Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) 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

$43.38

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.

$289.20

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.

$5.46 with Cigna vs $35.06 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 $5.46 ↓ -87%
United Commercial|Exchange $8.57 ↓ -80%
United Commercial|All Other Plans $14.03 ↓ -68%
Entrust Commercial|All Plans $17.53 ↓ -60%
Humana Commercial|All Plans $18.70 ↓ -57%
Aetna Commercial|All Plans $23.76 ↓ -45%
Angelina County Commercial|All Plans $24.93 ↓ -43%
PHCS Commercial|All Plans $26.49 ↓ -39%
Multiplan Commercial|All Plans $27.27 ↓ -37%
Galaxy Commercial|All Plans $35.06 ↓ -19%

Visitor-reported prices

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Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $705.89 $0.35 – $0.35
Covenant Children's Hospital Lubbock $129.02 $0.30 – $0.30
Baylor St Luke's Medical Center Houston $145.92 $12.49 – $56.74
St. Luke's Health Memorial Lufkin Lufkin $43.38 $5.46 – $35.06
St. Luke's Health - Springwoods Village Hospital Spring $145.92 $12.49 – $56.74
St. Luke's Health - Sugar Land Hospital Sugar Land $145.92 $12.49 – $56.74
St. Luke's Health - Lakeside Hospital The Woodlands $145.92 $12.49 – $56.74
St. Luke's Health - Brazosport Hospital Lake Jackson $118.34 $2.52 – $10.92

All Texas hospitals for this procedure →