Bx vulva or perineum/1 lesion 56605 at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$310.80
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.
$2,072.00
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.
$31.44 with BCBS-TX vs $2,272.65 with Brookshire Brothers — 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 | $31.44 | ↓ -90% |
| TCHP | Medicaid|CHIP | $47.18 | ↓ -85% |
| UNITED | Medicaid|All Other Plans | $47.18 | ↓ -85% |
| CHC | Medicaid|CHIP | $47.18 | ↓ -85% |
| SUPERIOR | Medicaid|All Other Plans | $47.18 | ↓ -85% |
| CHC | Medicaid|All Other Plans | $47.18 | ↓ -85% |
| UNITED | Medicaid|STARPLUS | $47.18 | ↓ -85% |
| UNITED | Medicaid|STARKIDS | $47.18 | ↓ -85% |
| TCHP | Medicaid|All Other Plans | $47.18 | ↓ -85% |
| SUPERIOR | Medicaid|STARPLUS | $47.18 | ↓ -85% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $48.12 | ↓ -85% |
| Wellpoint | Medicaid|All Other Plans | $48.60 | ↓ -84% |
| BCBS | Medicaid|All Plans | $49.54 | ↓ -84% |
| UNITED | Medicaid|STAR | $55.20 | ↓ -82% |
| CHC | Medicaid|STAR | $55.20 | ↓ -82% |
| TCHP | Medicaid|STAR | $55.20 | ↓ -82% |
| Wellpoint | Medicaid|STAR | $57.09 | ↓ -82% |
| BCBS-TX | Commercial|Blue Premier | $70.03 | ↓ -77% |
| BCBS-TX | Commercial|HMO | $71.46 | ↓ -77% |
| BCBS-TX | Commercial|PPO | $78.61 | ↓ -75% |
| Wellpoint | Medicaid|STARPLUS | $104.74 | ↓ -66% |
| United | Commercial|Exchange | $455.84 | ↑ +47% |
| United | Commercial|All Other Plans | $745.92 | ↑ +140% |
| BCBS | Medicare|All Plans | $872.15 | ↑ +181% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $872.15 | ↑ +181% |
| AETNA | Medicare|All Plans | $872.15 | ↑ +181% |
| HUMANA | Medicare|All Plans | $872.15 | ↑ +181% |
| UNITED | Medicare|All Plans | $872.15 | ↑ +181% |
| CIGNA HEALTHSPRING | Medicare|PPO | $880.87 | ↑ +183% |
| Wellpoint | Medicare|All Plans | $898.31 | ↑ +189% |
| SCANHealth | Medicare|All Plans | $933.20 | ↑ +200% |
| Humana | Commercial|All Plans | $994.56 | ↑ +220% |
| MD Save | Commercial|All Plans | $1,090.19 | ↑ +251% |
| Angelina County | Commercial|All Plans | $1,212.08 | ↑ +290% |
| Aetna | Commercial|All Plans | $1,263.92 | ↑ +307% |
| Wellpoint | Commercial|Exchange | $1,308.23 | ↑ +321% |
| PHCS | Commercial|All Plans | $1,408.96 | ↑ +353% |
| Multiplan | Commercial|All Plans | $1,450.40 | ↑ +367% |
| Galaxy | Commercial|All Plans | $1,864.80 | ↑ +500% |
| Entrust | Commercial|All Plans | $1,969.63 | ↑ +534% |
| Cigna | Commercial|All Plans | $2,016.00 | ↑ +549% |
| Brookshire Brothers | Commercial|All Plans | $2,272.65 | ↑ +631% |
Visitor-reported prices
Comments
Bx vulva or perineum/1 lesion 56605 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $813.53 | $44.85 – $1,991.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,148.20 | $47.99 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,117.94 | $44.85 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $813.53 | $44.85 – $1,991.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,148.20 | $47.99 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,148.20 | $44.85 – $1,991.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,117.94 | $44.85 – $2,975.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $813.53 | $44.85 – $1,991.50 |