Radphm quant measure sgl area add-on at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$553.35
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.
?
What you pay up front if you don't use insurance.
$1,581.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$89.21 with Wellpoint vs $2,827.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $89.21 | ↓ -84% |
| UHC | Medicaid|STARKIDS | $90.99 | ↓ -84% |
| UHC | Medicaid|CHIP | $90.99 | ↓ -84% |
| Wellpoint | Medicaid|CHIP | $92.55 | ↓ -83% |
| Wellpoint | Medicaid|STARKIDS | $92.55 | ↓ -83% |
| BCBS | Medicaid|All Plans | $93.67 | ↓ -83% |
| UNITED | Medicaid|All Other Plans | $94.40 | ↓ -83% |
| CHC | Medicaid|All Other Plans | $106.43 | ↓ -81% |
| BCBS-TX | Commercial|Exchange | $117.38 | ↓ -79% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $121.55 | ↓ -78% |
| Wellpoint | Medicaid|STAR | $124.02 | ↓ -78% |
| TCHP | Medicaid|STARKIDS | $126.48 | ↓ -77% |
| TCHP | Medicaid|Lakeside | $126.48 | ↓ -77% |
| UNITED | Medicaid|STAR | $126.79 | ↓ -77% |
| CHC | Medicaid|STAR | $142.53 | ↓ -74% |
| TCHP | Medicaid|STAR | $169.49 | ↓ -69% |
| BCBS-TX | Commercial|Blue Premier | $213.12 | ↓ -61% |
| BCBS-TX | Commercial|HMO | $249.75 | ↓ -55% |
| BCBS-TX | Commercial|PPO | $280.55 | ↓ -49% |
| UHC | Medicaid|STARPLUS | $288.76 | ↓ -48% |
| UNITED | Medicaid|STARPLUS | $288.76 | ↓ -48% |
| OPTUM | Medicare|All Plans | $426.87 | ↓ -23% |
| Cigna | Commercial|Surefit | $505.92 | ↓ -9% |
| Cigna | Commercial|HMO | $553.35 | ↑ +0% |
| TCHPCHIP | Medicaid|HMO | $553.35 | ↑ +0% |
| OPTUM | Medicaid|STAR | $572.01 | ↑ +3% |
| Cigna | Commercial|PPO | $648.21 | ↑ +17% |
| United | Commercial|Optum | $743.07 | ↑ +34% |
| CHC | Medicaid|HMO | $869.55 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $869.55 | ↑ +57% |
| CHC | Medicaid|CHIP | $869.55 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $932.79 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $948.60 | ↑ +71% |
| Humana | Commercial|Transplant | $1,027.65 | ↑ +86% |
| First Health | Commercial|All Plans | $1,027.65 | ↑ +86% |
| Coventry | Commercial|PPO | $1,027.65 | ↑ +86% |
| Aetna | Commercial|HMO | $1,075.08 | ↑ +94% |
| Healthsmart | Commercial|PPO | $1,106.70 | ↑ +100% |
| Interlink | Commercial|Transplant | $1,106.70 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,106.70 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,185.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $1,306.23 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,343.85 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,581.00 | ↑ +186% |
| United | Commercial|Exchange | $1,723.00 | ↑ +211% |
| United | Commercial|Charter | $2,544.00 | ↑ +360% |
| United | Commercial|HMO | $2,827.00 | ↑ +411% |
| United | Commercial|PPO | $2,827.00 | ↑ +411% |
Visitor-reported prices
Comments
Radphm quant measure sgl area add-on at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $734.09 | $89.21 – $1,039.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $403.49 | $83.05 – $605.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $403.49 | $89.21 – $504.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $734.09 | $89.21 – $1,039.96 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $403.49 | $95.45 – $605.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $403.49 | $89.21 – $605.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $403.49 | $89.21 – $605.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $734.09 | $89.21 – $1,039.96 |