Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$133.50
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.
$890.00
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.
$28.35 with BCBS-TX vs $801.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $28.35 | ↓ -79% |
| SUPERIOR | Medicaid|All Other Plans | $41.93 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $41.93 | ↓ -69% |
| UNITED | Medicaid|CHIP | $41.93 | ↓ -69% |
| UNITED | Medicaid|STAR | $41.93 | ↓ -69% |
| UNITED | Medicaid|STARKIDS | $41.93 | ↓ -69% |
| TCHP | Medicaid|All Plans | $41.93 | ↓ -69% |
| SUPERIOR | Medicaid|STARPLUS | $41.93 | ↓ -69% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $42.77 | ↓ -68% |
| Wellpoint | Medicaid|STARPLUS | $43.19 | ↓ -68% |
| Wellpoint | Medicaid|All Other Plans | $43.19 | ↓ -68% |
| BCBS | Medicaid|All Plans | $44.03 | ↓ -67% |
| BCBS-TX | Commercial|Blue Premier | $63.14 | ↓ -53% |
| BCBS-TX | Commercial|HMO | $64.43 | ↓ -52% |
| SUPERIOR | Medicaid|STAR | $65.83 | ↓ -51% |
| Wellpoint | Medicaid|STAR | $67.93 | ↓ -49% |
| BCBS-TX | Commercial|PPO | $70.87 | ↓ -47% |
| UNITED | Medicaid|STARPLUS | $93.50 | ↓ -30% |
| United | Commercial|Exchange | $153.00 | ↑ +15% |
| United | Commercial|All Other Plans | $204.00 | ↑ +53% |
| HUMANA | Medicare|All Plans | $279.02 | ↑ +109% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $279.02 | ↑ +109% |
| UNITED | Medicare|All Plans | $279.02 | ↑ +109% |
| AETNA | Medicare|All Plans | $279.02 | ↑ +109% |
| BCBS | Medicare|All Plans | $279.02 | ↑ +109% |
| CIGNA HEALTHSPRING | Medicare|PPO | $281.81 | ↑ +111% |
| Wellpoint | Medicare|All Plans | $287.39 | ↑ +115% |
| Cigna | Commercial|All Plans | $289.00 | ↑ +116% |
| SCANHealth | Medicare|All Plans | $298.55 | ↑ +124% |
| United | Commercial|PPO | $338.20 | ↑ +153% |
| MD Save | Commercial|All Plans | $348.77 | ↑ +161% |
| Angelina County | Commercial|All Plans | $417.87 | ↑ +213% |
| Wellpoint | Commercial|Exchange | $418.53 | ↑ +214% |
| Humana | Commercial|All Plans | $453.90 | ↑ +240% |
| Aetna | Commercial|All Plans | $560.70 | ↑ +320% |
| PHCS | Commercial|All Plans | $605.20 | ↑ +353% |
| Multiplan | Commercial|All Plans | $623.00 | ↑ +367% |
| Entrust | Commercial|All Plans | $679.04 | ↑ +409% |
| Brookshire Brothers | Commercial|All Plans | $783.51 | ↑ +487% |
| Galaxy | Commercial|All Plans | $801.00 | ↑ +500% |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $807.56 | $39.86 – $1,009.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,000.01 | $42.65 – $1,500.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $944.18 | $39.86 – $1,180.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $807.56 | $39.86 – $1,009.46 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,000.01 | $42.65 – $1,500.02 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,000.01 | $39.86 – $1,500.02 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $944.18 | $39.86 – $1,416.27 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $807.56 | $39.86 – $1,009.46 |