Ghs intermed repair 20.1 - 30.0 cm-12036 at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$284.40
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.
$1,896.00
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 $2,957.00 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 | Commercial|Exchange | $153.00 | ↓ -46% |
| United | Commercial|All Other Plans | $204.00 | ↓ -28% |
| UNITED | Medicaid|All Other Plans | $228.07 | ↓ -20% |
| UNITED | Medicaid|CHIP | $228.07 | ↓ -20% |
| UNITED | Medicaid|STAR | $228.07 | ↓ -20% |
| UNITED | Medicaid|STARKIDS | $228.07 | ↓ -20% |
| SUPERIOR | Medicaid|STARPLUS | $228.07 | ↓ -20% |
| TCHP | Medicaid|All Plans | $228.07 | ↓ -20% |
| SUPERIOR | Medicaid|All Other Plans | $228.07 | ↓ -20% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $232.63 | ↓ -18% |
| Wellpoint | Medicaid|All Other Plans | $234.91 | ↓ -17% |
| Wellpoint | Medicaid|STARPLUS | $234.91 | ↓ -17% |
| BCBS | Medicaid|All Plans | $239.47 | ↓ -16% |
| BCBS-TX | Commercial|Blue Advantage HMO | $328.03 | ↑ +15% |
| SUPERIOR | Medicaid|STAR | $358.07 | ↑ +26% |
| Wellpoint | Medicaid|STAR | $369.47 | ↑ +30% |
| UNITED | Medicaid|STARPLUS | $508.60 | ↑ +79% |
| BCBS | Medicare|All Plans | $578.60 | ↑ +103% |
| AETNA | Medicare|All Plans | $578.60 | ↑ +103% |
| UNITED | Medicare|All Plans | $578.60 | ↑ +103% |
| HUMANA | Medicare|All Plans | $578.60 | ↑ +103% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $578.60 | ↑ +103% |
| CIGNA HEALTHSPRING | Medicare|PPO | $584.39 | ↑ +105% |
| Wellpoint | Medicare|All Plans | $595.96 | ↑ +110% |
| SCANHealth | Medicare|All Plans | $619.10 | ↑ +118% |
| United | Commercial|PPO | $720.48 | ↑ +153% |
| MD Save | Commercial|All Plans | $723.25 | ↑ +154% |
| BCBS-TX | Commercial|Blue Premier | $730.62 | ↑ +157% |
| BCBS-TX | Commercial|HMO | $745.53 | ↑ +162% |
| BCBS-TX | Commercial|PPO | $820.08 | ↑ +188% |
| Wellpoint | Commercial|Exchange | $867.90 | ↑ +205% |
| Angelina County | Commercial|All Plans | $886.10 | ↑ +212% |
| Humana | Commercial|All Plans | $966.96 | ↑ +240% |
| Aetna | Commercial|All Plans | $1,194.48 | ↑ +320% |
| PHCS | Commercial|All Plans | $1,289.28 | ↑ +353% |
| Multiplan | Commercial|All Plans | $1,327.20 | ↑ +367% |
| Entrust | Commercial|All Plans | $1,439.91 | ↑ +406% |
| Brookshire Brothers | Commercial|All Plans | $1,661.43 | ↑ +484% |
| Galaxy | Commercial|All Plans | $1,706.40 | ↑ +500% |
| Cigna | Commercial|All Plans | $2,957.00 | ↑ +940% |
Visitor-reported prices
Comments
Ghs intermed repair 20.1 - 30.0 cm-12036 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,195.31 | $216.80 – $1,596.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,523.57 | $71.00 – $2,285.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,122.16 | $71.00 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,195.31 | $216.80 – $1,596.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,523.57 | $85.00 – $2,285.36 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,523.57 | $216.80 – $2,285.36 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,122.16 | $71.00 – $1,683.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,195.31 | $216.80 – $1,596.25 |