Noninv pace analysis at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$416.85
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.
$1,191.00
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.
$49.46 with BCBS - TX vs $1,518.00 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 |
|---|---|---|---|
| BCBS - TX | Commercial|MyBlue Health Exchange | $49.46 | ↓ -88% |
| BCBS-TX | Commercial|Exchange | $57.26 | ↓ -86% |
| BCBS-TX | Commercial|Blue Premier | $71.83 | ↓ -83% |
| BCBS-TX | Commercial|HMO | $94.86 | ↓ -77% |
| Cigna | Commercial|Surefit | $100.00 | ↓ -76% |
| Cigna | Commercial|HMO | $100.00 | ↓ -76% |
| Cigna | Commercial|PPO | $100.00 | ↓ -76% |
| BCBS-TX | Commercial|PPO | $107.74 | ↓ -74% |
| Renaissance | Commercial|All Plans | $216.29 | ↓ -48% |
| BCBS | Medicare|All Plans | $300.40 | ↓ -28% |
| HUMANA | Medicare|All Other Plans | $300.40 | ↓ -28% |
| CIGNA HEALTHSPRING | Medicare|HMO | $300.40 | ↓ -28% |
| SELECTCARE | Medicare|All Plans | $300.40 | ↓ -28% |
| KELSEY | Medicare|All Plans | $300.40 | ↓ -28% |
| HUMANA | Medicare|TRANSPLANT | $300.40 | ↓ -28% |
| CIGNA HEALTHSPRING | Medicare|PPO | $303.40 | ↓ -27% |
| UHC-SecureHorizons | Medicare|All Plans | $306.41 | ↓ -26% |
| AETNA | Medicare|All Plans | $306.41 | ↓ -26% |
| Amerivantage | Medicare|All Plans | $309.41 | ↓ -26% |
| SCANHealth | Medicare|All Plans | $321.43 | ↓ -23% |
| DEVOTED | Medicare|All Plans | $321.43 | ↓ -23% |
| OPTUM | Medicare|All Plans | $321.57 | ↓ -23% |
| KINDRED | Medicare|All Plans | $330.44 | ↓ -21% |
| KelseyCare | Commercial|Exchange | $405.54 | ↓ -3% |
| TCHPCHIP | Medicaid|HMO | $416.85 | ↑ +0% |
| OPTUM | Medicaid|STAR | $430.91 | ↑ +3% |
| Ambetter | Commercial|All Plans | $450.60 | ↑ +8% |
| Harris Health | Commercial|ERS | $450.60 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $450.60 | ↑ +8% |
| Community Health Choice | Commercial|All Other Plans | $450.60 | ↑ +8% |
| Community Health Choice | Commercial|Exchange | $450.60 | ↑ +8% |
| Bright Health | Commercial|All Plans | $456.62 | ↑ +10% |
| Aetna | Commercial|Exchange | $462.62 | ↑ +11% |
| United | Commercial|Optum | $559.77 | ↑ +34% |
| CHC | Medicaid|CHIP | $655.05 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $655.05 | ↑ +57% |
| CHC | Medicaid|HMO | $655.05 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $714.60 | ↑ +71% |
| First Health | Commercial|All Plans | $774.15 | ↑ +86% |
| Humana | Commercial|Transplant | $774.15 | ↑ +86% |
| Coventry | Commercial|PPO | $774.15 | ↑ +86% |
| Cigna | Commercial|Transplant | $833.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $833.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $833.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $893.25 | ↑ +114% |
| United | Commercial|Exchange | $925.00 | ↑ +122% |
| NX Health | Commercial|PPO | $976.30 | ↑ +134% |
| OPTUM | Medicaid|STARPLUS | $984.01 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,012.35 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,191.00 | ↑ +186% |
| United | Commercial|Charter | $1,366.00 | ↑ +228% |
| United | Commercial|PPO | $1,518.00 | ↑ +264% |
| United | Commercial|HMO | $1,518.00 | ↑ +264% |
Visitor-reported prices
Comments
Noninv pace analysis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,108.14 | $104.01 – $1,385.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,504.51 | $102.32 – $2,256.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,074.43 | $102.32 – $1,343.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,108.14 | $79.28 – $1,385.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,504.51 | $125.02 – $2,256.77 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,504.51 | $739.93 – $2,256.77 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,074.43 | $102.32 – $1,611.64 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,108.14 | $104.01 – $1,385.17 |