ER Visit (level 1, minor) at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$97.65
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.
$651.00
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.
$6.80 with UNITED vs $788.00 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 |
|---|---|---|---|
| UNITED | Medicaid|STARKIDS | $6.80 | ↓ -93% |
| SUPERIOR | Medicaid|All Other Plans | $6.80 | ↓ -93% |
| UNITED | Medicaid|STAR | $6.80 | ↓ -93% |
| SUPERIOR | Medicaid|STARPLUS | $6.80 | ↓ -93% |
| UNITED | Medicaid|All Other Plans | $6.80 | ↓ -93% |
| UNITED | Medicaid|CHIP | $6.80 | ↓ -93% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $6.94 | ↓ -93% |
| BCBS | Medicaid|All Plans | $7.14 | ↓ -93% |
| TCHP | Medicaid|All Plans | $9.35 | ↓ -90% |
| SUPERIOR | Medicaid|STAR | $10.68 | ↓ -89% |
| UNITED | Medicaid|STARPLUS | $15.17 | ↓ -84% |
| United | Commercial|Exchange | $21.25 | ↓ -78% |
| United | Commercial|All Other Plans | $27.20 | ↓ -72% |
| United | Commercial|PPO | $32.30 | ↓ -67% |
| Humana | Commercial|All Plans | $43.35 | ↓ -56% |
| Aetna | Commercial|All Plans | $53.55 | ↓ -45% |
| PHCS | Commercial|All Plans | $57.80 | ↓ -41% |
| Multiplan | Commercial|All Plans | $59.50 | ↓ -39% |
| Galaxy | Commercial|All Plans | $76.50 | ↓ -22% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $83.23 | ↓ -15% |
| AETNA | Medicare|All Plans | $83.23 | ↓ -15% |
| HUMANA | Medicare|All Plans | $83.23 | ↓ -15% |
| UNITED | Medicare|All Plans | $83.23 | ↓ -15% |
| BCBS | Medicare|All Plans | $83.23 | ↓ -15% |
| CIGNA HEALTHSPRING | Medicare|PPO | $84.06 | ↓ -14% |
| BCBS-TX | Commercial|PPO | $85.00 | ↓ -13% |
| BCBS-TX | Commercial|Blue Premier | $85.00 | ↓ -13% |
| BCBS-TX | Commercial|Blue Advantage HMO | $85.00 | ↓ -13% |
| BCBS-TX | Commercial|HMO | $85.00 | ↓ -13% |
| Wellpoint | Medicare|All Plans | $85.73 | ↓ -12% |
| SCANHealth | Medicare|All Plans | $89.06 | ↓ -9% |
| MD Save | Commercial|All Plans | $104.04 | ↑ +7% |
| Wellpoint | Commercial|Exchange | $124.85 | ↑ +28% |
| Angelina County | Commercial|All Plans | $125.26 | ↑ +28% |
| Entrust | Commercial|All Plans | $203.55 | ↑ +108% |
| Brookshire Brothers | Commercial|All Plans | $234.87 | ↑ +141% |
| Wellpoint | Medicaid|All Other Plans | $265.00 | ↑ +171% |
| Wellpoint | Medicaid|STARPLUS | $265.00 | ↑ +171% |
| Wellpoint | Medicaid|STAR | $416.05 | ↑ +326% |
| Cigna | Commercial|All Plans | $788.00 | ↑ +707% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $409.49 | $268.04 – $268.04 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $286.94 | $80.47 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $312.33 | $64.29 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $333.31 | $66.66 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $286.94 | $76.52 – $859.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $312.33 | $80.47 – $859.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $312.33 | $161.37 – $600.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $333.31 | $80.47 – $600.00 |