Bx breast 1st lesion mr imag at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$1,011.00
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.
$6,740.00
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.
$511.75 with UNITED vs $6,066.00 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 |
|---|---|---|---|
| UNITED | Medicaid|All Other Plans | $511.75 | ↓ -49% |
| UNITED | Medicaid|STARPLUS | $511.75 | ↓ -49% |
| TCHP | Medicaid|All Other Plans | $511.75 | ↓ -49% |
| TCHP | Medicaid|CHIP | $511.75 | ↓ -49% |
| Wellpoint | Medicaid|All Other Plans | $527.10 | ↓ -48% |
| TCHP | Medicaid|STAR | $598.75 | ↓ -41% |
| Wellpoint | Medicaid|STAR | $619.22 | ↓ -39% |
| BCBS-TX | Commercial|Blue Advantage HMO | $905.92 | ↓ -10% |
| Wellpoint | Medicaid|STARPLUS | $1,136.09 | ↑ +12% |
| United | Commercial|Exchange | $1,482.80 | ↑ +47% |
| HUMANA | Medicare|All Plans | $1,622.86 | ↑ +61% |
| AETNA | Medicare|All Plans | $1,622.86 | ↑ +61% |
| UNITED | Medicare|All Plans | $1,622.86 | ↑ +61% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $1,622.86 | ↑ +61% |
| BCBS | Medicare|All Plans | $1,622.86 | ↑ +61% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,639.09 | ↑ +62% |
| Wellpoint | Medicare|All Plans | $1,671.55 | ↑ +65% |
| SCANHealth | Medicare|All Plans | $1,736.46 | ↑ +72% |
| BCBS-TX | Commercial|Blue Premier | $2,017.72 | ↑ +100% |
| MD Save | Commercial|All Plans | $2,028.57 | ↑ +101% |
| BCBS-TX | Commercial|HMO | $2,058.90 | ↑ +104% |
| BCBS-TX | Commercial|PPO | $2,264.79 | ↑ +124% |
| United | Commercial|All Other Plans | $2,426.40 | ↑ +140% |
| Wellpoint | Commercial|Exchange | $2,434.29 | ↑ +141% |
| Angelina County | Commercial|All Plans | $2,444.46 | ↑ +142% |
| Humana | Commercial|All Plans | $3,235.20 | ↑ +220% |
| Cigna | Commercial|All Plans | $3,623.00 | ↑ +258% |
| Entrust | Commercial|All Plans | $3,972.25 | ↑ +293% |
| Aetna | Commercial|All Plans | $4,111.40 | ↑ +307% |
| PHCS | Commercial|All Plans | $4,583.20 | ↑ +353% |
| Brookshire Brothers | Commercial|All Plans | $4,583.37 | ↑ +353% |
| Multiplan | Commercial|All Plans | $4,718.00 | ↑ +367% |
| Galaxy | Commercial|All Plans | $6,066.00 | ↑ +500% |
Visitor-reported prices
Comments
Bx breast 1st lesion mr imag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,231.90 | $486.45 – $4,039.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,231.90 | $71.00 – $4,847.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,231.90 | $71.00 – $4,039.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,231.90 | $486.45 – $4,039.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,231.90 | $85.00 – $4,847.85 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,231.90 | $486.45 – $4,847.85 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,231.90 | $71.00 – $4,847.85 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,231.90 | $486.45 – $4,039.88 |