Knee control full kneecap at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$345.56
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.
$2,303.70
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.
$103.95 with BCBS-TX vs $623.70 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $103.95 | ↓ -70% |
| Cigna | Commercial|All Plans | $117.81 | ↓ -66% |
| BCBS-TX | Commercial|Blue Premier | $145.53 | ↓ -58% |
| BCBS-TX | Commercial|HMO | $152.46 | ↓ -56% |
| BCBS-TX | Commercial|PPO | $166.32 | ↓ -52% |
| United | Commercial|Exchange | $173.25 | ↓ -50% |
| United | Commercial|All Other Plans | $221.76 | ↓ -36% |
| United | Commercial|PPO | $263.34 | ↓ -24% |
| Entrust | Commercial|All Plans | $311.85 | ↓ -10% |
| Humana | Commercial|All Plans | $353.43 | ↑ +2% |
| Aetna | Commercial|All Plans | $436.59 | ↑ +26% |
| Angelina County | Commercial|All Plans | $443.52 | ↑ +28% |
| PHCS | Commercial|All Plans | $471.24 | ↑ +36% |
| Multiplan | Commercial|All Plans | $485.10 | ↑ +40% |
| Galaxy | Commercial|All Plans | $623.70 | ↑ +80% |
Visitor-reported prices
Comments
Knee control full kneecap at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $224.86 | $21.65 – $157.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $224.86 | $21.04 – $140.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $224.86 | $33.77 – $157.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $224.86 | $54.35 – $157.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $224.86 | $35.06 – $157.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $224.86 | $21.04 – $140.26 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $224.86 | $26.30 – $157.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $224.86 | $19.29 – $157.79 |