Xpos opn fmrl eprst aor uni add-on at St. Luke's Health - Lakeside Hospital
17400 St Lukes Way, The Woodlands, TX · CommonSpirit Health · · NPI 1184868879
$122.15
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.
$349.00
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.
$27.92 with TCHP vs $9,158.00 with Cigna — 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 |
|---|---|---|---|
| TCHP | Medicaid|STARKIDS | $27.92 | ↓ -77% |
| TCHP | Medicaid|Lakeside | $27.92 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $28.48 | ↓ -77% |
| TCHP | Medicaid|STAR | $37.42 | ↓ -69% |
| UNITED | Medicaid|STAR | $38.26 | ↓ -69% |
| UNITED | Medicaid|STARPLUS | $87.12 | ↓ -29% |
| UHC | Medicaid|STARPLUS | $87.12 | ↓ -29% |
| OPTUM | Medicare|All Plans | $94.23 | ↓ -23% |
| TCHPCHIP | Medicaid|HMO | $122.15 | ↑ +0% |
| OPTUM | Medicaid|STAR | $126.27 | ↑ +3% |
| BCBS-TX | Commercial|Exchange | $162.17 | ↑ +33% |
| United | Commercial|Optum | $164.03 | ↑ +34% |
| TEXASTRUECHOICE | Medicaid|CHIP | $191.95 | ↑ +57% |
| CHC | Medicaid|HMO | $191.95 | ↑ +57% |
| CHC | Medicaid|CHIP | $191.95 | ↑ +57% |
| BCBS - TX | Commercial|MyBlue Health Exchange | $207.58 | ↑ +70% |
| Independent Med System | Commercial|All Plans | $209.40 | ↑ +71% |
| Cigna Lifesource | Commercial|Transplant | $209.40 | ↑ +71% |
| PHCS | Commercial|All Plans | $226.85 | ↑ +86% |
| Humana | Commercial|Transplant | $226.85 | ↑ +86% |
| First Health | Commercial|All Plans | $226.85 | ↑ +86% |
| PHCS Savility | Commercial|PPO | $226.85 | ↑ +86% |
| Coventry | Commercial|PPO | $226.85 | ↑ +86% |
| Aetna | Commercial|PPO | $237.32 | ↑ +94% |
| Interlink | Commercial|Transplant | $244.30 | ↑ +100% |
| Cigna | Commercial|Transplant | $244.30 | ↑ +100% |
| Healthsmart | Commercial|PPO | $244.30 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $261.75 | ↑ +114% |
| Aetna | Commercial|Transplant | $265.24 | ↑ +117% |
| OPTUM | Medicaid|STARPLUS | $288.35 | ↑ +136% |
| USA Health Network | Commercial|All Plans | $296.65 | ↑ +143% |
| BCBS-TX | Commercial|Blue Premier | $313.53 | ↑ +157% |
| MHealth Network | Commercial|PPO | $349.00 | ↑ +186% |
| BCBS-TX | Commercial|HMO | $371.92 | ↑ +204% |
| BCBS-TX | Commercial|PPO | $415.16 | ↑ +240% |
| KelseyCare | Commercial|All Other Plans | $2,404.80 | ↑ +1869% |
| Humana | Commercial|HMO | $2,430.00 | ↑ +1889% |
| Humana | Commercial|PPO | $2,430.00 | ↑ +1889% |
| United | Commercial|Exchange | $2,748.00 | ↑ +2150% |
| Cigna | Commercial|Surefit | $3,309.00 | ↑ +2609% |
| Cigna | Commercial|HMO | $3,646.00 | ↑ +2885% |
| United | Commercial|Charter | $4,058.00 | ↑ +3222% |
| United | Commercial|HMO | $4,508.00 | ↑ +3591% |
| United | Commercial|PPO | $4,508.00 | ↑ +3591% |
| Cigna | Commercial|PPO | $9,158.00 | ↑ +7397% |
Visitor-reported prices
Comments
Xpos opn fmrl eprst aor uni add-on at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,742.24 | $365.43 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,234.27 | $339.48 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,457.70 | $339.48 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,742.24 | $268.13 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,234.27 | $415.16 – $5,388.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,234.27 | $1,154.37 – $3,351.40 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,457.70 | $339.48 – $5,388.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,742.24 | $365.43 – $7,038.00 |