CT heart w/evaluation of calcium without contrast at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$43.50
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.
$290.00
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.
$83.23 with HUMANA vs $1,103.00 with Cigna — 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 | $83.23 | ↑ +91% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $83.23 | ↑ +91% |
| UNITED | Medicare|All Plans | $83.23 | ↑ +91% |
| AETNA | Medicare|All Plans | $83.23 | ↑ +91% |
| BCBS | Medicare|All Plans | $83.23 | ↑ +91% |
| CIGNA HEALTHSPRING | Medicare|PPO | $84.06 | ↑ +93% |
| Wellpoint | Medicare|All Plans | $85.73 | ↑ +97% |
| SCANHealth | Medicare|All Plans | $89.06 | ↑ +105% |
| MD Save | Commercial|All Plans | $104.04 | ↑ +139% |
| UNITED | Medicaid|All Other Plans | $109.09 | ↑ +151% |
| SUPERIOR | Medicaid|All Other Plans | $109.09 | ↑ +151% |
| UNITED | Medicaid|CHIP | $109.09 | ↑ +151% |
| UNITED | Medicaid|STARKIDS | $109.09 | ↑ +151% |
| SUPERIOR | Medicaid|STARPLUS | $109.09 | ↑ +151% |
| UNITED | Medicaid|STAR | $109.09 | ↑ +151% |
| TCHP | Medicaid|All Plans | $109.47 | ↑ +152% |
| United | Commercial|PPO | $110.20 | ↑ +153% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $111.27 | ↑ +156% |
| Wellpoint | Medicaid|STARPLUS | $112.75 | ↑ +159% |
| Wellpoint | Medicaid|All Other Plans | $112.75 | ↑ +159% |
| BCBS | Medicaid|All Plans | $114.54 | ↑ +163% |
| Wellpoint | Commercial|Exchange | $124.85 | ↑ +187% |
| Angelina County | Commercial|All Plans | $128.21 | ↑ +195% |
| Humana | Commercial|All Plans | $147.90 | ↑ +240% |
| BCBS-TX | Commercial|Blue Advantage HMO | $150.04 | ↑ +245% |
| SUPERIOR | Medicaid|STAR | $171.27 | ↑ +294% |
| Wellpoint | Medicaid|STAR | $177.34 | ↑ +308% |
| Aetna | Commercial|All Plans | $182.70 | ↑ +320% |
| PHCS | Commercial|All Plans | $197.20 | ↑ +353% |
| Multiplan | Commercial|All Plans | $203.00 | ↑ +367% |
| BCBS-TX | Commercial|Blue Premier | $206.71 | ↑ +375% |
| Entrust | Commercial|All Plans | $208.34 | ↑ +379% |
| BCBS-TX | Commercial|HMO | $214.69 | ↑ +394% |
| BCBS-TX | Commercial|PPO | $238.63 | ↑ +449% |
| Brookshire Brothers | Commercial|All Plans | $240.39 | ↑ +453% |
| UNITED | Medicaid|STARPLUS | $243.27 | ↑ +459% |
| Galaxy | Commercial|All Plans | $261.00 | ↑ +500% |
| United | Commercial|Exchange | $710.00 | ↑ +1532% |
| United | Commercial|All Other Plans | $946.00 | ↑ +2075% |
| Cigna | Commercial|All Plans | $1,103.00 | ↑ +2436% |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $79.00 | $47.40 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $217.63 | $44.79 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $218.90 | $83.05 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $79.00 | $61.88 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $217.63 | $83.05 – $1,841.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $217.63 | $86.58 – $2,181.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $218.90 | $83.05 – $1,841.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $79.00 | $61.88 – $1,841.00 |