Visc & infraren abd 3 prosth at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$12,058.90
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.
$34,454.00
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.
$810.78 with BCBS-TX vs $34,454.00 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 | $810.78 | ↓ -93% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $1,037.80 | ↓ -91% |
| BCBS-TX | Commercial|Blue Premier | $1,567.51 | ↓ -87% |
| BCBS-TX | Commercial|HMO | $1,859.39 | ↓ -85% |
| BCBS-TX | Commercial|PPO | $2,075.60 | ↓ -83% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↓ -80% |
| Humana | Commercial|HMO | $2,430.00 | ↓ -80% |
| Humana | Commercial|PPO | $2,430.00 | ↓ -80% |
| United | Commercial|Exchange | $2,748.00 | ↓ -77% |
| TCHP | Medicaid|STARKIDS | $2,756.32 | ↓ -77% |
| TCHP | Medicaid|Lakeside | $2,756.32 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $2,811.45 | ↓ -77% |
| Cigna | Commercial|Surefit | $3,309.00 | ↓ -73% |
| Cigna | Commercial|HMO | $3,646.00 | ↓ -70% |
| TCHP | Medicaid|STAR | $3,693.47 | ↓ -69% |
| UNITED | Medicaid|STAR | $3,776.16 | ↓ -69% |
| United | Commercial|Charter | $4,058.00 | ↓ -66% |
| United | Commercial|HMO | $4,508.00 | ↓ -63% |
| United | Commercial|PPO | $4,508.00 | ↓ -63% |
| UNITED | Medicaid|STARPLUS | $8,599.72 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $8,599.72 | ↓ -29% |
| Cigna | Commercial|PPO | $9,158.00 | ↓ -24% |
| OPTUM | Medicare|All Plans | $9,302.58 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $12,058.90 | ↑ +0% |
| OPTUM | Medicaid|STAR | $12,465.46 | ↑ +3% |
| United | Commercial|Optum | $16,193.38 | ↑ +34% |
| CHC | Medicaid|CHIP | $18,949.70 | ↑ +57% |
| CHC | Medicaid|HMO | $18,949.70 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $18,949.70 | ↑ +57% |
| Cigna Lifesource | Commercial|Transplant | $20,672.40 | ↑ +71% |
| Humana | Commercial|Transplant | $22,395.10 | ↑ +86% |
| First Health | Commercial|All Plans | $22,395.10 | ↑ +86% |
| PHCS | Commercial|All Plans | $22,395.10 | ↑ +86% |
| Coventry | Commercial|PPO | $22,395.10 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $22,395.10 | ↑ +86% |
| Aetna | Commercial|PPO | $23,428.72 | ↑ +94% |
| Healthsmart | Commercial|PPO | $24,117.80 | ↑ +100% |
| Interlink | Commercial|Transplant | $24,117.80 | ↑ +100% |
| Cigna | Commercial|Transplant | $24,117.80 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $25,840.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $28,465.90 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $29,285.90 | ↑ +143% |
| MHealth Network | Commercial|PPO | $34,454.00 | ↑ +186% |
Visitor-reported prices
Comments
Visc & infraren abd 3 prosth at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $16,560.51 | $1,826.96 – $23,460.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $16,560.51 | $1,340.49 – $23,460.72 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $16,560.51 | $1,826.96 – $23,460.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $16,560.51 | $1,826.96 – $23,460.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $16,560.51 | $1,826.96 – $23,460.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $16,560.51 | $1,340.49 – $23,460.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $16,560.51 | $1,826.96 – $23,460.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $16,560.51 | $1,826.96 – $23,460.72 |