Unlisted procedure rectum at St. Luke's Health Memorial Livingston
1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616
$476.10
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.
$3,174.00
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.
$18.00 with UNITED vs $3,326.00 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 |
|---|---|---|---|
| UNITED | Medicaid|STARPLUS | $18.00 | ↓ -96% |
| UNITED | Medicaid|All Other Plans | $18.00 | ↓ -96% |
| TCHP | Medicaid|All Other Plans | $447.62 | ↓ -6% |
| TCHP | Medicaid|CHIP | $447.62 | ↓ -6% |
| BCBS-TX | Commercial|Blue Advantage HMO | $504.16 | ↑ +6% |
| TCHP | Medicaid|STAR | $523.72 | ↑ +10% |
| CHC | Medicaid|All Other Plans | $537.15 | ↑ +13% |
| UNITED | Medicaid|CHIP | $537.15 | ↑ +13% |
| UNITED | Medicaid|STARKIDS | $537.15 | ↑ +13% |
| SUPERIOR | Medicaid|STARPLUS | $537.15 | ↑ +13% |
| SUPERIOR | Medicaid|All Other Plans | $537.15 | ↑ +13% |
| CHC | Medicaid|CHIP | $537.15 | ↑ +13% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $547.89 | ↑ +15% |
| BCBS | Medicaid|All Plans | $564.00 | ↑ +18% |
| UNITED | Medicaid|STAR | $628.46 | ↑ +32% |
| CHC | Medicaid|STAR | $628.46 | ↑ +32% |
| United | Commercial|Exchange | $656.51 | ↑ +38% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $913.19 | ↑ +92% |
| BCBS | Medicare|All Plans | $913.19 | ↑ +92% |
| AETNA | Medicare|All Plans | $913.19 | ↑ +92% |
| UNITED | Medicare|All Plans | $913.19 | ↑ +92% |
| HUMANA | Medicare|All Plans | $913.19 | ↑ +92% |
| CIGNA HEALTHSPRING | Medicare|PPO | $922.32 | ↑ +94% |
| Wellpoint | Medicare|All Plans | $940.59 | ↑ +98% |
| SCANHealth | Medicare|All Plans | $977.11 | ↑ +105% |
| United | Commercial|All Other Plans | $1,074.29 | ↑ +126% |
| BCBS-TX | Commercial|Blue Premier | $1,122.90 | ↑ +136% |
| MD Save | Commercial|All Plans | $1,141.49 | ↑ +140% |
| BCBS-TX | Commercial|HMO | $1,145.82 | ↑ +141% |
| BCBS-TX | Commercial|PPO | $1,260.40 | ↑ +165% |
| Wellpoint | Commercial|Exchange | $1,369.79 | ↑ +188% |
| Angelina County | Commercial|All Plans | $1,378.00 | ↑ +189% |
| Humana | Commercial|All Plans | $1,432.38 | ↑ +201% |
| Aetna | Commercial|All Plans | $1,820.32 | ↑ +282% |
| PHCS | Commercial|All Plans | $2,029.21 | ↑ +326% |
| Multiplan | Commercial|All Plans | $2,088.89 | ↑ +339% |
| Entrust | Commercial|All Plans | $2,239.25 | ↑ +370% |
| Brookshire Brothers | Commercial|All Plans | $2,583.75 | ↑ +443% |
| Galaxy | Commercial|All Plans | $2,685.71 | ↑ +464% |
| Cigna | Commercial|All Plans | $3,326.00 | ↑ +599% |
Visitor-reported prices
Comments
Unlisted procedure rectum at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,603.06 | $404.60 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $875.12 | $71.00 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $745.48 | $71.00 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,603.06 | $404.60 – $2,264.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $875.12 | $85.00 – $2,264.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $875.12 | $643.10 – $2,264.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $745.48 | $71.00 – $2,264.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,603.06 | $404.60 – $2,264.11 |