Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$65.10
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.
$434.00
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.
$10.06 with SUPERIOR vs $52.33 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|STARPLUS | $10.06 | ↓ -85% |
| UNITED | Medicaid|All Other Plans | $10.06 | ↓ -85% |
| UNITED | Medicaid|CHIP | $10.06 | ↓ -85% |
| SUPERIOR | Medicaid|All Other Plans | $10.06 | ↓ -85% |
| UNITED | Medicaid|STARKIDS | $10.06 | ↓ -85% |
| UNITED | Medicaid|STAR | $10.06 | ↓ -85% |
| TCHP | Medicaid|All Plans | $10.06 | ↓ -85% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $10.26 | ↓ -84% |
| Wellpoint | Medicaid|All Other Plans | $10.36 | ↓ -84% |
| Wellpoint | Medicaid|STARPLUS | $10.36 | ↓ -84% |
| BCBS | Medicaid|All Plans | $10.56 | ↓ -84% |
| United | Commercial|Exchange | $11.50 | ↓ -82% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $11.98 | ↓ -82% |
| AETNA | Medicare|All Plans | $11.98 | ↓ -82% |
| UNITED | Medicare|All Plans | $11.98 | ↓ -82% |
| HUMANA | Medicare|All Plans | $11.98 | ↓ -82% |
| BCBS | Medicare|All Plans | $11.98 | ↓ -82% |
| CIGNA HEALTHSPRING | Medicare|PPO | $12.10 | ↓ -81% |
| Wellpoint | Medicare|All Plans | $12.34 | ↓ -81% |
| SCANHealth | Medicare|All Plans | $12.82 | ↓ -80% |
| United | Commercial|All Other Plans | $14.72 | ↓ -77% |
| MD Save | Commercial|All Plans | $14.98 | ↓ -77% |
| SUPERIOR | Medicaid|STAR | $15.79 | ↓ -76% |
| Wellpoint | Medicaid|STAR | $16.30 | ↓ -75% |
| United | Commercial|PPO | $17.48 | ↓ -73% |
| Wellpoint | Commercial|Exchange | $17.97 | ↓ -72% |
| Angelina County | Commercial|All Plans | $19.17 | ↓ -71% |
| UNITED | Medicaid|STARPLUS | $22.43 | ↓ -66% |
| BCBS-TX | Commercial|Blue Advantage HMO | $22.76 | ↓ -65% |
| Humana | Commercial|All Plans | $23.46 | ↓ -64% |
| Aetna | Commercial|All Plans | $28.98 | ↓ -55% |
| Entrust | Commercial|All Plans | $31.15 | ↓ -52% |
| PHCS | Commercial|All Plans | $31.28 | ↓ -52% |
| Multiplan | Commercial|All Plans | $32.20 | ↓ -51% |
| Brookshire Brothers | Commercial|All Plans | $35.94 | ↓ -45% |
| BCBS-TX | Commercial|Blue Premier | $39.53 | ↓ -39% |
| Galaxy | Commercial|All Plans | $41.40 | ↓ -36% |
| BCBS-TX | Commercial|HMO | $41.93 | ↓ -36% |
| BCBS-TX | Commercial|PPO | $46.00 | ↓ -29% |
| Cigna | Commercial|All Plans | $52.33 | ↓ -20% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $265.55 | $10.78 – $46.12 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $127.01 | $10.00 – $158.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $119.91 | $12.00 – $179.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $147.65 | $10.06 – $184.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $127.01 | $10.00 – $158.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $119.91 | $10.76 – $179.87 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $119.91 | $8.00 – $179.87 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $147.65 | $10.06 – $221.47 |