Surgical pathology level 2 gross & microscopic examination at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$273.70
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.
$782.00
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.
$28.30 with Renaissance vs $782.00 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 |
|---|---|---|---|
| Renaissance | Commercial|All Plans | $28.30 | ↓ -90% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $33.57 | ↓ -88% |
| BCBS | Medicare|All Plans | $39.31 | ↓ -86% |
| CIGNA HEALTHSPRING | Medicare|HMO | $39.31 | ↓ -86% |
| SELECTCARE | Medicare|All Plans | $39.31 | ↓ -86% |
| KELSEY | Medicare|All Plans | $39.31 | ↓ -86% |
| HUMANA | Medicare|All Other Plans | $39.31 | ↓ -86% |
| HUMANA | Medicare|TRANSPLANT | $39.31 | ↓ -86% |
| CIGNA HEALTHSPRING | Medicare|PPO | $39.70 | ↓ -85% |
| UHC-SecureHorizons | Medicare|All Plans | $40.10 | ↓ -85% |
| AETNA | Medicare|All Plans | $40.10 | ↓ -85% |
| Amerivantage | Medicare|All Plans | $40.49 | ↓ -85% |
| Bright Health | Commercial|All Plans | $41.32 | ↓ -85% |
| DEVOTED | Medicare|All Plans | $42.06 | ↓ -85% |
| SCANHealth | Medicare|All Plans | $42.06 | ↓ -85% |
| KINDRED | Medicare|All Plans | $43.24 | ↓ -84% |
| BCBS-TX | Commercial|Exchange | $43.68 | ↓ -84% |
| United | Commercial|PPO | $47.70 | ↓ -83% |
| United | Commercial|Exchange | $47.70 | ↓ -83% |
| United | Commercial|Charter | $47.70 | ↓ -83% |
| United | Commercial|HMO | $47.70 | ↓ -83% |
| KelseyCare | Commercial|Exchange | $53.07 | ↓ -81% |
| Wellpoint | Commercial|Exchange | $58.97 | ↓ -78% |
| Harris Health | Commercial|ERS | $58.97 | ↓ -78% |
| Community Health Choice | Commercial|Exchange | $58.97 | ↓ -78% |
| Community Health Choice | Commercial|All Other Plans | $58.97 | ↓ -78% |
| Ambetter | Commercial|All Plans | $58.97 | ↓ -78% |
| Cigna | Commercial|Surefit | $60.20 | ↓ -78% |
| Aetna | Commercial|Exchange | $60.54 | ↓ -78% |
| Cigna | Commercial|HMO | $66.43 | ↓ -76% |
| BCBS-TX | Commercial|Blue Premier | $74.95 | ↓ -73% |
| Cigna | Commercial|PPO | $90.83 | ↓ -67% |
| BCBS-TX | Commercial|HMO | $100.70 | ↓ -63% |
| BCBS-TX | Commercial|PPO | $117.94 | ↓ -57% |
| NX Health | Commercial|PPO | $127.76 | ↓ -53% |
| OPTUM | Medicare|All Plans | $211.14 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $273.70 | ↑ +0% |
| OPTUM | Medicaid|STAR | $282.93 | ↑ +3% |
| United | Commercial|Optum | $367.54 | ↑ +34% |
| CHC | Medicaid|HMO | $430.10 | ↑ +57% |
| CHC | Medicaid|CHIP | $430.10 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $430.10 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $461.38 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $469.20 | ↑ +71% |
| Humana | Commercial|Transplant | $508.30 | ↑ +86% |
| Coventry | Commercial|PPO | $508.30 | ↑ +86% |
| First Health | Commercial|All Plans | $508.30 | ↑ +86% |
| Aetna | Commercial|HMO | $531.76 | ↑ +94% |
| Interlink | Commercial|Transplant | $547.40 | ↑ +100% |
| Healthsmart | Commercial|PPO | $547.40 | ↑ +100% |
| Cigna | Commercial|Transplant | $547.40 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $586.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $646.09 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $664.70 | ↑ +143% |
| MHealth Network | Commercial|PPO | $782.00 | ↑ +186% |
Visitor-reported prices
Comments
Surgical pathology level 2 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $176.63 | $35.00 – $220.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $187.56 | $36.00 – $281.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $182.09 | $35.64 – $227.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $176.63 | $35.00 – $220.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $187.56 | $35.64 – $281.34 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $187.56 | $26.00 – $281.34 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $182.09 | $35.64 – $273.13 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $176.63 | $35.00 – $220.78 |