Aspiration peritonsillar abscess at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$80.70
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.
$538.00
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.
$18.00 with UNITED vs $3,326.00 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 |
|---|---|---|---|
| UNITED | Medicaid|STARPLUS | $18.00 | ↓ -78% |
| UNITED | Medicaid|All Other Plans | $18.00 | ↓ -78% |
| TCHP | Medicaid|CHIP | $80.70 | ↑ +0% |
| TCHP | Medicaid|All Other Plans | $80.70 | ↑ +0% |
| TCHP | Medicaid|STAR | $94.42 | ↑ +17% |
| CHC | Medicaid|CHIP | $96.84 | ↑ +20% |
| UNITED | Medicaid|CHIP | $96.84 | ↑ +20% |
| UNITED | Medicaid|STARKIDS | $96.84 | ↑ +20% |
| SUPERIOR | Medicaid|STARPLUS | $96.84 | ↑ +20% |
| SUPERIOR | Medicaid|All Other Plans | $96.84 | ↑ +20% |
| CHC | Medicaid|All Other Plans | $96.84 | ↑ +20% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $98.78 | ↑ +22% |
| BCBS | Medicaid|All Plans | $101.69 | ↑ +26% |
| UNITED | Medicaid|STAR | $113.31 | ↑ +40% |
| CHC | Medicaid|STAR | $113.31 | ↑ +40% |
| United | Commercial|Exchange | $118.36 | ↑ +47% |
| BCBS-TX | Commercial|Blue Advantage HMO | $134.40 | ↑ +67% |
| United | Commercial|All Other Plans | $193.68 | ↑ +140% |
| AETNA | Medicare|All Plans | $232.60 | ↑ +188% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $232.60 | ↑ +188% |
| HUMANA | Medicare|All Plans | $232.60 | ↑ +188% |
| BCBS | Medicare|All Plans | $232.60 | ↑ +188% |
| UNITED | Medicare|All Plans | $232.60 | ↑ +188% |
| CIGNA HEALTHSPRING | Medicare|PPO | $234.93 | ↑ +191% |
| Wellpoint | Medicare|All Plans | $239.58 | ↑ +197% |
| SCANHealth | Medicare|All Plans | $248.88 | ↑ +208% |
| Humana | Commercial|All Plans | $258.24 | ↑ +220% |
| MD Save | Commercial|All Plans | $290.75 | ↑ +260% |
| BCBS-TX | Commercial|Blue Premier | $299.35 | ↑ +271% |
| BCBS-TX | Commercial|HMO | $305.46 | ↑ +279% |
| Aetna | Commercial|All Plans | $328.18 | ↑ +307% |
| BCBS-TX | Commercial|PPO | $336.01 | ↑ +316% |
| Wellpoint | Commercial|Exchange | $348.90 | ↑ +332% |
| PHCS | Commercial|All Plans | $365.84 | ↑ +353% |
| Angelina County | Commercial|All Plans | $368.27 | ↑ +356% |
| Multiplan | Commercial|All Plans | $376.60 | ↑ +367% |
| Galaxy | Commercial|All Plans | $484.20 | ↑ +500% |
| Entrust | Commercial|All Plans | $598.44 | ↑ +642% |
| Brookshire Brothers | Commercial|All Plans | $690.51 | ↑ +756% |
| Cigna | Commercial|All Plans | $3,326.00 | ↑ +4021% |
Visitor-reported prices
Comments
Aspiration peritonsillar abscess at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,889.81 | $226.03 – $2,402.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,889.81 | $33.21 – $605.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,889.81 | $71.00 – $605.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,889.81 | $226.03 – $2,402.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,889.81 | $67.22 – $605.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,889.81 | $134.44 – $605.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,889.81 | $71.00 – $605.10 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,889.81 | $226.03 – $2,402.53 |