Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$526.20
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.
$3,508.00
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.
$49.55 with BCBS-TX vs $3,157.20 with Galaxy — 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|Blue Advantage HMO | $49.55 | ↓ -91% |
| BCBS-TX | Commercial|Blue Premier | $110.35 | ↓ -79% |
| BCBS-TX | Commercial|HMO | $112.61 | ↓ -79% |
| BCBS-TX | Commercial|PPO | $123.87 | ↓ -76% |
| UNITED | Medicaid|All Other Plans | $271.00 | ↓ -48% |
| TCHP | Medicaid|CHIP | $271.00 | ↓ -48% |
| TCHP | Medicaid|All Other Plans | $271.00 | ↓ -48% |
| UNITED | Medicaid|STARPLUS | $271.00 | ↓ -48% |
| Wellpoint | Medicaid|All Other Plans | $279.13 | ↓ -47% |
| TCHP | Medicaid|STAR | $317.07 | ↓ -40% |
| Wellpoint | Medicaid|STAR | $327.91 | ↓ -38% |
| Wellpoint | Medicaid|STARPLUS | $601.62 | ↑ +14% |
| AETNA | Medicare|All Plans | $704.73 | ↑ +34% |
| HUMANA | Medicare|All Plans | $704.73 | ↑ +34% |
| UNITED | Medicare|All Plans | $704.73 | ↑ +34% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $704.73 | ↑ +34% |
| BCBS | Medicare|All Plans | $704.73 | ↑ +34% |
| CIGNA HEALTHSPRING | Medicare|PPO | $711.78 | ↑ +35% |
| Wellpoint | Medicare|All Plans | $725.87 | ↑ +38% |
| SCANHealth | Medicare|All Plans | $754.06 | ↑ +43% |
| United | Commercial|Exchange | $771.76 | ↑ +47% |
| MD Save | Commercial|All Plans | $880.91 | ↑ +67% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +101% |
| Angelina County | Commercial|All Plans | $1,060.80 | ↑ +102% |
| United | Commercial|All Other Plans | $1,262.88 | ↑ +140% |
| Humana | Commercial|All Plans | $1,683.84 | ↑ +220% |
| Entrust | Commercial|All Plans | $1,723.80 | ↑ +228% |
| Brookshire Brothers | Commercial|All Plans | $1,989.00 | ↑ +278% |
| Cigna | Commercial|All Plans | $2,016.00 | ↑ +283% |
| Aetna | Commercial|All Plans | $2,139.88 | ↑ +307% |
| PHCS | Commercial|All Plans | $2,385.44 | ↑ +353% |
| Multiplan | Commercial|All Plans | $2,455.60 | ↑ +367% |
| Galaxy | Commercial|All Plans | $3,157.20 | ↑ +500% |
Visitor-reported prices
Comments
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,526.97 | $126.87 – $1,908.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,158.23 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,273.63 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,526.97 | $257.60 – $1,908.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,158.23 | $85.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,158.23 | $257.60 – $1,742.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,273.63 | $71.00 – $1,910.45 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,526.97 | $126.87 – $1,908.71 |