Ghs moderate sedation < 5 yr, 30 min at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$462.90
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.
$3,086.00
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.
$55.53 with BCBS-TX vs $2,777.40 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Premier | $55.53 | ↓ -88% |
| BCBS-TX | Commercial|Blue Advantage HMO | $63.32 | ↓ -86% |
| BCBS-TX | Commercial|HMO | $63.58 | ↓ -86% |
| BCBS-TX | Commercial|PPO | $69.03 | ↓ -85% |
| Cigna | Commercial|All Plans | $100.00 | ↓ -78% |
| TCHP | Medicaid|All Other Plans | $462.90 | ↑ +0% |
| TCHP | Medicaid|CHIP | $462.90 | ↑ +0% |
| TCHP | Medicaid|STAR | $541.60 | ↑ +17% |
| SUPERIOR | Medicaid|All Other Plans | $555.48 | ↑ +20% |
| UNITED | Medicaid|All Other Plans | $555.48 | ↑ +20% |
| UNITED | Medicaid|CHIP | $555.48 | ↑ +20% |
| UNITED | Medicaid|STARPLUS | $555.48 | ↑ +20% |
| UNITED | Medicaid|STARKIDS | $555.48 | ↑ +20% |
| CHC | Medicaid|All Other Plans | $555.48 | ↑ +20% |
| CHC | Medicaid|CHIP | $555.48 | ↑ +20% |
| SUPERIOR | Medicaid|STARPLUS | $555.48 | ↑ +20% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $566.59 | ↑ +22% |
| BCBS | Medicaid|All Plans | $583.26 | ↑ +26% |
| UNITED | Medicaid|STAR | $649.92 | ↑ +40% |
| CHC | Medicaid|STAR | $649.92 | ↑ +40% |
| United | Commercial|Exchange | $678.92 | ↑ +47% |
| United | Commercial|All Other Plans | $1,110.96 | ↑ +140% |
| Humana | Commercial|All Plans | $1,481.28 | ↑ +220% |
| Aetna | Commercial|All Plans | $1,882.46 | ↑ +307% |
| PHCS | Commercial|All Plans | $2,098.48 | ↑ +353% |
| Multiplan | Commercial|All Plans | $2,160.20 | ↑ +367% |
| Galaxy | Commercial|All Plans | $2,777.40 | ↑ +500% |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,290.89 | $99.91 – $99.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $240.00 | $68.00 – $340.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.00 | $49.40 – $360.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $240.00 | $48.00 – $300.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $240.00 | $60.72 – $340.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.00 | $77.04 – $360.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $240.00 | $124.00 – $360.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $240.00 | $78.37 – $360.00 |