Irinotecan 20 mg/ml intravenous solution (wrapper) at St. Luke's Health Memorial Lufkin

1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$399.30

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,661.99

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.53 with Cigna vs $138.82 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 →

Payer
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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
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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 $3.53 ↓ -99%
BCBS-TX Commercial|Blue Premier $6.12 ↓ -98%
BCBS-TX Commercial|Blue Advantage HMO $6.32 ↓ -98%
BCBS-TX Commercial|HMO $6.44 ↓ -98%
BCBS-TX Commercial|PPO $7.41 ↓ -98%
United Commercial|All Other Plans $28.18 ↓ -93%
United Commercial|Exchange $31.31 ↓ -92%
Entrust Commercial|All Plans $69.41 ↓ -83%
Humana Commercial|All Plans $78.67 ↓ -80%
Aetna Commercial|All Plans $97.18 ↓ -76%
Angelina County Commercial|All Plans $98.72 ↓ -75%
PHCS Commercial|All Plans $104.89 ↓ -74%
Multiplan Commercial|All Plans $107.97 ↓ -73%
Galaxy Commercial|All Plans $138.82 ↓ -65%

Visitor-reported prices

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Irinotecan 20 mg/ml intravenous solution (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $96.74 $11.01 – $11.01
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $911.74 $1.64 – $31.36
HCA HOUSTON MEDICAL CENTER Houston $2,221.23 $1.64 – $31.36
Covenant Children's Hospital Lubbock $813.75 $4.89 – $11.42
HCA HOUSTON KINGWOOD HUMBLE $2,154.08 $1.79 – $31.36
HCA HOUSTON NORTHWEST SPRING $2,140.65 $1.64 – $31.36
Baylor St Luke's Medical Center Houston $227.39 $2.57 – $429.66
St. Luke's Health - Springwoods Village Hospital Spring $227.39 $2.81 – $429.66

All Texas hospitals for this procedure →