Ins icd gen exist sgl lead at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$6,620.55
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.
$44,137.00
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 $62,355.09 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $3,326.00 | ↓ -50% |
| United | Commercial|Exchange | $11,665.00 | ↑ +76% |
| BCBS-TX | Commercial|Blue Advantage HMO | $14,990.51 | ↑ +126% |
| United | Commercial|All Other Plans | $15,553.00 | ↑ +135% |
| United | Commercial|PPO | $16,772.06 | ↑ +153% |
| UNITED | Medicaid|STAR | $17,520.21 | ↑ +165% |
| TCHP | Medicaid|All Plans | $17,520.21 | ↑ +165% |
| UNITED | Medicaid|STARKIDS | $17,520.21 | ↑ +165% |
| SUPERIOR | Medicaid|STARPLUS | $17,520.21 | ↑ +165% |
| SUPERIOR | Medicaid|All Other Plans | $17,520.21 | ↑ +165% |
| UNITED | Medicaid|CHIP | $17,520.21 | ↑ +165% |
| UNITED | Medicaid|All Other Plans | $17,520.21 | ↑ +165% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $17,870.61 | ↑ +170% |
| Wellpoint | Medicaid|STARPLUS | $18,045.82 | ↑ +173% |
| Wellpoint | Medicaid|All Other Plans | $18,045.82 | ↑ +173% |
| BCBS | Medicaid|All Plans | $18,396.22 | ↑ +178% |
| BCBS | Medicare|All Plans | $21,216.59 | ↑ +220% |
| HUMANA | Medicare|All Plans | $21,216.59 | ↑ +220% |
| UNITED | Medicare|All Plans | $21,216.59 | ↑ +220% |
| AETNA | Medicare|All Plans | $21,216.59 | ↑ +220% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $21,216.59 | ↑ +220% |
| CIGNA HEALTHSPRING | Medicare|PPO | $21,428.76 | ↑ +224% |
| Wellpoint | Medicare|All Plans | $21,853.09 | ↑ +230% |
| Humana | Commercial|All Plans | $22,509.87 | ↑ +240% |
| SCANHealth | Medicare|All Plans | $22,701.75 | ↑ +243% |
| MD Save | Commercial|All Plans | $26,520.74 | ↑ +301% |
| SUPERIOR | Medicaid|STAR | $27,506.73 | ↑ +315% |
| Aetna | Commercial|All Plans | $27,806.31 | ↑ +320% |
| Wellpoint | Medicaid|STAR | $28,382.74 | ↑ +329% |
| PHCS | Commercial|All Plans | $30,013.16 | ↑ +353% |
| Multiplan | Commercial|All Plans | $30,895.90 | ↑ +367% |
| Wellpoint | Commercial|Exchange | $31,824.89 | ↑ +381% |
| Angelina County | Commercial|All Plans | $33,256.05 | ↑ +402% |
| BCBS-TX | Commercial|Blue Premier | $33,387.95 | ↑ +404% |
| BCBS-TX | Commercial|HMO | $34,069.34 | ↑ +415% |
| BCBS-TX | Commercial|PPO | $37,476.27 | ↑ +466% |
| UNITED | Medicaid|STARPLUS | $39,070.07 | ↑ +490% |
| Galaxy | Commercial|All Plans | $39,723.30 | ↑ +500% |
| Entrust | Commercial|All Plans | $54,041.08 | ↑ +716% |
| Brookshire Brothers | Commercial|All Plans | $62,355.09 | ↑ +842% |
Visitor-reported prices
Comments
Ins icd gen exist sgl lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $31,662.03 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $26,532.62 | $5,461.30 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27,661.55 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $31,662.03 | $16,654.19 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $26,532.62 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $26,532.62 | $13,462.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $27,661.55 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $31,662.03 | $16,654.19 – $58,392.49 |