Prolactin at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$74.85
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.
$499.00
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.
$10.00 with United vs $83.75 with Cigna — 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 |
|---|---|---|---|
| United | Commercial|Exchange | $10.00 | ↓ -87% |
| United | Commercial|All Other Plans | $12.80 | ↓ -83% |
| United | Commercial|PPO | $15.20 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $16.28 | ↓ -78% |
| UNITED | Medicaid|CHIP | $16.28 | ↓ -78% |
| UNITED | Medicaid|STAR | $16.28 | ↓ -78% |
| TCHP | Medicaid|All Plans | $16.28 | ↓ -78% |
| UNITED | Medicaid|STARKIDS | $16.28 | ↓ -78% |
| SUPERIOR | Medicaid|STARPLUS | $16.28 | ↓ -78% |
| SUPERIOR | Medicaid|All Other Plans | $16.28 | ↓ -78% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $16.61 | ↓ -78% |
| Wellpoint | Medicaid|STARPLUS | $16.77 | ↓ -78% |
| Wellpoint | Medicaid|All Other Plans | $16.77 | ↓ -78% |
| BCBS | Medicaid|All Plans | $17.09 | ↓ -77% |
| BCBS | Medicare|All Plans | $19.38 | ↓ -74% |
| UNITED | Medicare|All Plans | $19.38 | ↓ -74% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $19.38 | ↓ -74% |
| HUMANA | Medicare|All Plans | $19.38 | ↓ -74% |
| AETNA | Medicare|All Plans | $19.38 | ↓ -74% |
| CIGNA HEALTHSPRING | Medicare|PPO | $19.57 | ↓ -74% |
| Wellpoint | Medicare|All Plans | $19.96 | ↓ -73% |
| Humana | Commercial|All Plans | $20.40 | ↓ -73% |
| SCANHealth | Medicare|All Plans | $20.74 | ↓ -72% |
| MD Save | Commercial|All Plans | $24.22 | ↓ -68% |
| Aetna | Commercial|All Plans | $25.20 | ↓ -66% |
| SUPERIOR | Medicaid|STAR | $25.56 | ↓ -66% |
| Wellpoint | Medicaid|STAR | $26.37 | ↓ -65% |
| PHCS | Commercial|All Plans | $27.20 | ↓ -64% |
| Multiplan | Commercial|All Plans | $28.00 | ↓ -63% |
| Wellpoint | Commercial|Exchange | $29.07 | ↓ -61% |
| Angelina County | Commercial|All Plans | $31.01 | ↓ -59% |
| Galaxy | Commercial|All Plans | $36.00 | ↓ -52% |
| UNITED | Medicaid|STARPLUS | $36.30 | ↓ -52% |
| BCBS-TX | Commercial|Blue Advantage HMO | $36.82 | ↓ -51% |
| BCBS-TX | Commercial|PPO | $40.00 | ↓ -47% |
| BCBS-TX | Commercial|Blue Premier | $40.00 | ↓ -47% |
| BCBS-TX | Commercial|HMO | $40.00 | ↓ -47% |
| Entrust | Commercial|All Plans | $50.39 | ↓ -33% |
| Brookshire Brothers | Commercial|All Plans | $58.14 | ↓ -22% |
| Cigna | Commercial|All Plans | $83.75 | ↑ +12% |
Visitor-reported prices
Comments
Prolactin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $328.44 | $17.44 – $74.61 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $181.04 | $10.00 – $61.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $171.46 | $10.06 – $73.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $160.92 | $12.00 – $61.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $181.04 | $10.00 – $61.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $171.46 | $12.00 – $73.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $171.46 | $8.00 – $73.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $160.92 | $12.00 – $73.31 |