Repair lip full thkns =<one-half vert height at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$388.15
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.
$1,109.00
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.
$187.22 with Wellpoint vs $9,029.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $187.22 | ↓ -52% |
| TCHP | Medicaid|STARKIDS | $187.22 | ↓ -52% |
| TCHP | Medicaid|Lakeside | $187.22 | ↓ -52% |
| Wellpoint | Medicaid|STARKIDS | $187.22 | ↓ -52% |
| Wellpoint | Medicaid|CHIP | $187.22 | ↓ -52% |
| UHC | Medicaid|CHIP | $190.96 | ↓ -51% |
| UNITED | Medicaid|All Other Plans | $190.96 | ↓ -51% |
| UHC | Medicaid|STARKIDS | $190.96 | ↓ -51% |
| BCBS | Medicaid|All Plans | $196.58 | ↓ -49% |
| CHC | Medicaid|All Other Plans | $215.30 | ↓ -45% |
| TCHP | Medicaid|STAR | $250.87 | ↓ -35% |
| Wellpoint | Medicaid|STAR | $250.87 | ↓ -35% |
| UNITED | Medicaid|STAR | $256.49 | ↓ -34% |
| CHC | Medicaid|STAR | $288.32 | ↓ -26% |
| OPTUM | Medicare|All Plans | $299.43 | ↓ -23% |
| BCBS-TX | Commercial|Exchange | $331.29 | ↓ -15% |
| Renaissance | Commercial|All Plans | $367.25 | ↓ -5% |
| TCHPCHIP | Medicaid|HMO | $388.15 | ↑ +0% |
| OPTUM | Medicaid|STAR | $401.24 | ↑ +3% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $424.05 | ↑ +9% |
| HUMANA | Medicare|All Other Plans | $510.07 | ↑ +31% |
| KELSEY | Medicare|All Plans | $510.07 | ↑ +31% |
| BCBS | Medicare|All Plans | $510.07 | ↑ +31% |
| HUMANA | Medicare|TRANSPLANT | $510.07 | ↑ +31% |
| SELECTCARE | Medicare|All Plans | $510.07 | ↑ +31% |
| CIGNA HEALTHSPRING | Medicare|HMO | $510.07 | ↑ +31% |
| CIGNA HEALTHSPRING | Medicare|PPO | $515.17 | ↑ +33% |
| AETNA | Medicare|All Plans | $520.27 | ↑ +34% |
| UHC-SecureHorizons | Medicare|All Plans | $520.27 | ↑ +34% |
| United | Commercial|Optum | $521.23 | ↑ +34% |
| Amerivantage | Medicare|All Plans | $525.37 | ↑ +35% |
| SCANHealth | Medicare|All Plans | $545.77 | ↑ +41% |
| DEVOTED | Medicare|All Plans | $545.77 | ↑ +41% |
| KINDRED | Medicare|All Plans | $561.08 | ↑ +45% |
| UHC | Medicaid|STARPLUS | $584.13 | ↑ +50% |
| UNITED | Medicaid|STARPLUS | $584.13 | ↑ +50% |
| CHC | Medicaid|CHIP | $609.95 | ↑ +57% |
| CHC | Medicaid|HMO | $609.95 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $609.95 | ↑ +57% |
| BCBS-TX | Commercial|Blue Premier | $640.49 | ↑ +65% |
| Cigna Lifesource | Commercial|Transplant | $665.40 | ↑ +71% |
| KelseyCare | Commercial|Exchange | $688.59 | ↑ +77% |
| First Health | Commercial|All Plans | $720.85 | ↑ +86% |
| Coventry | Commercial|PPO | $720.85 | ↑ +86% |
| Humana | Commercial|Transplant | $720.85 | ↑ +86% |
| Aetna | Commercial|PPO | $754.12 | ↑ +94% |
| Bright Health | Commercial|All Plans | $756.33 | ↑ +95% |
| BCBS-TX | Commercial|HMO | $759.76 | ↑ +96% |
| Community Health Choice | Commercial|Exchange | $765.11 | ↑ +97% |
| Wellpoint | Commercial|Exchange | $765.11 | ↑ +97% |
| Ambetter | Commercial|All Plans | $765.11 | ↑ +97% |
| Harris Health | Commercial|ERS | $765.11 | ↑ +97% |
| Community Health Choice | Commercial|All Other Plans | $765.11 | ↑ +97% |
| Interlink | Commercial|Transplant | $776.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $776.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $776.30 | ↑ +100% |
| Aetna | Commercial|Exchange | $785.51 | ↑ +102% |
| MultiPlan | Commercial|All Plans | $831.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $842.84 | ↑ +117% |
| BCBS-TX | Commercial|PPO | $848.10 | ↑ +118% |
| OPTUM | Medicaid|STARPLUS | $916.26 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $942.65 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,109.00 | ↑ +186% |
| Aetna-Kelsey Care | Commercial|HMO | $1,233.00 | ↑ +218% |
| Aetna | Commercial|HMO | $1,488.00 | ↑ +283% |
| KelseyCare | Commercial|All Other Plans | $1,518.30 | ↑ +291% |
| NX Health | Commercial|PPO | $1,657.73 | ↑ +327% |
| United | Commercial|Exchange | $1,676.00 | ↑ +332% |
| Independent Med System | Commercial|All Plans | $1,795.00 | ↑ +362% |
| Humana | Commercial|HMO | $2,025.00 | ↑ +422% |
| Humana | Commercial|PPO | $2,025.00 | ↑ +422% |
| United | Commercial|Charter | $2,474.00 | ↑ +537% |
| United | Commercial|HMO | $2,749.00 | ↑ +608% |
| United | Commercial|PPO | $2,749.00 | ↑ +608% |
| Cigna | Commercial|Surefit | $3,262.00 | ↑ +740% |
| Cigna | Commercial|HMO | $3,594.00 | ↑ +826% |
| PHCS | Commercial|All Plans | $5,252.00 | ↑ +1253% |
| PHCS Savility | Commercial|PPO | $5,252.00 | ↑ +1253% |
| Cigna | Commercial|PPO | $9,029.00 | ↑ +2226% |
Visitor-reported prices
Comments
Repair lip full thkns =<one-half vert height at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,935.92 | $552.15 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,551.39 | $187.22 – $1,939.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,839.65 | $71.00 – $2,759.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,672.41 | $71.00 – $2,090.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,551.39 | $187.22 – $1,939.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,839.65 | $85.00 – $2,759.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,839.65 | $187.22 – $2,759.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,672.41 | $71.00 – $2,508.61 |