Closed tx metatarsophalangeal jnt disl without anes at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$126.30
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.
$842.00
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.
$58.83 with BCBS-TX vs $757.80 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 | $58.83 | ↓ -53% |
| SUPERIOR | Medicaid|All Other Plans | $74.27 | ↓ -41% |
| UNITED | Medicaid|All Other Plans | $74.27 | ↓ -41% |
| UNITED | Medicaid|CHIP | $74.27 | ↓ -41% |
| UNITED | Medicaid|STAR | $74.27 | ↓ -41% |
| UNITED | Medicaid|STARKIDS | $74.27 | ↓ -41% |
| TCHP | Medicaid|All Plans | $74.27 | ↓ -41% |
| SUPERIOR | Medicaid|STARPLUS | $74.27 | ↓ -41% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $75.76 | ↓ -40% |
| Wellpoint | Medicaid|All Other Plans | $76.50 | ↓ -39% |
| Wellpoint | Medicaid|STARPLUS | $76.50 | ↓ -39% |
| BCBS | Medicaid|All Plans | $77.98 | ↓ -38% |
| SUPERIOR | Medicaid|STAR | $116.60 | ↓ -8% |
| Wellpoint | Medicaid|STAR | $120.32 | ↓ -5% |
| BCBS-TX | Commercial|Blue Premier | $131.04 | ↑ +4% |
| BCBS-TX | Commercial|HMO | $133.71 | ↑ +6% |
| BCBS-TX | Commercial|PPO | $147.08 | ↑ +16% |
| United | Commercial|Exchange | $153.00 | ↑ +21% |
| UNITED | Medicaid|STARPLUS | $165.62 | ↑ +31% |
| United | Commercial|All Other Plans | $204.00 | ↑ +62% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $226.74 | ↑ +80% |
| UNITED | Medicare|All Plans | $226.74 | ↑ +80% |
| BCBS | Medicare|All Plans | $226.74 | ↑ +80% |
| AETNA | Medicare|All Plans | $226.74 | ↑ +80% |
| HUMANA | Medicare|All Plans | $226.74 | ↑ +80% |
| CIGNA HEALTHSPRING | Medicare|PPO | $229.01 | ↑ +81% |
| Wellpoint | Medicare|All Plans | $233.54 | ↑ +85% |
| SCANHealth | Medicare|All Plans | $242.61 | ↑ +92% |
| MD Save | Commercial|All Plans | $283.43 | ↑ +124% |
| Cigna | Commercial|All Plans | $289.00 | ↑ +129% |
| United | Commercial|PPO | $319.96 | ↑ +153% |
| Angelina County | Commercial|All Plans | $332.72 | ↑ +163% |
| Wellpoint | Commercial|Exchange | $340.11 | ↑ +169% |
| Humana | Commercial|All Plans | $429.42 | ↑ +240% |
| Aetna | Commercial|All Plans | $530.46 | ↑ +320% |
| Entrust | Commercial|All Plans | $540.67 | ↑ +328% |
| PHCS | Commercial|All Plans | $572.56 | ↑ +353% |
| Multiplan | Commercial|All Plans | $589.40 | ↑ +367% |
| Brookshire Brothers | Commercial|All Plans | $623.85 | ↑ +394% |
| Galaxy | Commercial|All Plans | $757.80 | ↑ +500% |
Visitor-reported prices
Comments
Closed tx metatarsophalangeal jnt disl without anes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $536.15 | $70.60 – $670.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $480.32 | $71.00 – $720.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $541.26 | $70.60 – $676.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $536.15 | $70.60 – $670.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $480.32 | $75.54 – $720.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $480.32 | $70.60 – $720.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $541.26 | $70.60 – $811.89 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $536.15 | $70.60 – $670.18 |