X-ray scapula complete (both sides) at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$374.50
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.
$1,070.00
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.
$23.73 with Wellpoint vs $1,070.00 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 |
|---|---|---|---|
| Wellpoint | Medicaid|STARKIDS | $23.73 | ↓ -94% |
| Wellpoint | Medicaid|CHIP | $23.73 | ↓ -94% |
| Wellpoint | Medicaid|All Other Plans | $24.06 | ↓ -94% |
| UNITED | Medicaid|All Other Plans | $24.20 | ↓ -94% |
| UHC | Medicaid|CHIP | $24.54 | ↓ -93% |
| UHC | Medicaid|STARKIDS | $24.54 | ↓ -93% |
| BCBS | Medicaid|All Plans | $25.26 | ↓ -93% |
| CHC | Medicaid|All Other Plans | $27.29 | ↓ -93% |
| Wellpoint | Medicaid|STAR | $31.80 | ↓ -92% |
| UNITED | Medicaid|STAR | $32.51 | ↓ -91% |
| CHC | Medicaid|STAR | $36.54 | ↓ -90% |
| Cigna | Commercial|Surefit | $47.30 | ↓ -87% |
| Cigna | Commercial|HMO | $52.09 | ↓ -86% |
| Cigna | Commercial|PPO | $63.92 | ↓ -83% |
| UHC | Medicaid|STARPLUS | $74.04 | ↓ -80% |
| UNITED | Medicaid|STARPLUS | $74.04 | ↓ -80% |
| Renaissance | Commercial|All Plans | $76.69 | ↓ -80% |
| TCHP | Medicaid|STARKIDS | $85.60 | ↓ -77% |
| TCHP | Medicaid|Lakeside | $85.60 | ↓ -77% |
| BCBS | Medicare|All Plans | $106.51 | ↓ -72% |
| CIGNA HEALTHSPRING | Medicare|HMO | $106.51 | ↓ -72% |
| HUMANA | Medicare|All Other Plans | $106.51 | ↓ -72% |
| KELSEY | Medicare|All Plans | $106.51 | ↓ -72% |
| SELECTCARE | Medicare|All Plans | $106.51 | ↓ -72% |
| HUMANA | Medicare|TRANSPLANT | $106.51 | ↓ -72% |
| CIGNA HEALTHSPRING | Medicare|PPO | $107.58 | ↓ -71% |
| UHC-SecureHorizons | Medicare|All Plans | $108.64 | ↓ -71% |
| AETNA | Medicare|All Plans | $108.64 | ↓ -71% |
| Amerivantage | Medicare|All Plans | $109.71 | ↓ -71% |
| DEVOTED | Medicare|All Plans | $113.97 | ↓ -70% |
| SCANHealth | Medicare|All Plans | $113.97 | ↓ -70% |
| TCHP | Medicaid|STAR | $114.71 | ↓ -69% |
| KINDRED | Medicare|All Plans | $117.16 | ↓ -69% |
| United | Commercial|Exchange | $140.00 | ↓ -63% |
| KelseyCare | Commercial|Exchange | $143.79 | ↓ -62% |
| BCBS-TX | Commercial|Exchange | $158.03 | ↓ -58% |
| Wellpoint | Commercial|Exchange | $159.76 | ↓ -57% |
| Community Health Choice | Commercial|All Other Plans | $159.76 | ↓ -57% |
| Community Health Choice | Commercial|Exchange | $159.76 | ↓ -57% |
| Harris Health | Commercial|ERS | $159.76 | ↓ -57% |
| Ambetter | Commercial|All Plans | $159.76 | ↓ -57% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $163.64 | ↓ -56% |
| Aetna | Commercial|Exchange | $164.03 | ↓ -56% |
| Bright Health | Commercial|All Plans | $182.06 | ↓ -51% |
| United | Commercial|Charter | $209.00 | ↓ -44% |
| United | Commercial|PPO | $230.00 | ↓ -39% |
| United | Commercial|HMO | $230.00 | ↓ -39% |
| BCBS-TX | Commercial|Blue Premier | $286.92 | ↓ -23% |
| OPTUM | Medicare|All Plans | $288.90 | ↓ -23% |
| BCBS-TX | Commercial|HMO | $336.24 | ↓ -10% |
| NX Health | Commercial|PPO | $346.16 | ↓ -8% |
| TCHPCHIP | Medicaid|HMO | $374.50 | ↑ +0% |
| BCBS-TX | Commercial|PPO | $377.71 | ↑ +1% |
| OPTUM | Medicaid|STAR | $387.13 | ↑ +3% |
| United | Commercial|Optum | $502.90 | ↑ +34% |
| CHC | Medicaid|HMO | $588.50 | ↑ +57% |
| CHC | Medicaid|CHIP | $588.50 | ↑ +57% |
| TEXASTRUECHOICE | Medicaid|CHIP | $588.50 | ↑ +57% |
| Aetna-Kelsey Care | Commercial|HMO | $631.30 | ↑ +69% |
| Cigna Lifesource | Commercial|Transplant | $642.00 | ↑ +71% |
| First Health | Commercial|All Plans | $695.50 | ↑ +86% |
| Humana | Commercial|Transplant | $695.50 | ↑ +86% |
| Coventry | Commercial|PPO | $695.50 | ↑ +86% |
| Aetna | Commercial|HMO | $727.60 | ↑ +94% |
| Cigna | Commercial|Transplant | $749.00 | ↑ +100% |
| Interlink | Commercial|Transplant | $749.00 | ↑ +100% |
| Healthsmart | Commercial|PPO | $749.00 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $802.50 | ↑ +114% |
| OPTUM | Medicaid|STARPLUS | $884.04 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $909.50 | ↑ +143% |
| MHealth Network | Commercial|PPO | $1,070.00 | ↑ +186% |
Visitor-reported prices
Comments
X-ray scapula complete (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $540.58 | $431.51 – $431.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $223.85 | $24.06 – $279.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $276.52 | $56.92 – $414.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $311.92 | $24.06 – $389.89 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $223.85 | $24.06 – $279.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $276.52 | $25.74 – $414.77 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $276.52 | $24.06 – $414.77 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $311.92 | $24.06 – $467.87 |