Pr egd flexible transoral w/placement percutaneous gastrostomy tube at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$546.44
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.
$3,642.88
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.
$594.35 with SUPERIOR vs $5,033.67 with Brookshire Brothers — 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 | $594.35 | ↑ +9% |
| UNITED | Medicaid|STAR | $594.35 | ↑ +9% |
| UNITED | Medicaid|STARKIDS | $594.35 | ↑ +9% |
| TCHP | Medicaid|All Plans | $594.35 | ↑ +9% |
| SUPERIOR | Medicaid|STARPLUS | $594.35 | ↑ +9% |
| UNITED | Medicaid|All Other Plans | $594.35 | ↑ +9% |
| UNITED | Medicaid|CHIP | $594.35 | ↑ +9% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $606.24 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $612.18 | ↑ +12% |
| Wellpoint | Medicaid|STARPLUS | $612.18 | ↑ +12% |
| BCBS | Medicaid|All Plans | $624.07 | ↑ +14% |
| United | Commercial|Exchange | $761.00 | ↑ +39% |
| SUPERIOR | Medicaid|STAR | $933.13 | ↑ +71% |
| Wellpoint | Medicaid|STAR | $962.85 | ↑ +76% |
| United | Commercial|All Other Plans | $1,014.00 | ↑ +86% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,027.88 | ↑ +88% |
| UNITED | Medicaid|STARPLUS | $1,325.40 | ↑ +143% |
| United | Commercial|PPO | $1,384.30 | ↑ +153% |
| AETNA | Medicare|All Plans | $1,793.07 | ↑ +228% |
| HUMANA | Medicare|All Plans | $1,793.07 | ↑ +228% |
| UNITED | Medicare|All Plans | $1,793.07 | ↑ +228% |
| BCBS | Medicare|All Plans | $1,793.07 | ↑ +228% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $1,793.07 | ↑ +228% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,811.00 | ↑ +231% |
| Wellpoint | Medicare|All Plans | $1,846.86 | ↑ +238% |
| Humana | Commercial|All Plans | $1,857.87 | ↑ +240% |
| SCANHealth | Medicare|All Plans | $1,918.58 | ↑ +251% |
| MD Save | Commercial|All Plans | $2,241.34 | ↑ +310% |
| BCBS-TX | Commercial|Blue Premier | $2,289.38 | ↑ +319% |
| Aetna | Commercial|All Plans | $2,295.02 | ↑ +320% |
| BCBS-TX | Commercial|HMO | $2,336.10 | ↑ +328% |
| PHCS | Commercial|All Plans | $2,477.16 | ↑ +353% |
| Multiplan | Commercial|All Plans | $2,550.02 | ↑ +367% |
| BCBS-TX | Commercial|PPO | $2,569.71 | ↑ +370% |
| Angelina County | Commercial|All Plans | $2,684.62 | ↑ +391% |
| Wellpoint | Commercial|Exchange | $2,689.61 | ↑ +392% |
| Cigna | Commercial|All Plans | $2,957.00 | ↑ +441% |
| Galaxy | Commercial|All Plans | $3,278.60 | ↑ +500% |
| Entrust | Commercial|All Plans | $4,362.51 | ↑ +698% |
| Brookshire Brothers | Commercial|All Plans | $5,033.67 | ↑ +821% |
Visitor-reported prices
Comments
Pr egd flexible transoral w/placement percutaneous gastrostomy tube at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $2,194.50 | $1,256.62 – $7,034.24 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,068.55 | $1,831.80 – $2,289.75 |
| St. Luke's Health Memorial Livingston | Livingston | $546.44 | $655.72 – $3,278.60 |
| Covenant Medical Center | Lubbock | $2,194.50 | $1,245.65 – $6,330.82 |
| St. Luke's Health Memorial San Augustine | San Augustine | $546.44 | $655.72 – $3,788.60 |
| Covenant Hospital Plainview | Plainview | $2,018.94 | $1,869.82 – $2,793.46 |
| Texas Health Hospital Mansfield | Mansfield | $9,744.95 | $1,644.61 – $3,855.30 |
| Covenant Hospital Levelland | Levelland | $2,014.32 | $1,869.82 – $4,524.95 |