New Patient Office Visit (level 2) at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$66.56
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.
$443.70
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.
$36.30 with SUPERIOR vs $217.80 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|All Other Plans | $36.30 | ↓ -45% |
| UNITED | Medicaid|All Other Plans | $36.30 | ↓ -45% |
| UNITED | Medicaid|CHIP | $36.30 | ↓ -45% |
| UNITED | Medicaid|STAR | $36.30 | ↓ -45% |
| SUPERIOR | Medicaid|STARPLUS | $36.30 | ↓ -45% |
| UNITED | Medicaid|STARKIDS | $36.30 | ↓ -45% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $37.03 | ↓ -44% |
| BCBS | Medicaid|All Plans | $38.12 | ↓ -43% |
| TCHP | Medicaid|All Plans | $48.40 | ↓ -27% |
| SUPERIOR | Medicaid|STAR | $57.00 | ↓ -14% |
| United | Commercial|Exchange | $60.50 | ↓ -9% |
| United | Commercial|All Other Plans | $77.44 | ↑ +16% |
| UNITED | Medicaid|STARPLUS | $80.95 | ↑ +22% |
| United | Commercial|PPO | $91.96 | ↑ +38% |
| Cigna | Commercial|All Plans | $100.00 | ↑ +50% |
| BCBS-TX | Commercial|Blue Premier | $110.30 | ↑ +66% |
| Humana | Commercial|All Plans | $123.42 | ↑ +85% |
| BCBS-TX | Commercial|Blue Advantage HMO | $125.76 | ↑ +89% |
| BCBS-TX | Commercial|HMO | $126.27 | ↑ +90% |
| BCBS-TX | Commercial|PPO | $137.10 | ↑ +106% |
| Aetna | Commercial|All Plans | $152.46 | ↑ +129% |
| PHCS | Commercial|All Plans | $164.56 | ↑ +147% |
| Multiplan | Commercial|All Plans | $169.40 | ↑ +155% |
| Galaxy | Commercial|All Plans | $217.80 | ↑ +227% |
Visitor-reported prices
Comments
New Patient Office Visit (level 2) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $412.32 | $198.43 – $198.43 |
| Baylor St Luke's Medical Center | Houston | $165.90 | $60.82 – $474.00 |
| St. Joseph Health Madison Hospital | Madisonville | $203.88 | $7.90 – $110.16 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $165.90 | $74.00 – $474.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $165.90 | $74.00 – $474.00 |
| St. Joseph Health College Station Hospital | College Station | $203.88 | $34.10 – $224.91 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $165.90 | $74.00 – $474.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $143.52 | $45.00 – $180.90 |