Prq card revasc chronic addl at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$3,695.65
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.
$10,559.00
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.
$807.00 with Aetna-Kelsey Care vs $46,852.00 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 |
|---|---|---|---|
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↓ -78% |
| TCHP | Medicaid|STARKIDS | $844.72 | ↓ -77% |
| TCHP | Medicaid|Lakeside | $844.72 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $861.62 | ↓ -77% |
| Aetna | Commercial|HMO | $972.00 | ↓ -74% |
| TCHP | Medicaid|STAR | $1,131.93 | ↓ -69% |
| UNITED | Medicaid|STAR | $1,157.27 | ↓ -69% |
| UHC | Medicaid|STARPLUS | $2,635.53 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $2,635.53 | ↓ -29% |
| OPTUM | Medicare|All Plans | $2,850.93 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $3,695.65 | ↑ +0% |
| OPTUM | Medicaid|STAR | $3,820.25 | ↑ +3% |
| United | Commercial|Optum | $4,962.73 | ↑ +34% |
| CHC | Medicaid|HMO | $5,807.45 | ↑ +57% |
| CHC | Medicaid|CHIP | $5,807.45 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5,807.45 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $6,335.40 | ↑ +71% |
| First Health | Commercial|All Plans | $6,863.35 | ↑ +86% |
| Coventry | Commercial|PPO | $6,863.35 | ↑ +86% |
| Humana | Commercial|Transplant | $6,863.35 | ↑ +86% |
| Aetna | Commercial|PPO | $7,180.12 | ↑ +94% |
| Interlink | Commercial|Transplant | $7,391.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $7,391.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $7,391.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $7,919.25 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $8,723.85 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $8,975.15 | ↑ +143% |
| United | Commercial|Exchange | $9,113.00 | ↑ +147% |
| MHealth Network | Commercial|PPO | $10,559.00 | ↑ +186% |
| United | Commercial|Charter | $13,454.00 | ↑ +264% |
| United | Commercial|PPO | $14,947.00 | ↑ +304% |
| United | Commercial|HMO | $14,947.00 | ↑ +304% |
| Humana | Commercial|PPO | $16,200.00 | ↑ +338% |
| Humana | Commercial|HMO | $16,200.00 | ↑ +338% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +358% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +405% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +1168% |
Visitor-reported prices
Comments
Prq card revasc chronic addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $20,797.93 | $5,892.75 – $29,463.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $13,781.59 | $2,836.71 – $20,672.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,928.62 | $2,785.72 – $17,410.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $20,797.93 | $5,546.11 – $29,463.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $13,781.59 | $4,423.89 – $20,672.39 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $13,781.59 | $7,120.49 – $20,672.39 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,928.62 | $4,642.87 – $20,892.92 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $20,797.93 | $5,546.11 – $29,463.73 |