New Patient Office Visit (level 5) at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$246.90
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.
$1,646.00
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.
$100.00 with Cigna vs $671.98 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $100.00 | ↓ -59% |
| TCHP | Medicaid|All Other Plans | $112.00 | ↓ -55% |
| TCHP | Medicaid|CHIP | $112.00 | ↓ -55% |
| TCHP | Medicaid|STAR | $131.04 | ↓ -47% |
| UNITED | Medicaid|STARKIDS | $134.40 | ↓ -46% |
| CHC | Medicaid|All Other Plans | $134.40 | ↓ -46% |
| UNITED | Medicaid|All Other Plans | $134.40 | ↓ -46% |
| UNITED | Medicaid|CHIP | $134.40 | ↓ -46% |
| UNITED | Medicaid|STARPLUS | $134.40 | ↓ -46% |
| SUPERIOR | Medicaid|STARPLUS | $134.40 | ↓ -46% |
| SUPERIOR | Medicaid|All Other Plans | $134.40 | ↓ -46% |
| CHC | Medicaid|CHIP | $134.40 | ↓ -46% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $137.09 | ↓ -44% |
| BCBS | Medicaid|All Plans | $141.12 | ↓ -43% |
| CHC | Medicaid|STAR | $157.25 | ↓ -36% |
| UNITED | Medicaid|STAR | $157.25 | ↓ -36% |
| United | Commercial|Exchange | $164.27 | ↓ -33% |
| United | Commercial|All Other Plans | $268.80 | ↑ +9% |
| Humana | Commercial|All Plans | $358.39 | ↑ +45% |
| BCBS-TX | Commercial|Blue Premier | $366.35 | ↑ +48% |
| BCBS-TX | Commercial|Blue Advantage HMO | $417.70 | ↑ +69% |
| BCBS-TX | Commercial|HMO | $419.42 | ↑ +70% |
| BCBS-TX | Commercial|PPO | $455.37 | ↑ +84% |
| Aetna | Commercial|All Plans | $455.46 | ↑ +84% |
| PHCS | Commercial|All Plans | $507.72 | ↑ +106% |
| Multiplan | Commercial|All Plans | $522.65 | ↑ +112% |
| Galaxy | Commercial|All Plans | $671.98 | ↑ +172% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,075.78 | $659.08 – $659.08 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,210.66 | $351.91 – $400.58 |
| Baylor St Luke's Medical Center | Houston | $251.65 | $82.00 – $719.00 |
| St. Joseph Health Madison Hospital | Madisonville | $208.78 | $37.59 – $295.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $246.90 | $100.00 – $671.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $251.65 | $74.00 – $719.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $251.65 | $74.00 – $719.00 |
| St. Joseph Health College Station Hospital | College Station | $208.78 | $77.00 – $363.58 |