Replace aortic valve w/byp cntrl aprch 33369 at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$6,616.75
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.
$18,905.00
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.
$774.93 with BCBS-TX vs $18,905.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Exchange | $774.93 | ↓ -88% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $991.91 | ↓ -85% |
| BCBS-TX | Commercial|Blue Premier | $1,498.20 | ↓ -77% |
| TCHP | Medicaid|Lakeside | $1,512.40 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $1,512.40 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $1,542.65 | ↓ -77% |
| BCBS-TX | Commercial|HMO | $1,777.17 | ↓ -73% |
| BCBS-TX | Commercial|PPO | $1,983.82 | ↓ -70% |
| TCHP | Medicaid|STAR | $2,026.62 | ↓ -69% |
| UNITED | Medicaid|STAR | $2,071.99 | ↓ -69% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -64% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -63% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -63% |
| United | Commercial|Exchange | $2,748.00 | ↓ -58% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -50% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -45% |
| United | Commercial|Charter | $4,058.00 | ↓ -39% |
| United | Commercial|PPO | $4,508.00 | ↓ -32% |
| United | Commercial|HMO | $4,508.00 | ↓ -32% |
| UNITED | Medicaid|STARPLUS | $4,718.69 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $4,718.69 | ↓ -29% |
| OPTUM | Medicare|All Plans | $5,104.35 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $6,616.75 | ↑ +0% |
| OPTUM | Medicaid|STAR | $6,839.83 | ↑ +3% |
| United | Commercial|Optum | $8,885.35 | ↑ +34% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +38% |
| CHC | Medicaid|CHIP | $10,397.75 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $10,397.75 | ↑ +57% |
| CHC | Medicaid|HMO | $10,397.75 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $11,343.00 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $11,343.00 | ↑ +71% |
| Coventry | Commercial|PPO | $12,288.25 | ↑ +86% |
| First Health | Commercial|All Plans | $12,288.25 | ↑ +86% |
| PHCS | Commercial|All Plans | $12,288.25 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $12,288.25 | ↑ +86% |
| Humana | Commercial|Transplant | $12,288.25 | ↑ +86% |
| Aetna | Commercial|PPO | $12,855.40 | ↑ +94% |
| Healthsmart | Commercial|PPO | $13,233.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $13,233.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $13,233.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $14,178.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $15,619.32 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $16,069.25 | ↑ +143% |
| MHealth Network | Commercial|PPO | $18,905.00 | ↑ +186% |
Visitor-reported prices
Comments
Replace aortic valve w/byp cntrl aprch 33369 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $6,616.75 | $2,079.55 – $18,905.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $6,616.75 | $1,890.50 – $18,905.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $6,616.75 | $1,512.40 – $18,905.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $6,616.75 | $1,512.40 – $18,905.00 |
| Texas Health Hospital Mansfield | Mansfield | $30,557.18 | $1,091.10 – $9,124.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,291.55 – $4,826.69 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $9,474.81 – $9,474.81 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $9,474.81 – $9,474.81 |