Drain shoulder lesion at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$481.35
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.
$3,209.00
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.
$705.98 with United vs $8,032.86 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 |
|---|---|---|---|
| United | Commercial|Exchange | $705.98 | ↑ +47% |
| TCHP | Medicaid|CHIP | $857.59 | ↑ +78% |
| TCHP | Medicaid|All Other Plans | $857.59 | ↑ +78% |
| UNITED | Medicaid|All Other Plans | $857.59 | ↑ +78% |
| SUPERIOR | Medicaid|STARPLUS | $857.59 | ↑ +78% |
| UNITED | Medicaid|STARKIDS | $857.59 | ↑ +78% |
| SUPERIOR | Medicaid|All Other Plans | $857.59 | ↑ +78% |
| CHC | Medicaid|CHIP | $857.59 | ↑ +78% |
| CHC | Medicaid|All Other Plans | $857.59 | ↑ +78% |
| UNITED | Medicaid|STARPLUS | $857.59 | ↑ +78% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $874.74 | ↑ +82% |
| Wellpoint | Medicaid|All Other Plans | $883.32 | ↑ +84% |
| BCBS | Medicaid|All Plans | $900.47 | ↑ +87% |
| UNITED | Medicaid|STAR | $1,003.38 | ↑ +108% |
| CHC | Medicaid|STAR | $1,003.38 | ↑ +108% |
| TCHP | Medicaid|STAR | $1,003.38 | ↑ +108% |
| Wellpoint | Medicaid|STAR | $1,037.68 | ↑ +116% |
| United | Commercial|All Other Plans | $1,155.24 | ↑ +140% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,530.47 | ↑ +218% |
| Humana | Commercial|All Plans | $1,540.32 | ↑ +220% |
| Wellpoint | Medicaid|STARPLUS | $1,903.85 | ↑ +296% |
| Aetna | Commercial|All Plans | $1,957.49 | ↑ +307% |
| Cigna | Commercial|All Plans | $2,016.00 | ↑ +319% |
| PHCS | Commercial|All Plans | $2,182.12 | ↑ +353% |
| Multiplan | Commercial|All Plans | $2,246.30 | ↑ +367% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $2,866.69 | ↑ +496% |
| HUMANA | Medicare|All Plans | $2,866.69 | ↑ +496% |
| BCBS | Medicare|All Plans | $2,866.69 | ↑ +496% |
| AETNA | Medicare|All Plans | $2,866.69 | ↑ +496% |
| UNITED | Medicare|All Plans | $2,866.69 | ↑ +496% |
| Galaxy | Commercial|All Plans | $2,888.10 | ↑ +500% |
| CIGNA HEALTHSPRING | Medicare|PPO | $2,895.36 | ↑ +502% |
| Wellpoint | Medicare|All Plans | $2,952.69 | ↑ +513% |
| SCANHealth | Medicare|All Plans | $3,067.36 | ↑ +537% |
| BCBS-TX | Commercial|Blue Premier | $3,408.77 | ↑ +608% |
| BCBS-TX | Commercial|HMO | $3,478.34 | ↑ +623% |
| MD Save | Commercial|All Plans | $3,583.36 | ↑ +644% |
| BCBS-TX | Commercial|PPO | $3,826.17 | ↑ +695% |
| Angelina County | Commercial|All Plans | $4,284.19 | ↑ +790% |
| Wellpoint | Commercial|Exchange | $4,300.04 | ↑ +793% |
| Entrust | Commercial|All Plans | $6,961.81 | ↑ +1346% |
| Brookshire Brothers | Commercial|All Plans | $8,032.86 | ↑ +1569% |
Visitor-reported prices
Comments
Drain shoulder lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,904.61 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,904.61 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,904.61 | $85.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,904.61 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,904.61 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $3,904.61 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $3,904.61 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $3,904.61 | $71.00 – $7,039.11 |