Telehealth original site facility fee at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$22.75
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.
?
What you pay up front if you don't use insurance.
$65.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$14.91 with Wellpoint vs $65.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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|CHIP | $14.91 | ↓ -34% |
| Wellpoint | Medicaid|STARKIDS | $14.91 | ↓ -34% |
| OPTUM | Medicare|All Plans | $17.55 | ↓ -23% |
| Wellpoint | Medicaid|STAR | $19.98 | ↓ -12% |
| TCHPCHIP | Medicaid|HMO | $22.75 | ↑ +0% |
| OPTUM | Medicaid|STAR | $23.52 | ↑ +3% |
| United | Commercial|Optum | $30.55 | ↑ +34% |
| CHC | Medicaid|HMO | $35.75 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $35.75 | ↑ +57% |
| CHC | Medicaid|CHIP | $35.75 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $39.00 | ↑ +71% |
| Humana | Commercial|Transplant | $42.25 | ↑ +86% |
| Coventry | Commercial|PPO | $42.25 | ↑ +86% |
| First Health | Commercial|All Plans | $42.25 | ↑ +86% |
| Cigna | Commercial|Transplant | $45.50 | ↑ +100% |
| Healthsmart | Commercial|PPO | $45.50 | ↑ +100% |
| Interlink | Commercial|Transplant | $45.50 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $48.75 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $53.71 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $55.25 | ↑ +143% |
| MHealth Network | Commercial|PPO | $65.00 | ↑ +186% |
| Cigna | Commercial|Surefit | $65.00 | ↑ +186% |
| Cigna | Commercial|HMO | $65.00 | ↑ +186% |
| Cigna | Commercial|PPO | $65.00 | ↑ +186% |
Visitor-reported prices
Comments
Telehealth original site facility fee at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $465.99 | $13.80 – $69.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $570.17 | $7.24 – $45.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $465.99 | $12.99 – $69.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $570.17 | $12.07 – $54.33 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $465.99 | $12.99 – $69.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $465.99 | $12.18 – $69.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $465.99 | $8.93 – $69.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $465.99 | $8.93 – $69.01 |