Pul art balloon repr percut at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$3,222.45
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.
$9,207.00
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.
$736.56 with TCHP 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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $736.56 | ↓ -77% |
| TCHP | Medicaid|Lakeside | $736.56 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $751.30 | ↓ -77% |
| TCHP | Medicaid|STAR | $987.00 | ↓ -69% |
| UNITED | Medicaid|STAR | $1,009.09 | ↓ -69% |
| UNITED | Medicaid|STARPLUS | $2,298.07 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $2,298.07 | ↓ -29% |
| OPTUM | Medicare|All Plans | $2,485.89 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $3,222.45 | ↑ +0% |
| OPTUM | Medicaid|STAR | $3,331.10 | ↑ +3% |
| United | Commercial|Optum | $4,327.29 | ↑ +34% |
| United | Commercial|Exchange | $4,853.00 | ↑ +51% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5,063.85 | ↑ +57% |
| CHC | Medicaid|HMO | $5,063.85 | ↑ +57% |
| CHC | Medicaid|CHIP | $5,063.85 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $5,524.20 | ↑ +71% |
| Coventry | Commercial|PPO | $5,984.55 | ↑ +86% |
| First Health | Commercial|All Plans | $5,984.55 | ↑ +86% |
| Humana | Commercial|Transplant | $5,984.55 | ↑ +86% |
| Aetna | Commercial|PPO | $6,260.76 | ↑ +94% |
| Healthsmart | Commercial|PPO | $6,444.90 | ↑ +100% |
| Cigna | Commercial|Transplant | $6,444.90 | ↑ +100% |
| Interlink | Commercial|Transplant | $6,444.90 | ↑ +100% |
| Aetna-Kelsey Care | Commercial|HMO | $6,674.00 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $6,905.25 | ↑ +114% |
| United | Commercial|Charter | $7,164.00 | ↑ +122% |
| OPTUM | Medicaid|STARPLUS | $7,606.83 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $7,825.95 | ↑ +143% |
| United | Commercial|PPO | $7,961.00 | ↑ +147% |
| United | Commercial|HMO | $7,961.00 | ↑ +147% |
| Aetna | Commercial|HMO | $8,050.00 | ↑ +150% |
| MHealth Network | Commercial|PPO | $9,207.00 | ↑ +186% |
| Humana | Commercial|PPO | $16,200.00 | ↑ +403% |
| Humana | Commercial|HMO | $16,200.00 | ↑ +403% |
| Cigna | Commercial|Surefit | $16,927.00 | ↑ +425% |
| Cigna | Commercial|HMO | $18,652.00 | ↑ +479% |
| Cigna | Commercial|PPO | $46,852.00 | ↑ +1354% |
Visitor-reported prices
Comments
Pul art balloon repr percut at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,712.69 | $1,051.93 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,877.43 | $1,209.77 – $10,604.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,794.56 | $1,158.91 – $10,604.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,712.69 | $990.05 – $16,180.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,877.43 | $1,886.65 – $10,604.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,877.43 | $3,036.67 – $8,816.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,794.56 | $1,931.52 – $10,604.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,712.69 | $990.05 – $16,180.00 |