Quant diff pulm perf w/imaging at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$998.90
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.
$2,854.00
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.
$188.11 with Wellpoint vs $2,854.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $188.11 | ↓ -81% |
| Wellpoint | Medicaid|STARKIDS | $188.11 | ↓ -81% |
| Wellpoint | Medicaid|CHIP | $188.11 | ↓ -81% |
| UHC | Medicaid|STARKIDS | $191.87 | ↓ -81% |
| UHC | Medicaid|CHIP | $191.87 | ↓ -81% |
| UNITED | Medicaid|All Other Plans | $191.87 | ↓ -81% |
| BCBS | Medicaid|All Plans | $197.52 | ↓ -80% |
| CHC | Medicaid|All Other Plans | $216.33 | ↓ -78% |
| TCHP | Medicaid|Lakeside | $228.32 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $228.32 | ↓ -77% |
| BCBS-TX | Commercial|Exchange | $242.90 | ↓ -76% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $251.51 | ↓ -75% |
| Wellpoint | Medicaid|STAR | $252.07 | ↓ -75% |
| UNITED | Medicaid|STAR | $257.71 | ↓ -74% |
| CHC | Medicaid|STAR | $289.69 | ↓ -71% |
| Renaissance | Commercial|All Plans | $289.79 | ↓ -71% |
| TCHP | Medicaid|STAR | $305.95 | ↓ -69% |
| HUMANA | Medicare|TRANSPLANT | $402.48 | ↓ -60% |
| BCBS | Medicare|All Plans | $402.48 | ↓ -60% |
| SELECTCARE | Medicare|All Plans | $402.48 | ↓ -60% |
| HUMANA | Medicare|All Other Plans | $402.48 | ↓ -60% |
| CIGNA HEALTHSPRING | Medicare|HMO | $402.48 | ↓ -60% |
| KELSEY | Medicare|All Plans | $402.48 | ↓ -60% |
| CIGNA HEALTHSPRING | Medicare|PPO | $406.50 | ↓ -59% |
| AETNA | Medicare|All Plans | $410.53 | ↓ -59% |
| UHC-SecureHorizons | Medicare|All Plans | $410.53 | ↓ -59% |
| Amerivantage | Medicare|All Plans | $414.55 | ↓ -58% |
| SCANHealth | Medicare|All Plans | $430.65 | ↓ -57% |
| DEVOTED | Medicare|All Plans | $430.65 | ↓ -57% |
| BCBS-TX | Commercial|Blue Premier | $441.01 | ↓ -56% |
| KINDRED | Medicare|All Plans | $442.73 | ↓ -56% |
| BCBS-TX | Commercial|HMO | $516.81 | ↓ -48% |
| KelseyCare | Commercial|Exchange | $543.35 | ↓ -46% |
| BCBS-TX | Commercial|PPO | $580.55 | ↓ -42% |
| UNITED | Medicaid|STARPLUS | $586.90 | ↓ -41% |
| UHC | Medicaid|STARPLUS | $586.90 | ↓ -41% |
| Community Health Choice | Commercial|Exchange | $603.72 | ↓ -40% |
| Harris Health | Commercial|ERS | $603.72 | ↓ -40% |
| Ambetter | Commercial|All Plans | $603.72 | ↓ -40% |
| Wellpoint | Commercial|Exchange | $603.72 | ↓ -40% |
| Community Health Choice | Commercial|All Other Plans | $603.72 | ↓ -40% |
| Aetna | Commercial|Exchange | $619.82 | ↓ -38% |
| Bright Health | Commercial|All Plans | $630.40 | ↓ -37% |
| OPTUM | Medicare|All Plans | $770.58 | ↓ -23% |
| Cigna | Commercial|Surefit | $913.28 | ↓ -9% |
| TCHPCHIP | Medicaid|HMO | $998.90 | ↑ +0% |
| Cigna | Commercial|HMO | $998.90 | ↑ +0% |
| OPTUM | Medicaid|STAR | $1,032.58 | ↑ +3% |
| Cigna | Commercial|PPO | $1,170.14 | ↑ +17% |
| NX Health | Commercial|PPO | $1,308.06 | ↑ +31% |
| United | Commercial|Optum | $1,341.38 | ↑ +34% |
| CHC | Medicaid|HMO | $1,569.70 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $1,569.70 | ↑ +57% |
| CHC | Medicaid|CHIP | $1,569.70 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $1,683.86 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $1,712.40 | ↑ +71% |
| United | Commercial|Exchange | $1,723.00 | ↑ +72% |
| First Health | Commercial|All Plans | $1,855.10 | ↑ +86% |
| Coventry | Commercial|PPO | $1,855.10 | ↑ +86% |
| Humana | Commercial|Transplant | $1,855.10 | ↑ +86% |
| Aetna | Commercial|HMO | $1,940.72 | ↑ +94% |
| Cigna | Commercial|Transplant | $1,997.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,997.80 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,997.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $2,140.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $2,357.98 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $2,425.90 | ↑ +143% |
| United | Commercial|Charter | $2,544.00 | ↑ +155% |
| United | Commercial|PPO | $2,827.00 | ↑ +183% |
| United | Commercial|HMO | $2,827.00 | ↑ +183% |
| MHealth Network | Commercial|PPO | $2,854.00 | ↑ +186% |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,199.16 | $181.76 – $1,498.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,091.69 | $224.71 – $1,637.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,023.08 | $181.76 – $1,278.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,199.16 | $181.76 – $1,498.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,091.69 | $194.48 – $1,637.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,091.69 | $181.76 – $1,637.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,023.08 | $181.76 – $1,534.62 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,199.16 | $181.76 – $1,498.95 |