Established Patient Office Visit (level 5) at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$253.49
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.
$1,689.92
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.
$83.24 with TCHP vs $499.40 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 →
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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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $83.24 | ↓ -67% |
| TCHP | Medicaid|CHIP | $83.24 | ↓ -67% |
| TCHP | Medicaid|STAR | $97.39 | ↓ -62% |
| UNITED | Medicaid|STARPLUS | $99.88 | ↓ -61% |
| UNITED | Medicaid|STARKIDS | $99.88 | ↓ -61% |
| CHC | Medicaid|CHIP | $99.88 | ↓ -61% |
| UNITED | Medicaid|All Other Plans | $99.88 | ↓ -61% |
| UNITED | Medicaid|CHIP | $99.88 | ↓ -61% |
| SUPERIOR | Medicaid|STARPLUS | $99.88 | ↓ -61% |
| SUPERIOR | Medicaid|All Other Plans | $99.88 | ↓ -61% |
| CHC | Medicaid|All Other Plans | $99.88 | ↓ -61% |
| Cigna | Commercial|All Plans | $100.00 | ↓ -61% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $101.88 | ↓ -60% |
| BCBS | Medicaid|All Plans | $104.88 | ↓ -59% |
| UNITED | Medicaid|STAR | $116.86 | ↓ -54% |
| CHC | Medicaid|STAR | $116.86 | ↓ -54% |
| United | Commercial|Exchange | $122.08 | ↓ -52% |
| United | Commercial|All Other Plans | $199.76 | ↓ -21% |
| BCBS-TX | Commercial|Blue Premier | $241.39 | ↓ -5% |
| Humana | Commercial|All Plans | $266.35 | ↑ +5% |
| BCBS-TX | Commercial|Blue Advantage HMO | $275.23 | ↑ +9% |
| BCBS-TX | Commercial|HMO | $276.36 | ↑ +9% |
| BCBS-TX | Commercial|PPO | $300.05 | ↑ +18% |
| Aetna | Commercial|All Plans | $338.48 | ↑ +34% |
| PHCS | Commercial|All Plans | $377.32 | ↑ +49% |
| Multiplan | Commercial|All Plans | $388.42 | ↑ +53% |
| Galaxy | Commercial|All Plans | $499.40 | ↑ +97% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $450.00 | $434.28 – $434.28 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $884.58 | $263.95 – $315.77 |
| HCA HOUSTON MEDICAL CENTER | Houston | $1,971.10 | $263.95 – $315.77 |
| Baylor St Luke's Medical Center | Houston | $174.65 | $82.00 – $499.00 |
| St. Joseph Health Madison Hospital | Madisonville | $113.58 | $30.45 – $224.47 |
| St. Luke's Health Memorial Lufkin | Lufkin | $253.49 | $83.24 – $499.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $174.65 | $74.00 – $499.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $174.65 | $74.00 – $499.00 |