Contrast x-ray of knee joint at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$247.71
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.
$1,651.37
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.
$337.57 with HUMANA vs $1,377.90 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 |
|---|---|---|---|
| HUMANA | Medicare|All Plans | $337.57 | ↑ +36% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $337.57 | ↑ +36% |
| UNITED | Medicare|All Plans | $337.57 | ↑ +36% |
| AETNA | Medicare|All Plans | $337.57 | ↑ +36% |
| BCBS | Medicare|All Plans | $337.57 | ↑ +36% |
| CIGNA HEALTHSPRING | Medicare|PPO | $340.95 | ↑ +38% |
| Wellpoint | Medicare|All Plans | $347.70 | ↑ +40% |
| SCANHealth | Medicare|All Plans | $361.20 | ↑ +46% |
| United | Commercial|Exchange | $382.75 | ↑ +55% |
| MD Save | Commercial|All Plans | $421.96 | ↑ +70% |
| UNITED | Medicaid|All Other Plans | $461.69 | ↑ +86% |
| SUPERIOR | Medicaid|STARPLUS | $461.69 | ↑ +86% |
| UNITED | Medicaid|STARKIDS | $461.69 | ↑ +86% |
| SUPERIOR | Medicaid|All Other Plans | $461.69 | ↑ +86% |
| UNITED | Medicaid|STAR | $461.69 | ↑ +86% |
| UNITED | Medicaid|CHIP | $461.69 | ↑ +86% |
| TCHP | Medicaid|All Plans | $464.22 | ↑ +87% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $470.92 | ↑ +90% |
| Wellpoint | Medicaid|STARPLUS | $478.15 | ↑ +93% |
| Wellpoint | Medicaid|All Other Plans | $478.15 | ↑ +93% |
| BCBS | Medicaid|All Plans | $484.77 | ↑ +96% |
| United | Commercial|All Other Plans | $489.92 | ↑ +98% |
| Wellpoint | Commercial|Exchange | $506.36 | ↑ +104% |
| Angelina County | Commercial|All Plans | $542.58 | ↑ +119% |
| Cigna | Commercial|All Plans | $542.72 | ↑ +119% |
| United | Commercial|PPO | $581.78 | ↑ +135% |
| BCBS-TX | Commercial|Blue Advantage HMO | $717.88 | ↑ +190% |
| SUPERIOR | Medicaid|STAR | $724.85 | ↑ +193% |
| Wellpoint | Medicaid|STAR | $752.04 | ↑ +204% |
| Humana | Commercial|All Plans | $780.81 | ↑ +215% |
| Entrust | Commercial|All Plans | $881.69 | ↑ +256% |
| Aetna | Commercial|All Plans | $964.53 | ↑ +289% |
| BCBS-TX | Commercial|Blue Premier | $988.99 | ↑ +299% |
| Brookshire Brothers | Commercial|All Plans | $1,017.33 | ↑ +311% |
| BCBS-TX | Commercial|HMO | $1,027.18 | ↑ +315% |
| UNITED | Medicaid|STARPLUS | $1,029.57 | ↑ +316% |
| PHCS | Commercial|All Plans | $1,041.08 | ↑ +320% |
| Multiplan | Commercial|All Plans | $1,071.70 | ↑ +333% |
| BCBS-TX | Commercial|PPO | $1,141.73 | ↑ +361% |
| Galaxy | Commercial|All Plans | $1,377.90 | ↑ +456% |
Visitor-reported prices
Comments
Contrast x-ray of knee joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $495.60 | $110.94 – $952.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $923.65 | $190.12 – $1,385.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $942.13 | $110.94 – $1,177.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $495.60 | $110.94 – $952.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $923.65 | $118.71 – $1,385.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $923.65 | $110.94 – $1,385.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $942.13 | $110.94 – $1,413.19 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $495.60 | $110.94 – $952.69 |