MRI orbit/face/neck without & w/contrast at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$1,005.30
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.
$6,702.00
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.
$337.57 with HUMANA vs $6,031.80 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 |
|---|---|---|---|
| HUMANA | Medicare|All Plans | $337.57 | ↓ -66% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $337.57 | ↓ -66% |
| UNITED | Medicare|All Plans | $337.57 | ↓ -66% |
| AETNA | Medicare|All Plans | $337.57 | ↓ -66% |
| BCBS | Medicare|All Plans | $337.57 | ↓ -66% |
| CIGNA HEALTHSPRING | Medicare|PPO | $340.95 | ↓ -66% |
| Wellpoint | Medicare|All Plans | $347.70 | ↓ -65% |
| SCANHealth | Medicare|All Plans | $361.20 | ↓ -64% |
| MD Save | Commercial|All Plans | $421.96 | ↓ -58% |
| BCBS-TX | Commercial|Blue Advantage HMO | $439.13 | ↓ -56% |
| UNITED | Medicaid|All Other Plans | $461.69 | ↓ -54% |
| SUPERIOR | Medicaid|STARPLUS | $461.69 | ↓ -54% |
| UNITED | Medicaid|STARKIDS | $461.69 | ↓ -54% |
| SUPERIOR | Medicaid|All Other Plans | $461.69 | ↓ -54% |
| UNITED | Medicaid|STAR | $461.69 | ↓ -54% |
| UNITED | Medicaid|CHIP | $461.69 | ↓ -54% |
| TCHP | Medicaid|All Plans | $464.22 | ↓ -54% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $470.92 | ↓ -53% |
| Wellpoint | Medicaid|STARPLUS | $478.15 | ↓ -52% |
| Wellpoint | Medicaid|All Other Plans | $478.15 | ↓ -52% |
| BCBS | Medicaid|All Plans | $484.77 | ↓ -52% |
| Wellpoint | Commercial|Exchange | $506.36 | ↓ -50% |
| Angelina County | Commercial|All Plans | $542.58 | ↓ -46% |
| SUPERIOR | Medicaid|STAR | $724.85 | ↓ -28% |
| Wellpoint | Medicaid|STAR | $752.04 | ↓ -25% |
| Entrust | Commercial|All Plans | $881.69 | ↓ -12% |
| Brookshire Brothers | Commercial|All Plans | $1,017.33 | ↑ +1% |
| UNITED | Medicaid|STARPLUS | $1,029.57 | ↑ +2% |
| United | Commercial|Exchange | $1,127.00 | ↑ +12% |
| BCBS-TX | Commercial|Blue Premier | $1,202.83 | ↑ +20% |
| BCBS-TX | Commercial|HMO | $1,263.92 | ↑ +26% |
| United | Commercial|All Other Plans | $1,445.00 | ↑ +44% |
| BCBS-TX | Commercial|PPO | $1,523.58 | ↑ +52% |
| Cigna | Commercial|All Plans | $1,654.00 | ↑ +65% |
| United | Commercial|PPO | $2,546.76 | ↑ +153% |
| Humana | Commercial|All Plans | $3,418.02 | ↑ +240% |
| Aetna | Commercial|All Plans | $4,222.26 | ↑ +320% |
| PHCS | Commercial|All Plans | $4,557.36 | ↑ +353% |
| Multiplan | Commercial|All Plans | $4,691.40 | ↑ +367% |
| Galaxy | Commercial|All Plans | $6,031.80 | ↑ +500% |
Visitor-reported prices
Comments
MRI orbit/face/neck without & w/contrast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,691.51 | $332.94 – $4,614.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,345.40 | $494.01 – $5,018.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,345.40 | $332.94 – $4,181.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,691.51 | $332.94 – $4,614.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,345.40 | $332.94 – $5,018.09 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,345.40 | $349.16 – $5,018.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,345.40 | $332.94 – $5,018.09 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,691.51 | $332.94 – $4,614.39 |