Observation per hour at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$21.70
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.
$62.00
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.
$4.96 with TCHP vs $10,335.00 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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $4.96 | ↓ -77% |
| Wellpoint | Medicaid|STARKIDS | $4.96 | ↓ -77% |
| TCHP | Medicaid|Lakeside | $4.96 | ↓ -77% |
| Wellpoint | Medicaid|CHIP | $4.96 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $4.96 | ↓ -77% |
| CHC | Medicaid|All Other Plans | $4.96 | ↓ -77% |
| UHC | Medicaid|CHIP | $5.06 | ↓ -77% |
| UHC | Medicaid|STARKIDS | $5.06 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $5.06 | ↓ -77% |
| BCBS | Medicaid|All Plans | $5.21 | ↓ -76% |
| CHC | Medicaid|STAR | $6.65 | ↓ -69% |
| Wellpoint | Medicaid|STAR | $6.65 | ↓ -69% |
| TCHP | Medicaid|STAR | $6.65 | ↓ -69% |
| UNITED | Medicaid|STAR | $6.80 | ↓ -69% |
| UNITED | Medicaid|STARPLUS | $15.48 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $15.48 | ↓ -29% |
| OPTUM | Medicare|All Plans | $16.74 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $21.70 | ↑ +0% |
| OPTUM | Medicaid|STAR | $22.44 | ↑ +3% |
| United | Commercial|Optum | $29.14 | ↑ +34% |
| CHC | Medicaid|HMO | $34.10 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $34.10 | ↑ +57% |
| CHC | Medicaid|CHIP | $34.10 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $36.58 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $37.20 | ↑ +71% |
| First Health | Commercial|All Plans | $40.30 | ↑ +86% |
| PHCS | Commercial|All Plans | $40.30 | ↑ +86% |
| Humana | Commercial|Transplant | $40.30 | ↑ +86% |
| Coventry | Commercial|PPO | $40.30 | ↑ +86% |
| Aetna | Commercial|PPO | $42.16 | ↑ +94% |
| Aetna | Commercial|HMO | $42.16 | ↑ +94% |
| Healthsmart | Commercial|PPO | $43.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $43.40 | ↑ +100% |
| Interlink | Commercial|Transplant | $43.40 | ↑ +100% |
| PHCS Savility | Commercial|PPO | $43.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $46.50 | ↑ +114% |
| Aetna | Commercial|Transplant | $47.12 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $51.23 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $52.70 | ↑ +143% |
| BCBS-TX | Commercial|HMO | $62.00 | ↑ +186% |
| BCBS-TX | Commercial|PPO | $62.00 | ↑ +186% |
| BCBS-TX | Commercial|Exchange | $62.00 | ↑ +186% |
| BCBS-TX | Commercial|Blue Premier | $62.00 | ↑ +186% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $62.00 | ↑ +186% |
| MHealth Network | Commercial|PPO | $62.00 | ↑ +186% |
| Humana | Commercial|HMO | $90.00 | ↑ +315% |
| Humana | Commercial|PPO | $90.00 | ↑ +315% |
| KelseyCare | Commercial|All Other Plans | $90.90 | ↑ +319% |
| United | Commercial|Exchange | $2,396.00 | ↑ +10941% |
| United | Commercial|Charter | $3,538.00 | ↑ +16204% |
| Cigna | Commercial|Surefit | $3,734.00 | ↑ +17107% |
| United | Commercial|HMO | $3,931.00 | ↑ +18015% |
| United | Commercial|PPO | $3,931.00 | ↑ +18015% |
| Cigna | Commercial|HMO | $4,115.00 | ↑ +18863% |
| Cigna | Commercial|PPO | $10,335.00 | ↑ +47527% |
Visitor-reported prices
Comments
Observation per hour at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $644.35 | $489.80 – $489.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $82.93 | $27.64 – $384.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $107.81 | $30.55 – $390.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $107.81 | $50.31 – $390.57 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $82.93 | $20.73 – $384.20 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton | $107.81 | $19.77 – $390.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $82.93 | $15.20 – $384.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $107.81 | $21.56 – $390.57 |