How many shoppable procedure prices are published for CHI St Lukes Lakeside Hospital?

CHI St Lukes Lakeside Hospital in The Woodlands, TX currently has 111 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do CHI St Lukes Lakeside Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, CHI St Lukes Lakeside Hospital's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 30 Beds · urban Updated: 2026-02-28

CHI St Lukes Lakeside Hospital

17400 St Lukes Way, The Woodlands, TX 77384 · 111 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.81×vs. Fair Market Price

Typical commercial prices here are +81% above the fair benchmark (1.81×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 59% of the Time

File Completeness66

Price Logic73

Peer Alignment71

Clean Billing87

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.81× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

CHI St Lukes Lakeside Hospital maintains elevated commercial insurance contracts (1.81× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 59% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#257 of 307 in TX · 83rd State Percentile#2,966 of 3,385 in U.S. · 87th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.21× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 59% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 77% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.81× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.98× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.31×) jump +17% above the median procedure ratio (Q50 1.98×)
Unnegotiated chargemaster list prices average 16.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.4× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.83× Divergence

2.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+17% Upper Tail

Q25 1.21× · Q50 1.98× · Q75 2.31×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.4× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

3.5× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

3.9× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.2× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

59% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at CHI St Lukes Lakeside Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$32,100	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$20,410	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,613	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,819	$17,936	1.0×
Total hip replacement CPT Code: `27130`	—	$12,888	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$12,888	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,117	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,961	$6,109	1.0×
Breast lump removal CPT Code: `19120`	$3,114	$4,393	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$3,599	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,395	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,371	$3,446	1.0×
Rabies immune globulin HCPCS Code: `90375`	$3,334	$3,334	$322	10.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,949	$2,998	$1,021	2.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,582	$2,540	1.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,430	$2,680	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$2,430	$2,975	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$2,160	$1,959	$855	2.3×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,319	$1,256	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,120	$1,132	$511	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,061	$987	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,050	$981	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$1,648	$1,019	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$3,529	$1,019	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,726	$1,019	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$6,736	$992	$448	2.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,651	$952	$583	1.6×
Blood transfusion CPT Code: `36430`	$727	$807	$498	1.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$5,659	$755	$303	2.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$681	$681	$148	unverified
CT scan, head (with contrast) CPT Code: `70460`	$3,359	$629	$242	2.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,935	$629	$258	2.4×
CT scan, sinuses CPT Code: `70486`	$2,257	$533	$166	3.2×
CT scan, chest (no contrast) CPT Code: `71250`	$2,797	$533	$167	3.2×
CT scan, head (no contrast) CPT Code: `70450`	$2,399	$533	$160	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,851	$533	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,472	$533	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,574	$533	$163	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$298	$510	$123	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,337	$401	$272	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$208	$386	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$169	$313	$123	2.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,158	$333	$132	2.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,812	$333	$134	2.5×
Ultrasound, pelvis CPT Code: `76856`	$990	$300	$130	2.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$203	$314	$201	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,069	$276	$126	2.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$148	$276	$87	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$230	$230	$151	1.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$295	$201	$64	3.1×
Speech therapy (language evaluation) CPT Code: `92507`	$216	$216	$86	unverified
X-ray, hip CPT Code: `73502`	$561	$147	$93	1.6×
X-ray, pelvis CPT Code: `72170`	$457	$164	$110	1.5×
X-ray, lower back CPT Code: `72110`	$927	$165	$112	1.5×
X-ray, chest (single view) CPT Code: `71045`	$437	$136	$92	1.5×
X-ray, shoulder CPT Code: `73030`	$559	$136	$92	1.5×
X-ray, foot CPT Code: `73630`	$514	$136	$92	1.5×
X-ray, chest (two views) CPT Code: `71046`	$572	$136	$93	1.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$521	$136	$93	1.5×
X-ray, hand CPT Code: `73130`	$506	$136	$93	1.5×
X-ray, ankle CPT Code: `73610`	$543	$136	$93	1.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$55	$101	$35	2.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$98	$98	$40	2.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$123	$123	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$113	$113	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$113	$113	$34	unverified
Orthotic fitting and training CPT Code: `97760`	$126	$126	$51	unverified
Physical therapy (gait training) CPT Code: `97116`	$87	$87	$33	2.6×
Occupational therapy (self-care training) CPT Code: `97535`	$81	$81	$38	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$99	$99	$14	unverified
Typhoid vaccine HCPCS Code: `90675`	$464	$464	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$136	$228	$111	2.1×
Blood test, lipase CPT Code: `83690`	$161	$161	$7	23.0×
Blood test, amylase CPT Code: `82150`	$155	$155	$7	22.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$104	$104	$14	7.4×
Blood antibody screen CPT Code: `86850`	$128	$99	$46	2.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$71	$118	$56	2.1×
Drug screening test HCPCS Code: `G0480`	$73	$140	$116	1.2×
Hepatitis C antibody test CPT Code: `86803`	$106	$106	$15	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$75	$75	$10	7.5×
Blood test, vitamin B12 CPT Code: `82607`	$71	$71	$16	4.4×
Blood test, vitamin D CPT Code: `82306`	$129	$64	$31	2.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$52	$71	$49	1.4×
Flu vaccine injection HCPCS Code: `G0008`	$46	$69	$48	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	$36	$68	$49	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	$96	$68	$140	0.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$46	$85	$203	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$92	$7	$3	2.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$211	$14	$6	2.3×
Culture, bacterial CPT Code: `87070`	$264	$21	$9	2.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$94	$18	$8	2.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$473	$23	$11	2.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$127	$39	$19	2.1×
Blood test, basic metabolic panel CPT Code: `80048`	$380	$18	$9	2.0×
Blood test, liver function panel CPT Code: `80076`	$327	$18	$9	2.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$152	$36	$18	2.0×
Hepatitis B vaccine HCPCS Code: `90744`	$50	$45	$37	1.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$68	$9	$4	2.3×
Blood test, calcium CPT Code: `82310`	$53	$11	$5	2.2×
Blood test, magnesium CPT Code: `83735`	$169	$14	$7	2.0×
Speech therapy (group session) CPT Code: `92508`	$13	$27	$27	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$22	$43	$86	0.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$36	$36	$5	unverified
Blood test, potassium CPT Code: `84132`	$130	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$39	$10	$5	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$25	$8	$4	2.0×
Blood test, hemoglobin CPT Code: `85018`	$91	$6	$3	2.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$178	$10	$5	2.0×
Culture, blood CPT Code: `87040`	$246	$22	$11	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$155	$25	$14	1.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$35	$30	$25	1.2×

Showing top 25 high-impact procedures of 111 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at CHI St Lukes Lakeside Hospital (Zero PHI Required)

CMS CCN: 670059

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $32,100

1. Amount on Your Bill or Quote ($) Pre-filled with CHI St Lukes Lakeside Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask CHI St Lukes Lakeside Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$46,265 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($77,040) is $46,265 above the denoised Fair BaseRate ($30,775) and 3.3× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify CHI St Lukes Lakeside Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)80%

Median ER Wait127 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (150 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for CHI St Lukes Lakeside Hospital.

Price Index: 1.40× regional baseline

Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Ambetter (Centene)

-43.7%

Blue Cross Blue Shield

-41.3%

Health Net

+114.4%

Median Household Income$97,266U.S. Census ACS

Local Uninsured Share14.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 78/100 · Corroborated CMS CCN 670059

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 670059) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-28

Validated Rate Rows7,582 (CMS v3.0.0)

File Integrity DigestVerified · CCN 670059

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy