Athrectomy fem/pop/unilateral 37225 at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$9,657.60
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.
$64,384.00
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.
$3,326.00 with Cigna vs $57,945.60 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 | $3,326.00 | ↓ -66% |
| United | Commercial|Exchange | $4,294.00 | ↓ -56% |
| United | Commercial|All Other Plans | $5,725.00 | ↓ -41% |
| UNITED | Medicaid|STAR | $5,807.73 | ↓ -40% |
| UNITED | Medicaid|STARKIDS | $5,807.73 | ↓ -40% |
| TCHP | Medicaid|All Plans | $5,807.73 | ↓ -40% |
| SUPERIOR | Medicaid|STARPLUS | $5,807.73 | ↓ -40% |
| SUPERIOR | Medicaid|All Other Plans | $5,807.73 | ↓ -40% |
| UNITED | Medicaid|All Other Plans | $5,807.73 | ↓ -40% |
| UNITED | Medicaid|CHIP | $5,807.73 | ↓ -40% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $5,923.88 | ↓ -39% |
| Wellpoint | Medicaid|STARPLUS | $5,981.96 | ↓ -38% |
| Wellpoint | Medicaid|All Other Plans | $5,981.96 | ↓ -38% |
| BCBS | Medicaid|All Plans | $6,098.12 | ↓ -37% |
| BCBS-TX | Commercial|Blue Advantage HMO | $6,539.60 | ↓ -32% |
| SUPERIOR | Medicaid|STAR | $9,118.14 | ↓ -6% |
| Wellpoint | Medicaid|STAR | $9,408.52 | ↓ -3% |
| UNITED | Medicaid|STARPLUS | $12,951.24 | ↑ +34% |
| BCBS-TX | Commercial|Blue Premier | $14,565.47 | ↑ +51% |
| BCBS-TX | Commercial|HMO | $14,862.72 | ↑ +54% |
| BCBS-TX | Commercial|PPO | $16,348.99 | ↑ +69% |
| HUMANA | Medicare|All Plans | $16,973.05 | ↑ +76% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $16,973.05 | ↑ +76% |
| UNITED | Medicare|All Plans | $16,973.05 | ↑ +76% |
| AETNA | Medicare|All Plans | $16,973.05 | ↑ +76% |
| BCBS | Medicare|All Plans | $16,973.05 | ↑ +76% |
| CIGNA HEALTHSPRING | Medicare|PPO | $17,142.78 | ↑ +78% |
| Wellpoint | Medicare|All Plans | $17,482.24 | ↑ +81% |
| SCANHealth | Medicare|All Plans | $18,161.16 | ↑ +88% |
| MD Save | Commercial|All Plans | $21,216.31 | ↑ +120% |
| United | Commercial|PPO | $24,465.92 | ↑ +153% |
| Angelina County | Commercial|All Plans | $24,739.65 | ↑ +156% |
| Wellpoint | Commercial|Exchange | $25,459.58 | ↑ +164% |
| Humana | Commercial|All Plans | $32,835.84 | ↑ +240% |
| Entrust | Commercial|All Plans | $40,201.93 | ↑ +316% |
| Aetna | Commercial|All Plans | $40,561.92 | ↑ +320% |
| PHCS | Commercial|All Plans | $43,781.12 | ↑ +353% |
| Multiplan | Commercial|All Plans | $45,068.80 | ↑ +367% |
| Brookshire Brothers | Commercial|All Plans | $46,386.84 | ↑ +380% |
| Galaxy | Commercial|All Plans | $57,945.60 | ↑ +500% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $26,503.49 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,745.61 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $22,902.90 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $26,503.49 | $7,038.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27,745.61 | $85.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27,745.61 | $14,096.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $22,902.90 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $26,503.49 | $7,038.00 – $43,439.01 |