Kit case 4.2mm spinejack at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$13,775.74
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.
$39,359.25
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.
$2,332.34 with BCBS-TX vs $13,557.08 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 | $2,332.34 | ↓ -83% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $2,985.39 | ↓ -78% |
| United | Commercial|Exchange | $3,253.70 | ↓ -76% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -76% |
| BCBS-TX | Commercial|Blue Premier | $3,389.27 | ↓ -75% |
| Aetna-Kelsey Care | Commercial|HMO | $3,389.27 | ↓ -75% |
| Bright Health | Commercial|All Plans | $3,524.85 | ↓ -74% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -74% |
| OPTUM | Medicare|All Plans | $3,660.42 | ↓ -73% |
| United | Commercial|Charter | $3,795.99 | ↓ -72% |
| Aetna | Commercial|PPO | $3,931.56 | ↓ -71% |
| BCBS-TX | Commercial|HMO | $3,931.56 | ↓ -71% |
| Aetna | Commercial|HMO | $3,931.56 | ↓ -71% |
| Cigna | Commercial|PPO | $4,067.13 | ↓ -70% |
| BCBS-TX | Commercial|PPO | $4,202.70 | ↓ -69% |
| United | Commercial|PPO | $4,202.70 | ↓ -69% |
| United | Commercial|HMO | $4,202.70 | ↓ -69% |
| TCHPCHIP | Medicaid|HMO | $4,744.98 | ↓ -66% |
| OPTUM | Medicaid|STAR | $4,904.96 | ↓ -64% |
| Aetna | Commercial|Transplant | $5,016.12 | ↓ -64% |
| KelseyCare | Commercial|All Other Plans | $5,558.41 | ↓ -60% |
| Humana | Commercial|HMO | $5,693.98 | ↓ -59% |
| Humana | Commercial|PPO | $5,693.98 | ↓ -59% |
| United | Commercial|Optum | $6,371.83 | ↓ -54% |
| TEXASTRUECHOICE | Medicaid|CHIP | $7,456.40 | ↓ -46% |
| CHC | Medicaid|CHIP | $7,456.40 | ↓ -46% |
| CHC | Medicaid|HMO | $7,456.40 | ↓ -46% |
| Interlink | Commercial|Transplant | $8,134.25 | ↓ -41% |
| Independent Med System | Commercial|All Plans | $8,134.25 | ↓ -41% |
| Cigna Lifesource | Commercial|Transplant | $8,134.25 | ↓ -41% |
| PHCS | Commercial|All Plans | $8,812.11 | ↓ -36% |
| PHCS Savility | Commercial|PPO | $8,812.11 | ↓ -36% |
| Coventry | Commercial|PPO | $8,812.11 | ↓ -36% |
| Humana | Commercial|Transplant | $8,812.11 | ↓ -36% |
| First Health | Commercial|All Plans | $8,812.11 | ↓ -36% |
| Healthsmart | Commercial|PPO | $9,489.96 | ↓ -31% |
| Cigna | Commercial|Transplant | $9,489.96 | ↓ -31% |
| MultiPlan | Commercial|All Plans | $10,167.81 | ↓ -26% |
| OPTUM | Medicaid|STARPLUS | $11,200.86 | ↓ -19% |
| USA Health Network | Commercial|All Plans | $11,523.52 | ↓ -16% |
| MHealth Network | Commercial|PPO | $13,557.08 | ↓ -2% |
Visitor-reported prices
Comments
Kit case 4.2mm spinejack at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $10,051.86 | $6,052.42 – $20,633.25 |
| Baylor St Luke's Medical Center | Houston | $13,775.74 | $2,846.99 – $13,557.08 |
| St. Joseph Health Madison Hospital | Madisonville | $5,836.60 | $4,249.05 – $30,016.80 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $13,775.74 | $2,982.56 – $13,557.08 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $13,775.74 | $2,982.56 – $13,557.08 |
| St. Joseph Health College Station Hospital | College Station | $5,836.60 | $6,670.40 – $28,349.20 |
| St. Joseph Health Grimes Hospital | Navasota | $5,836.60 | $6,670.40 – $37,020.72 |
| St. Luke's Health - The Vintage Hospital | Houston | $13,775.74 | $2,982.56 – $13,557.08 |