Cyclosporine modified 25 mg capsule at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$5.85
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.
$38.95
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.
$0.96 with Cigna vs $35.06 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.96 | ↓ -84% |
| BCBS-TX | Commercial|Blue Premier | $1.69 | ↓ -71% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1.75 | ↓ -70% |
| BCBS-TX | Commercial|HMO | $1.78 | ↓ -70% |
| BCBS-TX | Commercial|PPO | $2.05 | ↓ -65% |
| United | Commercial|All Other Plans | $2.82 | ↓ -52% |
| United | Commercial|Exchange | $3.13 | ↓ -46% |
| Entrust | Commercial|All Plans | $17.53 | ↑ +200% |
| Humana | Commercial|All Plans | $19.87 | ↑ +240% |
| Aetna | Commercial|All Plans | $24.54 | ↑ +319% |
| Angelina County | Commercial|All Plans | $24.93 | ↑ +326% |
| PHCS | Commercial|All Plans | $26.49 | ↑ +353% |
| Multiplan | Commercial|All Plans | $27.27 | ↑ +366% |
| Galaxy | Commercial|All Plans | $35.06 | ↑ +499% |
Visitor-reported prices
Comments
Cyclosporine modified 25 mg capsule at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $9.58 | $2.69 – $3.19 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1.11 | $0.86 – $3.15 |
| Baylor St Luke's Medical Center | Houston | $1.50 | $0.11 – $0.48 |
| HCA HOUSTON PEARLAND | Pearland | $7.87 | $0.74 – $7.11 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1.50 | $0.11 – $0.48 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1.50 | $0.11 – $0.48 |
| HCA HOUSTON SOUTHEAST | PASADENA | $36.74 | $0.74 – $7.11 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1.50 | $0.11 – $0.48 |