Closed carpo/metacarpal disl thumb w/manip at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$126.30
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.
$842.00
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.
$71.91 with BCBS-TX vs $757.80 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 | $71.91 | ↓ -43% |
| SUPERIOR | Medicaid|STARPLUS | $89.76 | ↓ -29% |
| SUPERIOR | Medicaid|All Other Plans | $89.76 | ↓ -29% |
| UNITED | Medicaid|All Other Plans | $89.76 | ↓ -29% |
| CHC | Medicaid|CHIP | $89.76 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $89.76 | ↓ -29% |
| UNITED | Medicaid|STARKIDS | $89.76 | ↓ -29% |
| CHC | Medicaid|All Other Plans | $89.76 | ↓ -29% |
| TCHP | Medicaid|All Other Plans | $89.76 | ↓ -29% |
| TCHP | Medicaid|CHIP | $89.76 | ↓ -29% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $91.56 | ↓ -28% |
| Wellpoint | Medicaid|All Other Plans | $92.45 | ↓ -27% |
| BCBS | Medicaid|All Plans | $94.25 | ↓ -25% |
| CHC | Medicaid|STAR | $105.02 | ↓ -17% |
| UNITED | Medicaid|STAR | $105.02 | ↓ -17% |
| TCHP | Medicaid|STAR | $105.02 | ↓ -17% |
| Wellpoint | Medicaid|STAR | $108.61 | ↓ -14% |
| UNITED | Medicaid|CHIP | $151.56 | ↑ +20% |
| BCBS-TX | Commercial|Blue Premier | $160.17 | ↑ +27% |
| BCBS-TX | Commercial|HMO | $163.44 | ↑ +29% |
| BCBS-TX | Commercial|PPO | $179.78 | ↑ +42% |
| United | Commercial|Exchange | $185.24 | ↑ +47% |
| Wellpoint | Medicaid|STARPLUS | $199.27 | ↑ +58% |
| HUMANA | Medicare|All Plans | $240.27 | ↑ +90% |
| AETNA | Medicare|All Plans | $240.27 | ↑ +90% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $240.27 | ↑ +90% |
| UNITED | Medicare|All Plans | $240.27 | ↑ +90% |
| BCBS | Medicare|All Plans | $240.27 | ↑ +90% |
| CIGNA HEALTHSPRING | Medicare|PPO | $242.67 | ↑ +92% |
| Wellpoint | Medicare|All Plans | $247.48 | ↑ +96% |
| SCANHealth | Medicare|All Plans | $257.09 | ↑ +104% |
| Cigna | Commercial|All Plans | $289.00 | ↑ +129% |
| MD Save | Commercial|All Plans | $300.34 | ↑ +138% |
| United | Commercial|All Other Plans | $303.12 | ↑ +140% |
| Angelina County | Commercial|All Plans | $355.55 | ↑ +182% |
| Wellpoint | Commercial|Exchange | $360.41 | ↑ +185% |
| Humana | Commercial|All Plans | $404.16 | ↑ +220% |
| Aetna | Commercial|All Plans | $513.62 | ↑ +307% |
| PHCS | Commercial|All Plans | $572.56 | ↑ +353% |
| Entrust | Commercial|All Plans | $577.77 | ↑ +357% |
| Multiplan | Commercial|All Plans | $589.40 | ↑ +367% |
| Brookshire Brothers | Commercial|All Plans | $666.66 | ↑ +428% |
| Galaxy | Commercial|All Plans | $757.80 | ↑ +500% |
Visitor-reported prices
Comments
Closed carpo/metacarpal disl thumb w/manip at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $718.72 | $85.32 – $898.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $508.45 | $71.00 – $762.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $535.76 | $71.00 – $669.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $718.72 | $85.32 – $898.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $508.45 | $85.00 – $762.68 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $508.45 | $85.32 – $762.68 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $535.76 | $71.00 – $803.65 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $718.72 | $85.32 – $898.39 |