CMS Price Transparency Data

Hospital observation (per hour)

Facility: CHI St Lukes Lakeside Hospital

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $40
Cash Discount Price: $22
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at CHI St Lukes Lakeside Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 17400 St Lukes Way, The Woodlands, TX.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$5 - $62	N/A
Chc	$5 - $34	N/A
Tchp	$5 - $7	N/A
United	$5 - $3,931	N/A
UnitedHealthcare	$5 - $51	N/A
Wellpoint	$5 - $7	N/A
Tchpchip	$22 - $27	N/A
Texastruechoice	$34	N/A
Aetna	$37 - $47	N/A
Cigna	$37 - $10,335	N/A
Coventry	$40	N/A
First Health	$40	N/A
Humana	$40 - $90	N/A
PHCS	$40	N/A
Healthsmart	$43	N/A
Interlink	$43	N/A
PHCS Savility	$43	N/A
Multiplan	$46	N/A
USA Health Network	$53	N/A
Mhealth Network	$62	N/A
Kelseycare	$91	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $22.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm CHI St Lukes Lakeside Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.