Revision tips at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$3,603.25
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.
$10,295.00
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.
$2,404.80 with KelseyCare vs $18,559.97 with NX Health — 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 |
|---|---|---|---|
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -33% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -33% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -33% |
| OPTUM | Medicare|All Plans | $2,779.65 | ↓ -23% |
| Aetna-Kelsey Care | Commercial|HMO | $3,228.00 | ↓ -10% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -8% |
| TCHPCHIP | Medicaid|HMO | $3,603.25 | ↑ +0% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +1% |
| BCBS-TX | Commercial|Exchange | $3,715.43 | ↑ +3% |
| OPTUM | Medicaid|STAR | $3,724.74 | ↑ +3% |
| Aetna | Commercial|HMO | $3,894.00 | ↑ +8% |
| Renaissance | Commercial|All Plans | $4,111.75 | ↑ +14% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $4,755.75 | ↑ +32% |
| United | Commercial|Optum | $4,838.65 | ↑ +34% |
| United | Commercial|Exchange | $4,969.00 | ↑ +38% |
| TEXASTRUECHOICE | Medicaid|CHIP | $5,662.25 | ↑ +57% |
| CHC | Medicaid|CHIP | $5,662.25 | ↑ +57% |
| CHC | Medicaid|HMO | $5,662.25 | ↑ +57% |
| CIGNA HEALTHSPRING | Medicare|HMO | $5,710.76 | ↑ +58% |
| SELECTCARE | Medicare|All Plans | $5,710.76 | ↑ +58% |
| BCBS | Medicare|All Plans | $5,710.76 | ↑ +58% |
| HUMANA | Medicare|All Other Plans | $5,710.76 | ↑ +58% |
| HUMANA | Medicare|TRANSPLANT | $5,710.76 | ↑ +58% |
| KELSEY | Medicare|All Plans | $5,710.76 | ↑ +58% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5,767.87 | ↑ +60% |
| AETNA | Medicare|All Plans | $5,824.98 | ↑ +62% |
| UHC-SecureHorizons | Medicare|All Plans | $5,824.98 | ↑ +62% |
| Amerivantage | Medicare|All Plans | $5,882.08 | ↑ +63% |
| DEVOTED | Medicare|All Plans | $6,110.51 | ↑ +70% |
| SCANHealth | Medicare|All Plans | $6,110.51 | ↑ +70% |
| Cigna Lifesource | Commercial|Transplant | $6,177.00 | ↑ +71% |
| Independent Med System | Commercial|All Plans | $6,177.00 | ↑ +71% |
| KINDRED | Medicare|All Plans | $6,281.84 | ↑ +74% |
| PHCS | Commercial|All Plans | $6,691.75 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $6,691.75 | ↑ +86% |
| Coventry | Commercial|PPO | $6,691.75 | ↑ +86% |
| Humana | Commercial|Transplant | $6,691.75 | ↑ +86% |
| First Health | Commercial|All Plans | $6,691.75 | ↑ +86% |
| Aetna | Commercial|PPO | $7,000.60 | ↑ +94% |
| BCBS-TX | Commercial|Blue Premier | $7,183.17 | ↑ +99% |
| Healthsmart | Commercial|PPO | $7,206.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $7,206.50 | ↑ +100% |
| Cigna | Commercial|Transplant | $7,206.50 | ↑ +100% |
| United | Commercial|Charter | $7,337.00 | ↑ +104% |
| KelseyCare | Commercial|Exchange | $7,709.53 | ↑ +114% |
| MultiPlan | Commercial|All Plans | $7,721.25 | ↑ +114% |
| Aetna | Commercial|Transplant | $7,824.20 | ↑ +117% |
| United | Commercial|HMO | $8,150.00 | ↑ +126% |
| United | Commercial|PPO | $8,150.00 | ↑ +126% |
| Bright Health | Commercial|All Plans | $8,288.48 | ↑ +130% |
| OPTUM | Medicaid|STARPLUS | $8,505.73 | ↑ +136% |
| BCBS-TX | Commercial|HMO | $8,520.73 | ↑ +136% |
| Wellpoint | Commercial|Exchange | $8,566.14 | ↑ +138% |
| Ambetter | Commercial|All Plans | $8,566.14 | ↑ +138% |
| Harris Health | Commercial|ERS | $8,566.14 | ↑ +138% |
| Community Health Choice | Commercial|Exchange | $8,566.14 | ↑ +138% |
| Community Health Choice | Commercial|All Other Plans | $8,566.14 | ↑ +138% |
| USA Health Network | Commercial|All Plans | $8,750.75 | ↑ +143% |
| Aetna | Commercial|Exchange | $8,794.57 | ↑ +144% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +154% |
| BCBS-TX | Commercial|PPO | $9,511.51 | ↑ +164% |
| MHealth Network | Commercial|PPO | $10,295.00 | ↑ +186% |
| NX Health | Commercial|PPO | $18,559.97 | ↑ +415% |
Visitor-reported prices
Comments
Revision tips at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11,218.30 | $3,178.52 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,711.04 | $71.00 – $22,066.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,111.45 | $71.00 – $16,389.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $11,218.30 | $2,991.55 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,711.04 | $85.00 – $22,066.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,711.04 | $7,600.70 – $22,066.56 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,111.45 | $71.00 – $19,667.17 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $11,218.30 | $2,991.55 – $14,159.18 |