Ortho hnd without jnt w/fit&adj at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$154.83
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.
$1,032.15
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.
$154.83 with BCBS-TX vs $928.94 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 | $154.83 | ↑ +0% |
| Cigna | Commercial|All Plans | $175.47 | ↑ +13% |
| BCBS-TX | Commercial|Blue Premier | $216.76 | ↑ +40% |
| BCBS-TX | Commercial|HMO | $227.08 | ↑ +47% |
| BCBS-TX | Commercial|PPO | $247.72 | ↑ +60% |
| United | Commercial|Exchange | $258.04 | ↑ +67% |
| United | Commercial|All Other Plans | $330.29 | ↑ +113% |
| United | Commercial|PPO | $392.22 | ↑ +153% |
| Entrust | Commercial|All Plans | $464.47 | ↑ +200% |
| Humana | Commercial|All Plans | $526.40 | ↑ +240% |
| Aetna | Commercial|All Plans | $650.26 | ↑ +320% |
| Angelina County | Commercial|All Plans | $660.58 | ↑ +327% |
| PHCS | Commercial|All Plans | $701.87 | ↑ +353% |
| Multiplan | Commercial|All Plans | $722.51 | ↑ +367% |
| Galaxy | Commercial|All Plans | $928.94 | ↑ +500% |
Visitor-reported prices
Comments
Ortho hnd without jnt w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $139.29 | $72.77 – $259.88 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $187.70 | $64.36 – $348.57 |
| St. Luke's Health Memorial Livingston | Livingston | $154.83 | $154.83 – $928.94 |
| St. Luke's Health Memorial San Augustine | San Augustine | $154.83 | $154.83 – $928.94 |
| HCA HOUSTON TOMBALL | HOUSTON | $468.00 | $298.46 – $654.78 |
| Texas Health Hospital Mansfield | Mansfield | $1,516.22 | not published |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $210.96 | $236.24 – $236.24 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $210.96 | $236.24 – $236.24 |