New Patient Office Visit (level 4) at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$102.36
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.
$682.38
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.
$94.25 with SUPERIOR vs $565.49 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 | $94.25 | ↓ -8% |
| UNITED | Medicaid|All Other Plans | $94.25 | ↓ -8% |
| UNITED | Medicaid|CHIP | $94.25 | ↓ -8% |
| UNITED | Medicaid|STAR | $94.25 | ↓ -8% |
| SUPERIOR | Medicaid|STARPLUS | $94.25 | ↓ -8% |
| UNITED | Medicaid|STARKIDS | $94.25 | ↓ -8% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $96.14 | ↓ -6% |
| BCBS | Medicaid|All Plans | $98.97 | ↓ -3% |
| Cigna | Commercial|All Plans | $100.00 | ↓ -2% |
| TCHP | Medicaid|All Plans | $125.67 | ↑ +23% |
| SUPERIOR | Medicaid|STAR | $147.97 | ↑ +45% |
| United | Commercial|Exchange | $157.08 | ↑ +53% |
| United | Commercial|All Other Plans | $201.07 | ↑ +96% |
| UNITED | Medicaid|STARPLUS | $210.18 | ↑ +105% |
| United | Commercial|PPO | $238.77 | ↑ +133% |
| BCBS-TX | Commercial|Blue Premier | $280.73 | ↑ +174% |
| BCBS-TX | Commercial|Blue Advantage HMO | $320.08 | ↑ +213% |
| Humana | Commercial|All Plans | $320.45 | ↑ +213% |
| BCBS-TX | Commercial|HMO | $321.39 | ↑ +214% |
| BCBS-TX | Commercial|PPO | $348.94 | ↑ +241% |
| Aetna | Commercial|All Plans | $395.85 | ↑ +287% |
| PHCS | Commercial|All Plans | $427.26 | ↑ +317% |
| Multiplan | Commercial|All Plans | $439.83 | ↑ +330% |
| Galaxy | Commercial|All Plans | $565.49 | ↑ +452% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $820.97 | $505.04 – $505.04 |
| Baylor St Luke's Medical Center | Houston | $238.35 | $82.00 – $681.00 |
| St. Joseph Health Madison Hospital | Madisonville | $261.63 | $34.53 – $261.05 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $238.35 | $74.00 – $681.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $238.35 | $74.00 – $681.00 |
| St. Joseph Health College Station Hospital | College Station | $261.63 | $77.00 – $517.44 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $238.35 | $74.00 – $681.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $240.62 | $45.00 – $275.40 |