Consultation pathology during surgery cytological exam initial site 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

$229.50

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.

$1,530.00

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.

$141.88 with Cigna vs $2,430.87 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 →

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 $141.88 ↓ -38%
United Commercial|Exchange $336.60 ↑ +47%
United Commercial|All Other Plans $550.80 ↑ +140%
Humana Commercial|All Plans $734.40 ↑ +220%
CIGNA HEALTHSPRING Medicare|All Other Plans $818.22 ↑ +257%
AETNA Medicare|All Plans $818.22 ↑ +257%
UNITED Medicare|All Plans $818.22 ↑ +257%
HUMANA Medicare|All Plans $818.22 ↑ +257%
BCBS Medicare|All Plans $818.22 ↑ +257%
CIGNA HEALTHSPRING Medicare|PPO $826.40 ↑ +260%
Wellpoint Medicare|All Plans $842.77 ↑ +267%
SCANHealth Medicare|All Plans $875.50 ↑ +281%
Aetna Commercial|All Plans $933.30 ↑ +307%
MD Save Commercial|All Plans $1,022.78 ↑ +346%
PHCS Commercial|All Plans $1,040.40 ↑ +353%
Multiplan Commercial|All Plans $1,071.00 ↑ +367%
BCBS-TX Commercial|Blue Advantage HMO $1,193.58 ↑ +420%
Wellpoint Commercial|Exchange $1,227.33 ↑ +435%
Angelina County Commercial|All Plans $1,296.46 ↑ +465%
Galaxy Commercial|All Plans $1,377.00 ↑ +500%
BCBS-TX Commercial|PPO $1,530.00 ↑ +567%
BCBS-TX Commercial|Blue Premier $1,530.00 ↑ +567%
BCBS-TX Commercial|HMO $1,530.00 ↑ +567%
Entrust Commercial|All Plans $2,106.75 ↑ +818%
Brookshire Brothers Commercial|All Plans $2,430.87 ↑ +959%

Visitor-reported prices

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Consultation pathology during surgery cytological exam initial site at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $461.95 $35.00 – $2,130.15
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $519.69 $36.00 – $2,130.15
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $519.69 $36.00 – $2,130.15
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $461.95 $35.00 – $2,130.15
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $519.69 $36.00 – $2,130.15
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $519.69 $26.00 – $2,130.15
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $519.69 $36.00 – $2,130.15
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $461.95 $35.00 – $2,130.15

All Texas hospitals for this procedure →