Surgical pathology level 5 gross & microscopic examination at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$534.80
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.
$1,528.00
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.
$259.42 with Renaissance vs $1,528.00 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 | $259.42 | ↓ -51% |
| United | Commercial|Exchange | $323.15 | ↓ -40% |
| United | Commercial|Charter | $323.15 | ↓ -40% |
| United | Commercial|PPO | $323.15 | ↓ -40% |
| United | Commercial|HMO | $323.15 | ↓ -40% |
| KELSEY | Medicare|All Plans | $360.30 | ↓ -33% |
| CIGNA HEALTHSPRING | Medicare|HMO | $360.30 | ↓ -33% |
| HUMANA | Medicare|TRANSPLANT | $360.30 | ↓ -33% |
| SELECTCARE | Medicare|All Plans | $360.30 | ↓ -33% |
| BCBS | Medicare|All Plans | $360.30 | ↓ -33% |
| HUMANA | Medicare|All Other Plans | $360.30 | ↓ -33% |
| CIGNA HEALTHSPRING | Medicare|PPO | $363.90 | ↓ -32% |
| UHC-SecureHorizons | Medicare|All Plans | $367.51 | ↓ -31% |
| AETNA | Medicare|All Plans | $367.51 | ↓ -31% |
| Amerivantage | Medicare|All Plans | $371.11 | ↓ -31% |
| DEVOTED | Medicare|All Plans | $385.52 | ↓ -28% |
| SCANHealth | Medicare|All Plans | $385.52 | ↓ -28% |
| KINDRED | Medicare|All Plans | $396.33 | ↓ -26% |
| OPTUM | Medicare|All Plans | $412.56 | ↓ -23% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $413.78 | ↓ -23% |
| KelseyCare | Commercial|Exchange | $486.40 | ↓ -9% |
| Bright Health | Commercial|All Plans | $487.05 | ↓ -9% |
| Cigna | Commercial|Surefit | $496.92 | ↓ -7% |
| TCHPCHIP | Medicaid|HMO | $534.80 | ↑ +0% |
| BCBS-TX | Commercial|Exchange | $538.48 | ↑ +1% |
| Community Health Choice | Commercial|All Other Plans | $540.45 | ↑ +1% |
| Wellpoint | Commercial|Exchange | $540.45 | ↑ +1% |
| Ambetter | Commercial|All Plans | $540.45 | ↑ +1% |
| Harris Health | Commercial|ERS | $540.45 | ↑ +1% |
| Community Health Choice | Commercial|Exchange | $540.45 | ↑ +1% |
| Cigna | Commercial|HMO | $548.33 | ↑ +3% |
| OPTUM | Medicaid|STAR | $552.84 | ↑ +3% |
| Aetna | Commercial|Exchange | $554.86 | ↑ +4% |
| United | Commercial|Optum | $718.16 | ↑ +34% |
| Cigna | Commercial|PPO | $749.67 | ↑ +40% |
| CHC | Medicaid|CHIP | $840.40 | ↑ +57% |
| CHC | Medicaid|HMO | $840.40 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $840.40 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $901.52 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $916.80 | ↑ +71% |
| BCBS-TX | Commercial|Blue Premier | $923.92 | ↑ +73% |
| First Health | Commercial|All Plans | $993.20 | ↑ +86% |
| Coventry | Commercial|PPO | $993.20 | ↑ +86% |
| Humana | Commercial|Transplant | $993.20 | ↑ +86% |
| Aetna | Commercial|HMO | $1,039.04 | ↑ +94% |
| Interlink | Commercial|Transplant | $1,069.60 | ↑ +100% |
| Healthsmart | Commercial|PPO | $1,069.60 | ↑ +100% |
| Cigna | Commercial|Transplant | $1,069.60 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $1,146.00 | ↑ +114% |
| NX Health | Commercial|PPO | $1,170.97 | ↑ +119% |
| BCBS-TX | Commercial|HMO | $1,241.34 | ↑ +132% |
| OPTUM | Medicaid|STARPLUS | $1,262.44 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $1,298.80 | ↑ +143% |
| BCBS-TX | Commercial|PPO | $1,453.89 | ↑ +172% |
| MHealth Network | Commercial|PPO | $1,528.00 | ↑ +186% |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,114.69 | $1,091.13 – $1,091.13 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $476.75 | $35.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $519.16 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $491.47 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $476.75 | $35.00 – $890.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $519.16 | $36.00 – $890.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $519.16 | $26.00 – $890.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $491.47 | $36.00 – $890.45 |