Fem/popl revasc w/stent at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$8,402.25
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.
$56,015.00
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.
$3,326.00 with Cigna vs $50,413.50 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 | $3,326.00 | ↓ -60% |
| United | Commercial|Exchange | $4,294.00 | ↓ -49% |
| UNITED | Medicaid|All Other Plans | $5,615.67 | ↓ -33% |
| UNITED | Medicaid|CHIP | $5,615.67 | ↓ -33% |
| UNITED | Medicaid|STAR | $5,615.67 | ↓ -33% |
| UNITED | Medicaid|STARKIDS | $5,615.67 | ↓ -33% |
| TCHP | Medicaid|All Plans | $5,615.67 | ↓ -33% |
| SUPERIOR | Medicaid|STARPLUS | $5,615.67 | ↓ -33% |
| SUPERIOR | Medicaid|All Other Plans | $5,615.67 | ↓ -33% |
| United | Commercial|All Other Plans | $5,725.00 | ↓ -32% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $5,727.98 | ↓ -32% |
| Wellpoint | Medicaid|STARPLUS | $5,784.14 | ↓ -31% |
| Wellpoint | Medicaid|All Other Plans | $5,784.14 | ↓ -31% |
| BCBS | Medicaid|All Plans | $5,896.45 | ↓ -30% |
| BCBS-TX | Commercial|Blue Advantage HMO | $6,539.60 | ↓ -22% |
| SUPERIOR | Medicaid|STAR | $8,816.60 | ↑ +5% |
| Wellpoint | Medicaid|STAR | $9,097.39 | ↑ +8% |
| BCBS | Medicare|All Plans | $10,719.33 | ↑ +28% |
| AETNA | Medicare|All Plans | $10,719.33 | ↑ +28% |
| UNITED | Medicare|All Plans | $10,719.33 | ↑ +28% |
| HUMANA | Medicare|All Plans | $10,719.33 | ↑ +28% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $10,719.33 | ↑ +28% |
| CIGNA HEALTHSPRING | Medicare|PPO | $10,826.52 | ↑ +29% |
| Wellpoint | Medicare|All Plans | $11,040.91 | ↑ +31% |
| SCANHealth | Medicare|All Plans | $11,469.68 | ↑ +37% |
| UNITED | Medicaid|STARPLUS | $12,522.94 | ↑ +49% |
| MD Save | Commercial|All Plans | $13,399.16 | ↑ +59% |
| BCBS-TX | Commercial|Blue Premier | $14,565.47 | ↑ +73% |
| BCBS-TX | Commercial|HMO | $14,862.72 | ↑ +77% |
| Angelina County | Commercial|All Plans | $15,521.14 | ↑ +85% |
| Wellpoint | Commercial|Exchange | $16,079.00 | ↑ +91% |
| BCBS-TX | Commercial|PPO | $16,348.99 | ↑ +95% |
| United | Commercial|PPO | $21,285.70 | ↑ +153% |
| Entrust | Commercial|All Plans | $25,221.85 | ↑ +200% |
| Humana | Commercial|All Plans | $28,567.65 | ↑ +240% |
| Brookshire Brothers | Commercial|All Plans | $29,102.13 | ↑ +246% |
| Aetna | Commercial|All Plans | $35,289.45 | ↑ +320% |
| PHCS | Commercial|All Plans | $38,090.20 | ↑ +353% |
| Multiplan | Commercial|All Plans | $39,210.50 | ↑ +367% |
| Galaxy | Commercial|All Plans | $50,413.50 | ↑ +500% |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $25,228.15 | $6,299.00 – $35,739.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $21,553.12 | $71.00 – $32,329.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $21,308.99 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $25,228.15 | $6,727.51 – $35,739.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $21,553.12 | $85.00 – $32,329.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $21,553.12 | $11,135.78 – $32,329.67 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $21,308.99 | $71.00 – $31,963.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $25,228.15 | $6,727.51 – $35,739.87 |