Amniocentesis therapeutic at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
not published by hospital
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.
not published by hospital
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.
$90.28 with BCBS-TX vs $4,153.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $90.28 | — |
| SUPERIOR | Medicaid|All Other Plans | $122.81 | — |
| UNITED | Medicaid|All Other Plans | $122.81 | — |
| UNITED | Medicaid|CHIP | $122.81 | — |
| UNITED | Medicaid|STAR | $122.81 | — |
| UNITED | Medicaid|STARKIDS | $122.81 | — |
| TCHP | Medicaid|All Plans | $122.81 | — |
| SUPERIOR | Medicaid|STARPLUS | $122.81 | — |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $125.27 | — |
| Wellpoint | Medicaid|All Other Plans | $126.49 | — |
| Wellpoint | Medicaid|STARPLUS | $126.49 | — |
| BCBS | Medicaid|All Plans | $128.95 | — |
| United | Commercial|Exchange | $153.00 | — |
| SUPERIOR | Medicaid|STAR | $192.81 | — |
| Wellpoint | Medicaid|STAR | $198.95 | — |
| BCBS-TX | Commercial|Blue Premier | $201.08 | — |
| United | Commercial|All Other Plans | $204.00 | — |
| BCBS-TX | Commercial|HMO | $205.19 | — |
| BCBS-TX | Commercial|PPO | $225.70 | — |
| UNITED | Medicaid|STARPLUS | $273.87 | — |
| UNITED | Medicare|All Plans | $287.53 | — |
| HUMANA | Medicare|All Plans | $287.53 | — |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $287.53 | — |
| AETNA | Medicare|All Plans | $287.53 | — |
| BCBS | Medicare|All Plans | $287.53 | — |
| CIGNA HEALTHSPRING | Medicare|PPO | $290.41 | — |
| Wellpoint | Medicare|All Plans | $296.16 | — |
| SCANHealth | Medicare|All Plans | $307.66 | — |
| MD Save | Commercial|All Plans | $359.41 | — |
| Wellpoint | Commercial|Exchange | $431.30 | — |
| Angelina County | Commercial|All Plans | $452.61 | — |
| Entrust | Commercial|All Plans | $735.49 | — |
| Brookshire Brothers | Commercial|All Plans | $848.64 | — |
| Cigna | Commercial|All Plans | $4,153.00 | — |
| Humana | Commercial|All Plans | not published by hospital | — |
| PHCS | Commercial|All Plans | not published by hospital | — |
| Multiplan | Commercial|All Plans | not published by hospital | — |
| Aetna | Commercial|All Plans | not published by hospital | — |
| Galaxy | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Amniocentesis therapeutic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $672.92 | $116.74 – $841.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,170.42 | $71.00 – $1,755.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,034.46 | $71.00 – $1,293.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $672.92 | $116.74 – $841.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,170.42 | $85.00 – $1,755.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,170.42 | $116.74 – $1,755.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,034.46 | $71.00 – $1,551.69 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $672.92 | $116.74 – $841.15 |