Debr musc/fascia 20sq cm/< 11043 at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$700.20
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.
$4,668.00
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.
$153.00 with United vs $4,201.20 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 | Commercial|Exchange | $153.00 | ↓ -78% |
| United | Commercial|All Other Plans | $204.00 | ↓ -71% |
| TCHP | Medicaid|All Plans | $228.07 | ↓ -67% |
| Wellpoint | Medicaid|All Other Plans | $234.91 | ↓ -66% |
| Wellpoint | Medicaid|STARPLUS | $234.91 | ↓ -66% |
| SUPERIOR | Medicaid|STARPLUS | $276.29 | ↓ -61% |
| UNITED | Medicaid|STAR | $276.29 | ↓ -61% |
| UNITED | Medicaid|All Other Plans | $276.29 | ↓ -61% |
| UNITED | Medicaid|CHIP | $276.29 | ↓ -61% |
| SUPERIOR | Medicaid|All Other Plans | $276.29 | ↓ -61% |
| UNITED | Medicaid|STARKIDS | $276.29 | ↓ -61% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $281.82 | ↓ -60% |
| BCBS | Medicaid|All Plans | $290.10 | ↓ -59% |
| BCBS-TX | Commercial|Blue Advantage HMO | $328.03 | ↓ -53% |
| Wellpoint | Medicaid|STAR | $369.47 | ↓ -47% |
| UNITED | Medicaid|STARPLUS | $508.60 | ↓ -27% |
| HUMANA | Medicare|All Plans | $578.60 | ↓ -17% |
| BCBS | Medicare|All Plans | $578.60 | ↓ -17% |
| UNITED | Medicare|All Plans | $578.60 | ↓ -17% |
| AETNA | Medicare|All Plans | $578.60 | ↓ -17% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $578.60 | ↓ -17% |
| CIGNA HEALTHSPRING | Medicare|PPO | $584.39 | ↓ -17% |
| Wellpoint | Medicare|All Plans | $595.96 | ↓ -15% |
| SCANHealth | Medicare|All Plans | $619.10 | ↓ -12% |
| MD Save | Commercial|All Plans | $723.25 | ↑ +3% |
| BCBS-TX | Commercial|Blue Premier | $730.62 | ↑ +4% |
| BCBS-TX | Commercial|HMO | $745.53 | ↑ +6% |
| BCBS-TX | Commercial|PPO | $820.08 | ↑ +17% |
| Wellpoint | Commercial|Exchange | $867.90 | ↑ +24% |
| Angelina County | Commercial|All Plans | $886.10 | ↑ +27% |
| Entrust | Commercial|All Plans | $1,439.91 | ↑ +106% |
| Brookshire Brothers | Commercial|All Plans | $1,661.43 | ↑ +137% |
| United | Commercial|PPO | $1,773.84 | ↑ +153% |
| Humana | Commercial|All Plans | $2,380.68 | ↑ +240% |
| Aetna | Commercial|All Plans | $2,940.84 | ↑ +320% |
| Cigna | Commercial|All Plans | $2,957.00 | ↑ +322% |
| PHCS | Commercial|All Plans | $3,174.24 | ↑ +353% |
| Multiplan | Commercial|All Plans | $3,267.60 | ↑ +367% |
| Galaxy | Commercial|All Plans | $4,201.20 | ↑ +500% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,415.06 | $621.28 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,353.12 | $262.63 – $1,691.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,283.06 | $71.00 – $1,924.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,523.50 | $71.00 – $1,904.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,353.12 | $262.63 – $1,691.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,283.06 | $85.00 – $1,924.60 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,283.06 | $262.63 – $1,924.60 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,523.50 | $71.00 – $2,285.25 |