Polysom <6 yrs cpap/bilvl at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$3,928.40
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.
$11,224.00
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.
$100.00 with Cigna vs $11,224.00 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 |
|---|---|---|---|
| Cigna | Commercial|Surefit | $100.00 | ↓ -97% |
| Cigna | Commercial|PPO | $100.00 | ↓ -97% |
| Cigna | Commercial|HMO | $100.00 | ↓ -97% |
| Renaissance | Commercial|All Plans | $733.71 | ↓ -81% |
| CIGNA HEALTHSPRING | Medicare|HMO | $1,019.04 | ↓ -74% |
| SELECTCARE | Medicare|All Plans | $1,019.04 | ↓ -74% |
| KELSEY | Medicare|All Plans | $1,019.04 | ↓ -74% |
| HUMANA | Medicare|TRANSPLANT | $1,019.04 | ↓ -74% |
| BCBS | Medicare|All Plans | $1,019.04 | ↓ -74% |
| HUMANA | Medicare|All Other Plans | $1,019.04 | ↓ -74% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,029.23 | ↓ -74% |
| AETNA | Medicare|All Plans | $1,039.42 | ↓ -74% |
| UHC-SecureHorizons | Medicare|All Plans | $1,039.42 | ↓ -74% |
| Amerivantage | Medicare|All Plans | $1,049.61 | ↓ -73% |
| DEVOTED | Medicare|All Plans | $1,090.37 | ↓ -72% |
| SCANHealth | Medicare|All Plans | $1,090.37 | ↓ -72% |
| KINDRED | Medicare|All Plans | $1,120.94 | ↓ -71% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,231.77 | ↓ -69% |
| KelseyCare | Commercial|Exchange | $1,375.70 | ↓ -65% |
| BCBS-TX | Commercial|Exchange | $1,425.82 | ↓ -64% |
| Community Health Choice | Commercial|All Other Plans | $1,528.56 | ↓ -61% |
| Ambetter | Commercial|All Plans | $1,528.56 | ↓ -61% |
| Community Health Choice | Commercial|Exchange | $1,528.56 | ↓ -61% |
| Wellpoint | Commercial|Exchange | $1,528.56 | ↓ -61% |
| Harris Health | Commercial|ERS | $1,528.56 | ↓ -61% |
| Bright Health | Commercial|All Plans | $1,538.54 | ↓ -61% |
| Aetna | Commercial|Exchange | $1,569.32 | ↓ -60% |
| BCBS-TX | Commercial|Blue Premier | $1,788.60 | ↓ -54% |
| BCBS-TX | Commercial|HMO | $2,362.30 | ↓ -40% |
| United | Commercial|Exchange | $2,631.00 | ↓ -33% |
| BCBS-TX | Commercial|PPO | $2,682.90 | ↓ -32% |
| OPTUM | Medicare|All Plans | $3,030.48 | ↓ -23% |
| NX Health | Commercial|PPO | $3,311.88 | ↓ -16% |
| United | Commercial|Charter | $3,882.00 | ↓ -1% |
| TCHPCHIP | Medicaid|HMO | $3,928.40 | ↑ +0% |
| OPTUM | Medicaid|STAR | $4,060.85 | ↑ +3% |
| United | Commercial|PPO | $4,316.00 | ↑ +10% |
| United | Commercial|HMO | $4,316.00 | ↑ +10% |
| United | Commercial|Optum | $5,275.28 | ↑ +34% |
| CHC | Medicaid|HMO | $6,173.20 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $6,173.20 | ↑ +57% |
| CHC | Medicaid|CHIP | $6,173.20 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $6,622.16 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $6,734.40 | ↑ +71% |
| Coventry | Commercial|PPO | $7,295.60 | ↑ +86% |
| Humana | Commercial|Transplant | $7,295.60 | ↑ +86% |
| First Health | Commercial|All Plans | $7,295.60 | ↑ +86% |
| Aetna | Commercial|HMO | $7,632.32 | ↑ +94% |
| Interlink | Commercial|Transplant | $7,856.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $7,856.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $7,856.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $8,418.00 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $9,273.27 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $9,540.40 | ↑ +143% |
| MHealth Network | Commercial|PPO | $11,224.00 | ↑ +186% |
Visitor-reported prices
Comments
Polysom <6 yrs cpap/bilvl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,802.77 | $819.52 – $6,003.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,277.17 | $1,292.05 – $9,415.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,360.45 | $819.52 – $5,450.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,802.77 | $819.52 – $6,003.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,277.17 | $819.52 – $9,415.75 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,277.17 | $2,590.07 – $9,415.75 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,360.45 | $819.52 – $6,540.67 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,802.77 | $819.52 – $6,003.47 |