Insertion subcutaneous cardiac rhythm monitor at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$2,506.50
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.
$16,710.00
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 $22,474.20 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 | ↑ +33% |
| United | Commercial|Exchange | $4,294.00 | ↑ +71% |
| BCBS-TX | Commercial|Blue Advantage HMO | $5,043.62 | ↑ +101% |
| United | Commercial|All Other Plans | $5,725.00 | ↑ +128% |
| UNITED | Medicaid|CHIP | $6,059.74 | ↑ +142% |
| UNITED | Medicaid|STAR | $6,059.74 | ↑ +142% |
| TCHP | Medicaid|All Plans | $6,059.74 | ↑ +142% |
| UNITED | Medicaid|STARKIDS | $6,059.74 | ↑ +142% |
| SUPERIOR | Medicaid|STARPLUS | $6,059.74 | ↑ +142% |
| SUPERIOR | Medicaid|All Other Plans | $6,059.74 | ↑ +142% |
| UNITED | Medicaid|All Other Plans | $6,059.74 | ↑ +142% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $6,180.93 | ↑ +147% |
| Wellpoint | Medicaid|All Other Plans | $6,241.53 | ↑ +149% |
| Wellpoint | Medicaid|STARPLUS | $6,241.53 | ↑ +149% |
| United | Commercial|PPO | $6,349.80 | ↑ +153% |
| BCBS | Medicaid|All Plans | $6,362.73 | ↑ +154% |
| AETNA | Medicare|All Plans | $7,822.62 | ↑ +212% |
| UNITED | Medicare|All Plans | $7,822.62 | ↑ +212% |
| BCBS | Medicare|All Plans | $7,822.62 | ↑ +212% |
| HUMANA | Medicare|All Plans | $7,822.62 | ↑ +212% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $7,822.62 | ↑ +212% |
| CIGNA HEALTHSPRING | Medicare|PPO | $7,900.85 | ↑ +215% |
| Wellpoint | Medicare|All Plans | $8,057.30 | ↑ +221% |
| SCANHealth | Medicare|All Plans | $8,370.20 | ↑ +234% |
| Humana | Commercial|All Plans | $8,522.10 | ↑ +240% |
| SUPERIOR | Medicaid|STAR | $9,513.79 | ↑ +280% |
| MD Save | Commercial|All Plans | $9,778.27 | ↑ +290% |
| Wellpoint | Medicaid|STAR | $9,816.78 | ↑ +292% |
| Aetna | Commercial|All Plans | $10,527.30 | ↑ +320% |
| BCBS-TX | Commercial|Blue Premier | $11,233.52 | ↑ +348% |
| PHCS | Commercial|All Plans | $11,362.80 | ↑ +353% |
| BCBS-TX | Commercial|HMO | $11,462.78 | ↑ +357% |
| Multiplan | Commercial|All Plans | $11,697.00 | ↑ +367% |
| Wellpoint | Commercial|Exchange | $11,733.93 | ↑ +368% |
| Angelina County | Commercial|All Plans | $11,986.24 | ↑ +378% |
| BCBS-TX | Commercial|PPO | $12,609.05 | ↑ +403% |
| UNITED | Medicaid|STARPLUS | $13,513.22 | ↑ +439% |
| Galaxy | Commercial|All Plans | $15,039.00 | ↑ +500% |
| Entrust | Commercial|All Plans | $19,477.64 | ↑ +677% |
| Brookshire Brothers | Commercial|All Plans | $22,474.20 | ↑ +797% |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,520.42 | $5,112.25 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,985.87 | $71.00 – $22,478.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,760.60 | $71.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,520.42 | $5,254.26 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,985.87 | $85.00 – $22,478.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,985.87 | $5,760.21 – $22,478.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $14,760.60 | $71.00 – $22,140.90 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,520.42 | $5,254.26 – $21,045.99 |