ER Visit (level 5, high severity) at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$697.50
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.
$4,650.00
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.
$265.00 with Wellpoint vs $4,804.00 with Cigna — 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $265.00 | ↓ -62% |
| Wellpoint | Medicaid|STAR | $310.05 | ↓ -56% |
| Wellpoint | Medicaid|STARPLUS | $572.40 | ↓ -18% |
| BCBS | Medicare|All Plans | $614.09 | ↓ -12% |
| AETNA | Medicare|All Plans | $614.09 | ↓ -12% |
| UNITED | Medicare|All Plans | $614.09 | ↓ -12% |
| HUMANA | Medicare|All Plans | $614.09 | ↓ -12% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $614.09 | ↓ -12% |
| CIGNA HEALTHSPRING | Medicare|PPO | $620.23 | ↓ -11% |
| Wellpoint | Medicare|All Plans | $632.51 | ↓ -9% |
| SCANHealth | Medicare|All Plans | $657.08 | ↓ -6% |
| TCHP | Medicaid|CHIP | $697.50 | ↑ +0% |
| TCHP | Medicaid|All Other Plans | $697.50 | ↑ +0% |
| MD Save | Commercial|All Plans | $767.61 | ↑ +10% |
| TCHP | Medicaid|STAR | $816.08 | ↑ +17% |
| UNITED | Medicaid|STARKIDS | $837.00 | ↑ +20% |
| SUPERIOR | Medicaid|STARPLUS | $837.00 | ↑ +20% |
| SUPERIOR | Medicaid|All Other Plans | $837.00 | ↑ +20% |
| CHC | Medicaid|CHIP | $837.00 | ↑ +20% |
| UNITED | Medicaid|CHIP | $837.00 | ↑ +20% |
| UNITED | Medicaid|All Other Plans | $837.00 | ↑ +20% |
| CHC | Medicaid|All Other Plans | $837.00 | ↑ +20% |
| UNITED | Medicaid|STARPLUS | $837.00 | ↑ +20% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $853.74 | ↑ +22% |
| BCBS | Medicaid|All Plans | $878.85 | ↑ +26% |
| Wellpoint | Commercial|Exchange | $921.14 | ↑ +32% |
| Angelina County | Commercial|All Plans | $968.43 | ↑ +39% |
| UNITED | Medicaid|STAR | $979.29 | ↑ +40% |
| CHC | Medicaid|STAR | $979.29 | ↑ +40% |
| United | Commercial|Exchange | $1,023.00 | ↑ +47% |
| BCBS-TX | Commercial|Blue Premier | $1,079.65 | ↑ +55% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,231.00 | ↑ +76% |
| BCBS-TX | Commercial|HMO | $1,236.05 | ↑ +77% |
| BCBS-TX | Commercial|PPO | $1,342.00 | ↑ +92% |
| Entrust | Commercial|All Plans | $1,573.70 | ↑ +126% |
| United | Commercial|All Other Plans | $1,674.00 | ↑ +140% |
| Brookshire Brothers | Commercial|All Plans | $1,815.81 | ↑ +160% |
| Humana | Commercial|All Plans | $2,232.00 | ↑ +220% |
| Aetna | Commercial|All Plans | $2,836.50 | ↑ +307% |
| PHCS | Commercial|All Plans | $3,162.00 | ↑ +353% |
| Multiplan | Commercial|All Plans | $3,255.00 | ↑ +367% |
| Galaxy | Commercial|All Plans | $4,185.00 | ↑ +500% |
| Cigna | Commercial|All Plans | $4,804.00 | ↑ +589% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,127.54 | $1,942.36 – $1,942.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,327.80 | $568.33 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,377.55 | $489.38 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,377.55 | $475.51 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,327.80 | $568.33 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,377.55 | $568.33 – $6,643.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,377.55 | $1,228.40 – $5,475.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,377.55 | $568.33 – $5,475.00 |