Ins lv lead exist pm/icd at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$4,822.80
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.
$32,152.00
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 $28,936.80 with Galaxy — 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 | ↓ -31% |
| United | Commercial|Exchange | $6,086.00 | ↑ +26% |
| UNITED | Medicaid|STARKIDS | $6,577.64 | ↑ +36% |
| UNITED | Medicaid|CHIP | $6,577.64 | ↑ +36% |
| UNITED | Medicaid|STAR | $6,577.64 | ↑ +36% |
| TCHP | Medicaid|All Plans | $6,577.64 | ↑ +36% |
| SUPERIOR | Medicaid|All Other Plans | $6,577.64 | ↑ +36% |
| SUPERIOR | Medicaid|STARPLUS | $6,577.64 | ↑ +36% |
| UNITED | Medicaid|All Other Plans | $6,577.64 | ↑ +36% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $6,709.19 | ↑ +39% |
| BCBS-TX | Commercial|Blue Advantage HMO | $6,766.28 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $6,774.97 | ↑ +40% |
| Wellpoint | Medicaid|STARPLUS | $6,774.97 | ↑ +40% |
| BCBS | Medicaid|All Plans | $6,906.52 | ↑ +43% |
| United | Commercial|All Other Plans | $8,115.00 | ↑ +68% |
| BCBS | Medicare|All Plans | $9,892.04 | ↑ +105% |
| AETNA | Medicare|All Plans | $9,892.04 | ↑ +105% |
| UNITED | Medicare|All Plans | $9,892.04 | ↑ +105% |
| HUMANA | Medicare|All Plans | $9,892.04 | ↑ +105% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $9,892.04 | ↑ +105% |
| CIGNA HEALTHSPRING | Medicare|PPO | $9,990.96 | ↑ +107% |
| Wellpoint | Medicare|All Plans | $10,188.80 | ↑ +111% |
| SUPERIOR | Medicaid|STAR | $10,326.89 | ↑ +114% |
| SCANHealth | Medicare|All Plans | $10,584.48 | ↑ +119% |
| Wellpoint | Medicaid|STAR | $10,655.78 | ↑ +121% |
| United | Commercial|PPO | $12,217.76 | ↑ +153% |
| MD Save | Commercial|All Plans | $12,365.05 | ↑ +156% |
| UNITED | Medicaid|STARPLUS | $14,668.14 | ↑ +204% |
| Wellpoint | Commercial|Exchange | $14,838.06 | ↑ +208% |
| Angelina County | Commercial|All Plans | $15,065.57 | ↑ +212% |
| BCBS-TX | Commercial|Blue Premier | $15,070.35 | ↑ +212% |
| BCBS-TX | Commercial|HMO | $15,377.91 | ↑ +219% |
| Humana | Commercial|All Plans | $16,397.52 | ↑ +240% |
| BCBS-TX | Commercial|PPO | $16,915.70 | ↑ +251% |
| Aetna | Commercial|All Plans | $20,255.76 | ↑ +320% |
| PHCS | Commercial|All Plans | $21,863.36 | ↑ +353% |
| Multiplan | Commercial|All Plans | $22,506.40 | ↑ +367% |
| Entrust | Commercial|All Plans | $24,481.55 | ↑ +408% |
| Brookshire Brothers | Commercial|All Plans | $28,247.94 | ↑ +486% |
| Galaxy | Commercial|All Plans | $28,936.80 | ↑ +500% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $20,536.56 | $6,252.51 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $26,236.95 | $5,400.44 – $39,355.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $17,299.23 | $6,252.51 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $20,536.56 | $6,252.51 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $26,236.95 | $6,690.19 – $39,355.43 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $26,236.95 | $6,252.51 – $39,355.43 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $17,299.23 | $6,252.51 – $26,452.82 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $20,536.56 | $6,252.51 – $26,452.82 |