Prtl exchange transfuse nb at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$511.35
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.
$1,461.00
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.
$291.03 with BCBS-TX vs $5,160.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $291.03 | ↓ -43% |
| Renaissance | Commercial|All Plans | $315.28 | ↓ -38% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $372.52 | ↓ -27% |
| OPTUM | Medicare|All Plans | $394.47 | ↓ -23% |
| HUMANA | Medicare|TRANSPLANT | $437.89 | ↓ -14% |
| SELECTCARE | Medicare|All Plans | $437.89 | ↓ -14% |
| KELSEY | Medicare|All Plans | $437.89 | ↓ -14% |
| BCBS | Medicare|All Plans | $437.89 | ↓ -14% |
| CIGNA HEALTHSPRING | Medicare|HMO | $437.89 | ↓ -14% |
| HUMANA | Medicare|All Other Plans | $437.89 | ↓ -14% |
| CIGNA HEALTHSPRING | Medicare|PPO | $442.27 | ↓ -14% |
| UHC-SecureHorizons | Medicare|All Plans | $446.65 | ↓ -13% |
| AETNA | Medicare|All Plans | $446.65 | ↓ -13% |
| Amerivantage | Medicare|All Plans | $451.03 | ↓ -12% |
| DEVOTED | Medicare|All Plans | $468.54 | ↓ -8% |
| SCANHealth | Medicare|All Plans | $468.54 | ↓ -8% |
| KINDRED | Medicare|All Plans | $481.68 | ↓ -6% |
| TCHPCHIP | Medicaid|HMO | $511.35 | ↑ +0% |
| OPTUM | Medicaid|STAR | $528.59 | ↑ +3% |
| BCBS-TX | Commercial|Blue Premier | $562.66 | ↑ +10% |
| KelseyCare | Commercial|Exchange | $591.15 | ↑ +16% |
| Community Health Choice | Commercial|Exchange | $656.84 | ↑ +28% |
| Ambetter | Commercial|All Plans | $656.84 | ↑ +28% |
| Wellpoint | Commercial|Exchange | $656.84 | ↑ +28% |
| Community Health Choice | Commercial|All Other Plans | $656.84 | ↑ +28% |
| Harris Health | Commercial|ERS | $656.84 | ↑ +28% |
| Bright Health | Commercial|All Plans | $663.76 | ↑ +30% |
| BCBS-TX | Commercial|HMO | $667.43 | ↑ +31% |
| Aetna | Commercial|Exchange | $674.35 | ↑ +32% |
| United | Commercial|Optum | $686.67 | ↑ +34% |
| BCBS-TX | Commercial|PPO | $745.04 | ↑ +46% |
| CHC | Medicaid|CHIP | $803.55 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $803.55 | ↑ +57% |
| CHC | Medicaid|HMO | $803.55 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $807.00 | ↑ +58% |
| Cigna Lifesource | Commercial|Transplant | $876.60 | ↑ +71% |
| Coventry | Commercial|PPO | $949.65 | ↑ +86% |
| First Health | Commercial|All Plans | $949.65 | ↑ +86% |
| Humana | Commercial|Transplant | $949.65 | ↑ +86% |
| Aetna | Commercial|HMO | $972.00 | ↑ +90% |
| Aetna | Commercial|PPO | $993.48 | ↑ +94% |
| Cigna | Commercial|Transplant | $1,022.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,022.70 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,022.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,095.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,207.08 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,241.85 | ↑ +143% |
| NX Health | Commercial|PPO | $1,423.14 | ↑ +178% |
| MHealth Network | Commercial|PPO | $1,461.00 | ↑ +186% |
| United | Commercial|Exchange | $1,676.00 | ↑ +228% |
| Cigna | Commercial|Surefit | $1,864.00 | ↑ +265% |
| Cigna | Commercial|HMO | $2,054.00 | ↑ +302% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +370% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +375% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +375% |
| United | Commercial|Charter | $2,474.00 | ↑ +384% |
| United | Commercial|HMO | $2,749.00 | ↑ +438% |
| United | Commercial|PPO | $2,749.00 | ↑ +438% |
| Cigna | Commercial|PPO | $5,160.00 | ↑ +909% |
Visitor-reported prices
Comments
Prtl exchange transfuse nb at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $464.59 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $464.59 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $464.59 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $464.59 | $240.04 – $1,075.39 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $464.59 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $464.59 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $464.59 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $464.59 | $71.00 – $2,975.00 |