Bivalirudin at St. Luke's Health Memorial Livingston

1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$3,323.61

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$22,157.35

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.19 with Cigna vs $2,290.47 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 →

Payer
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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
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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
Cigna Commercial|All Plans $0.19 ↓ -100%
BCBS-TX Commercial|Blue Premier $2.95 ↓ -100%
BCBS-TX Commercial|Blue Advantage HMO $3.05 ↓ -100%
BCBS-TX Commercial|HMO $3.11 ↓ -100%
BCBS-TX Commercial|PPO $3.57 ↓ -100%
United Commercial|Exchange $559.90 ↓ -83%
United Commercial|All Other Plans $916.19 ↓ -72%
Entrust Commercial|All Plans $1,145.24 ↓ -66%
Humana Commercial|All Plans $1,221.59 ↓ -63%
Aetna Commercial|All Plans $1,552.43 ↓ -53%
Angelina County Commercial|All Plans $1,628.78 ↓ -51%
PHCS Commercial|All Plans $1,730.58 ↓ -48%
Multiplan Commercial|All Plans $1,781.48 ↓ -46%
Galaxy Commercial|All Plans $2,290.47 ↓ -31%

Visitor-reported prices

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Bivalirudin at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $7,681.72 $0.15 – $9.45
St. Luke's Health - Patients Medical Center Pasadena $863.63 $0.23 – $1,850.63
Baylor St Luke's Medical Center Houston $2,412.12 $0.28 – $581.76
St. Luke's Health Memorial Lufkin Lufkin $3,323.61 $0.19 – $2,290.47
St. Luke's Health - Springwoods Village Hospital Spring $2,412.12 $0.23 – $581.76
St. Luke's Health - Sugar Land Hospital Sugar Land $2,412.12 $0.23 – $581.76
St. Luke's Health - Lakeside Hospital The Woodlands $2,412.12 $0.23 – $581.76
St. Luke's Health - Brazosport Hospital Lake Jackson $1,038.91 $0.20 – $1,929.39

All Texas hospitals for this procedure →