Immunoassay tumor antigen quantitative ca 19-9 at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$90.30
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.
$602.00
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.
$17.25 with United vs $89.75 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 | $17.25 | ↓ -81% |
| UNITED | Medicaid|All Other Plans | $17.48 | ↓ -81% |
| UNITED | Medicaid|CHIP | $17.48 | ↓ -81% |
| TCHP | Medicaid|All Plans | $17.48 | ↓ -81% |
| UNITED | Medicaid|STAR | $17.48 | ↓ -81% |
| UNITED | Medicaid|STARKIDS | $17.48 | ↓ -81% |
| SUPERIOR | Medicaid|STARPLUS | $17.48 | ↓ -81% |
| SUPERIOR | Medicaid|All Other Plans | $17.48 | ↓ -81% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $17.83 | ↓ -80% |
| Wellpoint | Medicaid|STARPLUS | $18.00 | ↓ -80% |
| Wellpoint | Medicaid|All Other Plans | $18.00 | ↓ -80% |
| BCBS | Medicaid|All Plans | $18.35 | ↓ -80% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $20.81 | ↓ -77% |
| AETNA | Medicare|All Plans | $20.81 | ↓ -77% |
| UNITED | Medicare|All Plans | $20.81 | ↓ -77% |
| HUMANA | Medicare|All Plans | $20.81 | ↓ -77% |
| BCBS | Medicare|All Plans | $20.81 | ↓ -77% |
| CIGNA HEALTHSPRING | Medicare|PPO | $21.02 | ↓ -77% |
| Wellpoint | Medicare|All Plans | $21.43 | ↓ -76% |
| United | Commercial|All Other Plans | $22.08 | ↓ -76% |
| SCANHealth | Medicare|All Plans | $22.27 | ↓ -75% |
| MD Save | Commercial|All Plans | $26.01 | ↓ -71% |
| United | Commercial|PPO | $26.22 | ↓ -71% |
| SUPERIOR | Medicaid|STAR | $27.44 | ↓ -70% |
| Wellpoint | Medicaid|STAR | $28.32 | ↓ -69% |
| Wellpoint | Commercial|Exchange | $31.22 | ↓ -65% |
| Angelina County | Commercial|All Plans | $33.30 | ↓ -63% |
| Humana | Commercial|All Plans | $35.19 | ↓ -61% |
| UNITED | Medicaid|STARPLUS | $38.98 | ↓ -57% |
| BCBS-TX | Commercial|Blue Advantage HMO | $39.54 | ↓ -56% |
| Aetna | Commercial|All Plans | $43.47 | ↓ -52% |
| PHCS | Commercial|All Plans | $46.92 | ↓ -48% |
| Multiplan | Commercial|All Plans | $48.30 | ↓ -47% |
| Entrust | Commercial|All Plans | $54.11 | ↓ -40% |
| Galaxy | Commercial|All Plans | $62.10 | ↓ -31% |
| Brookshire Brothers | Commercial|All Plans | $62.43 | ↓ -31% |
| BCBS-TX | Commercial|Blue Premier | $68.67 | ↓ -24% |
| BCBS-TX | Commercial|HMO | $69.00 | ↓ -24% |
| BCBS-TX | Commercial|PPO | $69.00 | ↓ -24% |
| Cigna | Commercial|All Plans | $89.75 | ↓ -1% |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 19-9 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $301.14 | $18.73 – $80.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $166.57 | $10.00 – $208.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $132.86 | $12.00 – $199.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $166.57 | $12.00 – $208.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $166.57 | $10.00 – $208.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $132.86 | $12.00 – $199.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $132.86 | $8.00 – $199.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $166.57 | $12.00 – $249.86 |