Biopsy of salivary gland 42400 at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$366.75
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.
$2,445.00
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.
$49.55 with BCBS-TX vs $2,200.50 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 | $49.55 | ↓ -86% |
| SUPERIOR | Medicaid|All Other Plans | $60.57 | ↓ -83% |
| UNITED | Medicaid|All Other Plans | $60.57 | ↓ -83% |
| UNITED | Medicaid|CHIP | $60.57 | ↓ -83% |
| UNITED | Medicaid|STAR | $60.57 | ↓ -83% |
| UNITED | Medicaid|STARKIDS | $60.57 | ↓ -83% |
| TCHP | Medicaid|All Plans | $60.57 | ↓ -83% |
| SUPERIOR | Medicaid|STARPLUS | $60.57 | ↓ -83% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $61.78 | ↓ -83% |
| Wellpoint | Medicaid|All Other Plans | $62.39 | ↓ -83% |
| Wellpoint | Medicaid|STARPLUS | $62.39 | ↓ -83% |
| BCBS | Medicaid|All Plans | $63.60 | ↓ -83% |
| SUPERIOR | Medicaid|STAR | $95.09 | ↓ -74% |
| Wellpoint | Medicaid|STAR | $98.12 | ↓ -73% |
| BCBS-TX | Commercial|Blue Premier | $110.35 | ↓ -70% |
| BCBS-TX | Commercial|HMO | $112.61 | ↓ -69% |
| BCBS-TX | Commercial|PPO | $123.87 | ↓ -66% |
| UNITED | Medicaid|STARPLUS | $135.07 | ↓ -63% |
| United | Commercial|Exchange | $355.00 | ↓ -3% |
| United | Commercial|All Other Plans | $473.00 | ↑ +29% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $665.05 | ↑ +81% |
| UNITED | Medicare|All Plans | $665.05 | ↑ +81% |
| BCBS | Medicare|All Plans | $665.05 | ↑ +81% |
| AETNA | Medicare|All Plans | $665.05 | ↑ +81% |
| HUMANA | Medicare|All Plans | $665.05 | ↑ +81% |
| CIGNA HEALTHSPRING | Medicare|PPO | $671.70 | ↑ +83% |
| Wellpoint | Medicare|All Plans | $685.00 | ↑ +87% |
| SCANHealth | Medicare|All Plans | $711.60 | ↑ +94% |
| MD Save | Commercial|All Plans | $831.31 | ↑ +127% |
| United | Commercial|PPO | $929.10 | ↑ +153% |
| Angelina County | Commercial|All Plans | $992.64 | ↑ +171% |
| Wellpoint | Commercial|Exchange | $997.58 | ↑ +172% |
| Humana | Commercial|All Plans | $1,246.95 | ↑ +240% |
| Aetna | Commercial|All Plans | $1,540.35 | ↑ +320% |
| Entrust | Commercial|All Plans | $1,613.04 | ↑ +340% |
| PHCS | Commercial|All Plans | $1,662.60 | ↑ +353% |
| Multiplan | Commercial|All Plans | $1,711.50 | ↑ +367% |
| Brookshire Brothers | Commercial|All Plans | $1,861.20 | ↑ +407% |
| Cigna | Commercial|All Plans | $2,016.00 | ↑ +450% |
| Galaxy | Commercial|All Plans | $2,200.50 | ↑ +500% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,145.90 | $57.58 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $997.05 | $61.61 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,387.07 | $57.58 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,145.90 | $57.58 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $997.05 | $61.61 – $1,742.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $997.05 | $57.58 – $1,742.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,387.07 | $57.58 – $2,080.61 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,145.90 | $57.58 – $1,742.94 |