | ↓ -23% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $48.94 | ↓ -16% |
| BCBS-TX | Commercial|Exchange | $56.65 | ↓ -2% |
| TCHPCHIP | Medicaid|HMO | $58.10 | ↑ +0% |
| OPTUM | Medicaid|STAR | $60.06 | ↑ +3% |
| BCBS-TX | Commercial|Blue Premier | $71.06 | ↑ +22% |
| United | Commercial|Optum | $78.02 | ↑ +34% |
| CHC | Medicaid|HMO | $91.30 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $91.30 | ↑ +57% |
| CHC | Medicaid|CHIP | $91.30 | ↑ +57% |
| BCBS-TX | Commercial|HMO | $93.86 | ↑ +62% |
| Cigna Lifesource | Commercial|Transplant | $99.60 | ↑ +71% |
| Cigna | Commercial|PPO | $100.00 | ↑ +72% |
| Cigna | Commercial|HMO | $100.00 | ↑ +72% |
| Cigna | Commercial|Surefit | $100.00 | ↑ +72% |
| BCBS-TX | Commercial|PPO | $106.59 | ↑ +83% |
| Humana | Commercial|Transplant | $107.90 | ↑ +86% |
| Coventry | Commercial|PPO | $107.90 | ↑ +86% |
| First Health | Commercial|All Plans | $107.90 | ↑ +86% |
| Healthsmart | Commercial|PPO | $116.20 | ↑ +100% |
| Interlink | Commercial|Transplant | $116.20 | ↑ +100% |
| Cigna | Commercial|Transplant | $116.20 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $124.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $137.15 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $141.10 | ↑ +143% |
| MHealth Network | Commercial|PPO | $166.00 | ↑ +186% |
| United | Commercial|Exchange | $579.00 | ↑ +897% |
| United | Commercial|Charter | $855.00 | ↑ +1372% |
| United | Commercial|PPO | $951.00 | ↑ +1537% |
| United | Commercial|HMO | $951.00 | ↑ +1537% |
Visitor-reported prices
Comments
Ionm in operatng room 15 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $264.65 | $74.99 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $264.65 | $70.57 – $374.93 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $264.65 | $70.57 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $264.65 | $66.16 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $264.65 | $48.52 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $264.65 | $48.52 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $264.65 | $74.99 – $374.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $264.65 | $102.91 – $374.93 |