Incision of breast lesion at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$659.59
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.
$4,397.22
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.
$511.75 with TCHP vs $4,288.92 with Brookshire Brothers — 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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $511.75 | ↓ -22% |
| Wellpoint | Medicaid|STARPLUS | $527.10 | ↓ -20% |
| Wellpoint | Medicaid|All Other Plans | $527.10 | ↓ -20% |
| SUPERIOR | Medicaid|All Other Plans | $659.59 | ↑ +0% |
| UNITED | Medicaid|CHIP | $659.59 | ↑ +0% |
| UNITED | Medicaid|STAR | $659.59 | ↑ +0% |
| UNITED | Medicaid|STARKIDS | $659.59 | ↑ +0% |
| SUPERIOR | Medicaid|STARPLUS | $659.59 | ↑ +0% |
| UNITED | Medicaid|All Other Plans | $659.59 | ↑ +0% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $672.78 | ↑ +2% |
| BCBS | Medicaid|All Plans | $692.57 | ↑ +5% |
| Wellpoint | Medicaid|STAR | $829.03 | ↑ +26% |
| BCBS-TX | Commercial|Blue Advantage HMO | $905.92 | ↑ +37% |
| SUPERIOR | Medicaid|STAR | $1,035.55 | ↑ +57% |
| UNITED | Medicaid|STARPLUS | $1,141.20 | ↑ +73% |
| United | Commercial|Exchange | $1,268.00 | ↑ +92% |
| BCBS | Medicare|All Plans | $1,531.48 | ↑ +132% |
| AETNA | Medicare|All Plans | $1,531.48 | ↑ +132% |
| UNITED | Medicare|All Plans | $1,531.48 | ↑ +132% |
| HUMANA | Medicare|All Plans | $1,531.48 | ↑ +132% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $1,531.48 | ↑ +132% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,546.79 | ↑ +135% |
| Wellpoint | Medicare|All Plans | $1,577.42 | ↑ +139% |
| SCANHealth | Medicare|All Plans | $1,638.68 | ↑ +148% |
| United | Commercial|PPO | $1,670.95 | ↑ +153% |
| United | Commercial|All Other Plans | $1,690.00 | ↑ +156% |
| MD Save | Commercial|All Plans | $1,914.35 | ↑ +190% |
| BCBS-TX | Commercial|Blue Premier | $2,017.72 | ↑ +206% |
| BCBS-TX | Commercial|HMO | $2,058.90 | ↑ +212% |
| Humana | Commercial|All Plans | $2,242.59 | ↑ +240% |
| BCBS-TX | Commercial|PPO | $2,264.79 | ↑ +243% |
| Angelina County | Commercial|All Plans | $2,287.42 | ↑ +247% |
| Wellpoint | Commercial|Exchange | $2,297.22 | ↑ +248% |
| Aetna | Commercial|All Plans | $2,770.25 | ↑ +320% |
| Cigna | Commercial|All Plans | $2,957.00 | ↑ +348% |
| PHCS | Commercial|All Plans | $2,990.11 | ↑ +353% |
| Multiplan | Commercial|All Plans | $3,078.06 | ↑ +367% |
| Entrust | Commercial|All Plans | $3,717.06 | ↑ +464% |
| Galaxy | Commercial|All Plans | $3,957.50 | ↑ +500% |
| Brookshire Brothers | Commercial|All Plans | $4,288.92 | ↑ +550% |
Visitor-reported prices
Comments
Incision of breast lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,030.26 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,041.19 | $71.00 – $4,561.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,207.17 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,030.26 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,041.19 | $85.00 – $4,561.78 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,041.19 | $486.45 – $4,561.78 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,207.17 | $71.00 – $4,810.75 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,030.26 | $486.45 – $4,016.35 |