Pr planning advance care 1st 30 minutes at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$66.15
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.
$189.00
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.
$51.03 with OPTUM vs $301.11 with NX Health — 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 | $51.03 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $66.15 | ↑ +0% |
| Renaissance | Commercial|All Plans | $66.71 | ↑ +1% |
| OPTUM | Medicaid|STAR | $68.39 | ↑ +3% |
| United | Commercial|Exchange | $74.00 | ↑ +12% |
| United | Commercial|Optum | $88.83 | ↑ +34% |
| BCBS | Medicare|All Plans | $92.65 | ↑ +40% |
| HUMANA | Medicare|All Other Plans | $92.65 | ↑ +40% |
| HUMANA | Medicare|TRANSPLANT | $92.65 | ↑ +40% |
| SELECTCARE | Medicare|All Plans | $92.65 | ↑ +40% |
| CIGNA HEALTHSPRING | Medicare|HMO | $92.65 | ↑ +40% |
| KELSEY | Medicare|All Plans | $92.65 | ↑ +40% |
| CIGNA HEALTHSPRING | Medicare|PPO | $93.58 | ↑ +41% |
| UHC-SecureHorizons | Medicare|All Plans | $94.50 | ↑ +43% |
| AETNA | Medicare|All Plans | $94.50 | ↑ +43% |
| Amerivantage | Medicare|All Plans | $95.43 | ↑ +44% |
| SCANHealth | Medicare|All Plans | $99.14 | ↑ +50% |
| DEVOTED | Medicare|All Plans | $99.14 | ↑ +50% |
| KINDRED | Medicare|All Plans | $101.92 | ↑ +54% |
| CHC | Medicaid|HMO | $103.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $103.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $103.95 | ↑ +57% |
| United | Commercial|Charter | $109.00 | ↑ +65% |
| Cigna Lifesource | Commercial|Transplant | $113.40 | ↑ +71% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $114.67 | ↑ +73% |
| United | Commercial|HMO | $122.00 | ↑ +84% |
| United | Commercial|PPO | $122.00 | ↑ +84% |
| First Health | Commercial|All Plans | $122.85 | ↑ +86% |
| Humana | Commercial|Transplant | $122.85 | ↑ +86% |
| Coventry | Commercial|PPO | $122.85 | ↑ +86% |
| KelseyCare | Commercial|Exchange | $125.08 | ↑ +89% |
| Bright Health | Commercial|All Plans | $125.14 | ↑ +89% |
| Healthsmart | Commercial|PPO | $132.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $132.30 | ↑ +100% |
| Interlink | Commercial|Transplant | $132.30 | ↑ +100% |
| BCBS-TX | Commercial|Exchange | $132.73 | ↑ +101% |
| Harris Health | Commercial|ERS | $138.97 | ↑ +110% |
| Community Health Choice | Commercial|Exchange | $138.97 | ↑ +110% |
| Community Health Choice | Commercial|All Other Plans | $138.97 | ↑ +110% |
| Wellpoint | Commercial|Exchange | $138.97 | ↑ +110% |
| Ambetter | Commercial|All Plans | $138.97 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $141.75 | ↑ +114% |
| Aetna | Commercial|Exchange | $142.68 | ↑ +116% |
| OPTUM | Medicaid|STARPLUS | $156.16 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $160.65 | ↑ +143% |
| BCBS-TX | Commercial|Blue Premier | $166.50 | ↑ +152% |
| MHealth Network | Commercial|PPO | $189.00 | ↑ +186% |
| BCBS-TX | Commercial|HMO | $189.00 | ↑ +186% |
| BCBS-TX | Commercial|PPO | $189.00 | ↑ +186% |
| NX Health | Commercial|PPO | $301.11 | ↑ +355% |
Visitor-reported prices
Comments
Pr planning advance care 1st 30 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $66.15 | $51.03 – $189.00 |
| St. Joseph Health Madison Hospital | Madisonville | $19.08 | $13.89 – $109.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $66.15 | $51.03 – $189.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $66.15 | $51.03 – $189.00 |
| St. Joseph Health College Station Hospital | College Station | $19.08 | $59.95 – $109.00 |
| St. Joseph Health Grimes Hospital | Navasota | $19.08 | $39.53 – $120.99 |
| St. Luke's Health - The Vintage Hospital | Houston | $66.15 | $51.03 – $189.00 |
| St. Joseph Health Burleson Hospital | Caldwell | $19.08 | $23.98 – $109.00 |