Amputation toe metatarsophalangeal joint at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$893.10
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.
$5,954.00
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.
$1,144.86 with UNITED vs $8,562.63 with Brookshire Brothers — 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|STARKIDS | $1,144.86 | ↑ +28% |
| TCHP | Medicaid|All Plans | $1,144.86 | ↑ +28% |
| SUPERIOR | Medicaid|STARPLUS | $1,144.86 | ↑ +28% |
| UNITED | Medicaid|All Other Plans | $1,144.86 | ↑ +28% |
| UNITED | Medicaid|CHIP | $1,144.86 | ↑ +28% |
| UNITED | Medicaid|STAR | $1,144.86 | ↑ +28% |
| SUPERIOR | Medicaid|All Other Plans | $1,144.86 | ↑ +28% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $1,167.76 | ↑ +31% |
| Wellpoint | Medicaid|All Other Plans | $1,179.21 | ↑ +32% |
| Wellpoint | Medicaid|STARPLUS | $1,179.21 | ↑ +32% |
| BCBS | Medicaid|All Plans | $1,202.10 | ↑ +35% |
| United | Commercial|Exchange | $1,268.00 | ↑ +42% |
| United | Commercial|All Other Plans | $1,690.00 | ↑ +89% |
| SUPERIOR | Medicaid|STAR | $1,797.43 | ↑ +101% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,806.72 | ↑ +102% |
| Wellpoint | Medicaid|STAR | $1,854.67 | ↑ +108% |
| United | Commercial|PPO | $2,262.52 | ↑ +153% |
| UNITED | Medicaid|STARPLUS | $2,553.04 | ↑ +186% |
| Cigna | Commercial|All Plans | $2,957.00 | ↑ +231% |
| Humana | Commercial|All Plans | $3,036.54 | ↑ +240% |
| AETNA | Medicare|All Plans | $3,066.87 | ↑ +243% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $3,066.87 | ↑ +243% |
| BCBS | Medicare|All Plans | $3,066.87 | ↑ +243% |
| HUMANA | Medicare|All Plans | $3,066.87 | ↑ +243% |
| UNITED | Medicare|All Plans | $3,066.87 | ↑ +243% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,097.54 | ↑ +247% |
| Wellpoint | Medicare|All Plans | $3,158.88 | ↑ +254% |
| SCANHealth | Medicare|All Plans | $3,281.55 | ↑ +267% |
| Aetna | Commercial|All Plans | $3,751.02 | ↑ +320% |
| MD Save | Commercial|All Plans | $3,833.59 | ↑ +329% |
| BCBS-TX | Commercial|Blue Premier | $4,024.05 | ↑ +351% |
| PHCS | Commercial|All Plans | $4,048.72 | ↑ +353% |
| BCBS-TX | Commercial|HMO | $4,106.18 | ↑ +360% |
| Multiplan | Commercial|All Plans | $4,167.80 | ↑ +367% |
| BCBS-TX | Commercial|PPO | $4,516.79 | ↑ +406% |
| Angelina County | Commercial|All Plans | $4,566.74 | ↑ +411% |
| Wellpoint | Commercial|Exchange | $4,600.31 | ↑ +415% |
| Galaxy | Commercial|All Plans | $5,358.60 | ↑ +500% |
| Entrust | Commercial|All Plans | $7,420.95 | ↑ +731% |
| Brookshire Brothers | Commercial|All Plans | $8,562.63 | ↑ +859% |
Visitor-reported prices
Comments
Amputation toe metatarsophalangeal joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,914.52 | $1,088.27 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,635.57 | $71.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,375.84 | $71.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,914.52 | $1,088.27 – $8,018.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,635.57 | $85.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,635.57 | $1,088.27 – $8,018.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,375.84 | $71.00 – $8,018.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,914.52 | $1,088.27 – $8,018.48 |