Debridement/bone/ea add 20 sq cm 11047 at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$432.75
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.
$2,885.00
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.
$100.00 with Cigna vs $2,596.50 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 | $100.00 | ↓ -77% |
| United | Commercial|Exchange | $153.00 | ↓ -65% |
| United | Commercial|All Other Plans | $204.00 | ↓ -53% |
| TCHP | Medicaid|All Plans | $577.00 | ↑ +33% |
| UNITED | Medicaid|STARPLUS | $965.04 | ↑ +123% |
| United | Commercial|PPO | $1,096.30 | ↑ +153% |
| Humana | Commercial|All Plans | $1,471.35 | ↑ +240% |
| Aetna | Commercial|All Plans | $1,817.55 | ↑ +320% |
| PHCS | Commercial|All Plans | $1,961.80 | ↑ +353% |
| Multiplan | Commercial|All Plans | $2,019.50 | ↑ +367% |
| Galaxy | Commercial|All Plans | $2,596.50 | ↑ +500% |
Visitor-reported prices
Comments
Debridement/bone/ea add 20 sq cm 11047 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,747.44 | $4,826.69 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,738.00 | $492.43 – $2,462.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,803.77 | $71.00 – $2,705.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,583.54 | $71.00 – $1,979.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,738.00 | $463.47 – $2,462.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,803.77 | $85.00 – $2,705.65 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,803.77 | $931.95 – $2,705.65 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,583.54 | $71.00 – $2,375.31 |