Echo exam of fetal heart 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

$89.40

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.

$596.00

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.

$103.03 with Cigna vs $536.40 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 →

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 $103.03 ↑ +15%
HUMANA Medicare|All Plans $106.51 ↑ +19%
AETNA Medicare|All Plans $106.51 ↑ +19%
UNITED Medicare|All Plans $106.51 ↑ +19%
CIGNA HEALTHSPRING Medicare|All Other Plans $106.51 ↑ +19%
BCBS Medicare|All Plans $106.51 ↑ +19%
CIGNA HEALTHSPRING Medicare|PPO $107.58 ↑ +20%
Wellpoint Medicare|All Plans $109.71 ↑ +23%
SCANHealth Medicare|All Plans $113.97 ↑ +27%
United Commercial|Exchange $131.12 ↑ +47%
CHC Medicaid|CHIP $131.99 ↑ +48%
CHC Medicaid|All Other Plans $131.99 ↑ +48%
UNITED Medicaid|All Other Plans $131.99 ↑ +48%
SUPERIOR Medicaid|STARPLUS $131.99 ↑ +48%
UNITED Medicaid|STARPLUS $131.99 ↑ +48%
SUPERIOR Medicaid|All Other Plans $131.99 ↑ +48%
MD Save Commercial|All Plans $133.14 ↑ +49%
CIGNA HEALTHSPRING Medicaid|STARPLUS $134.63 ↑ +51%
TCHP Medicaid|CHIP $134.67 ↑ +51%
TCHP Medicaid|All Other Plans $134.67 ↑ +51%
BCBS Medicaid|All Plans $138.59 ↑ +55%
Wellpoint Medicaid|All Other Plans $138.71 ↑ +55%
UNITED Medicaid|STAR $154.43 ↑ +73%
CHC Medicaid|STAR $154.43 ↑ +73%
TCHP Medicaid|STAR $157.56 ↑ +76%
Wellpoint Commercial|Exchange $159.77 ↑ +79%
Wellpoint Medicaid|STAR $162.95 ↑ +82%
Angelina County Commercial|All Plans $165.76 ↑ +85%
BCBS-TX Commercial|Blue Advantage HMO $210.71 ↑ +136%
United Commercial|All Other Plans $214.56 ↑ +140%
Entrust Commercial|All Plans $269.36 ↑ +201%
Humana Commercial|All Plans $286.08 ↑ +220%
BCBS-TX Commercial|Blue Premier $290.29 ↑ +225%
Wellpoint Medicaid|STARPLUS $298.97 ↑ +234%
BCBS-TX Commercial|HMO $301.50 ↑ +237%
Brookshire Brothers Commercial|All Plans $310.80 ↑ +248%
BCBS-TX Commercial|PPO $335.12 ↑ +275%
Aetna Commercial|All Plans $363.56 ↑ +307%
PHCS Commercial|All Plans $405.28 ↑ +353%
Multiplan Commercial|All Plans $417.20 ↑ +367%
Galaxy Commercial|All Plans $536.40 ↑ +500%

Visitor-reported prices

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Echo exam of fetal heart at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $318.34 $48.79 – $397.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $328.97 $67.71 – $493.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $284.85 $48.79 – $356.06
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $318.34 $48.79 – $397.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $328.97 $52.21 – $493.45
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $328.97 $48.79 – $493.45
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $284.85 $48.79 – $427.27
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $318.34 $48.79 – $397.93

All Texas hospitals for this procedure →