Calculi urinary-sendout at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$13.50
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.
$90.00
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.
$10.81 with UNITED vs $81.00 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 |
|---|---|---|---|
| UNITED | Medicaid|STARKIDS | $10.81 | ↓ -20% |
| SUPERIOR | Medicaid|STARPLUS | $10.81 | ↓ -20% |
| SUPERIOR | Medicaid|All Other Plans | $10.81 | ↓ -20% |
| UNITED | Medicaid|All Other Plans | $10.81 | ↓ -20% |
| UNITED | Medicaid|CHIP | $10.81 | ↓ -20% |
| UNITED | Medicaid|STAR | $10.81 | ↓ -20% |
| TCHP | Medicaid|All Plans | $10.81 | ↓ -20% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $11.03 | ↓ -18% |
| Wellpoint | Medicaid|All Other Plans | $11.13 | ↓ -18% |
| Wellpoint | Medicaid|STARPLUS | $11.13 | ↓ -18% |
| BCBS | Medicaid|All Plans | $11.35 | ↓ -16% |
| BCBS | Medicare|All Plans | $12.87 | ↓ -5% |
| HUMANA | Medicare|All Plans | $12.87 | ↓ -5% |
| AETNA | Medicare|All Plans | $12.87 | ↓ -5% |
| UNITED | Medicare|All Plans | $12.87 | ↓ -5% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $12.87 | ↓ -5% |
| CIGNA HEALTHSPRING | Medicare|PPO | $13.00 | ↓ -4% |
| Wellpoint | Medicare|All Plans | $13.26 | ↓ -2% |
| SCANHealth | Medicare|All Plans | $13.77 | ↑ +2% |
| MD Save | Commercial|All Plans | $16.09 | ↑ +19% |
| SUPERIOR | Medicaid|STAR | $16.97 | ↑ +26% |
| Wellpoint | Medicaid|STAR | $17.51 | ↑ +30% |
| Wellpoint | Commercial|Exchange | $19.31 | ↑ +43% |
| Angelina County | Commercial|All Plans | $20.59 | ↑ +53% |
| United | Commercial|Exchange | $22.50 | ↑ +67% |
| UNITED | Medicaid|STARPLUS | $24.11 | ↑ +79% |
| BCBS-TX | Commercial|Blue Advantage HMO | $24.45 | ↑ +81% |
| United | Commercial|All Other Plans | $28.80 | ↑ +113% |
| Entrust | Commercial|All Plans | $33.46 | ↑ +148% |
| United | Commercial|PPO | $34.20 | ↑ +153% |
| Brookshire Brothers | Commercial|All Plans | $38.61 | ↑ +186% |
| BCBS-TX | Commercial|Blue Premier | $42.47 | ↑ +215% |
| BCBS-TX | Commercial|HMO | $45.05 | ↑ +234% |
| Humana | Commercial|All Plans | $45.90 | ↑ +240% |
| BCBS-TX | Commercial|PPO | $51.99 | ↑ +285% |
| Cigna | Commercial|All Plans | $55.36 | ↑ +310% |
| Aetna | Commercial|All Plans | $56.70 | ↑ +320% |
| PHCS | Commercial|All Plans | $61.20 | ↑ +353% |
| Multiplan | Commercial|All Plans | $63.00 | ↑ +367% |
| Galaxy | Commercial|All Plans | $81.00 | ↑ +500% |
Visitor-reported prices
Comments
Calculi urinary-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $132.60 | $10.00 – $165.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $68.05 | $12.00 – $102.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $68.05 | $10.81 – $85.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $132.60 | $10.00 – $165.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $68.05 | $11.57 – $102.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $68.05 | $8.00 – $102.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $68.05 | $10.81 – $102.08 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $132.60 | $10.00 – $165.75 |