Repos lv lead pm/icd at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$1,025.40
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.
$6,836.00
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.
$1,176.37 with SUPERIOR vs $8,432.07 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 | $1,176.37 | ↑ +15% |
| UNITED | Medicaid|All Other Plans | $1,176.37 | ↑ +15% |
| UNITED | Medicaid|CHIP | $1,176.37 | ↑ +15% |
| UNITED | Medicaid|STAR | $1,176.37 | ↑ +15% |
| UNITED | Medicaid|STARKIDS | $1,176.37 | ↑ +15% |
| TCHP | Medicaid|All Plans | $1,176.37 | ↑ +15% |
| SUPERIOR | Medicaid|STARPLUS | $1,176.37 | ↑ +15% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $1,199.90 | ↑ +17% |
| Wellpoint | Medicaid|All Other Plans | $1,211.66 | ↑ +18% |
| Wellpoint | Medicaid|STARPLUS | $1,211.66 | ↑ +18% |
| BCBS | Medicaid|All Plans | $1,235.19 | ↑ +20% |
| United | Commercial|Exchange | $1,363.00 | ↑ +33% |
| United | Commercial|All Other Plans | $1,817.00 | ↑ +77% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,829.04 | ↑ +78% |
| SUPERIOR | Medicaid|STAR | $1,846.90 | ↑ +80% |
| Wellpoint | Medicaid|STAR | $1,905.72 | ↑ +86% |
| United | Commercial|PPO | $2,597.68 | ↑ +153% |
| UNITED | Medicaid|STARPLUS | $2,623.31 | ↑ +156% |
| HUMANA | Medicare|All Plans | $2,975.08 | ↑ +190% |
| AETNA | Medicare|All Plans | $2,975.08 | ↑ +190% |
| UNITED | Medicare|All Plans | $2,975.08 | ↑ +190% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $2,975.08 | ↑ +190% |
| BCBS | Medicare|All Plans | $2,975.08 | ↑ +190% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,004.83 | ↑ +193% |
| Wellpoint | Medicare|All Plans | $3,064.33 | ↑ +199% |
| SCANHealth | Medicare|All Plans | $3,183.34 | ↑ +210% |
| Cigna | Commercial|All Plans | $3,326.00 | ↑ +224% |
| Humana | Commercial|All Plans | $3,486.36 | ↑ +240% |
| MD Save | Commercial|All Plans | $3,718.85 | ↑ +263% |
| BCBS-TX | Commercial|Blue Premier | $4,073.78 | ↑ +297% |
| BCBS-TX | Commercial|HMO | $4,156.92 | ↑ +305% |
| Aetna | Commercial|All Plans | $4,306.68 | ↑ +320% |
| Wellpoint | Commercial|Exchange | $4,462.62 | ↑ +335% |
| Angelina County | Commercial|All Plans | $4,497.10 | ↑ +339% |
| BCBS-TX | Commercial|PPO | $4,572.61 | ↑ +346% |
| PHCS | Commercial|All Plans | $4,648.48 | ↑ +353% |
| Multiplan | Commercial|All Plans | $4,785.20 | ↑ +367% |
| Galaxy | Commercial|All Plans | $6,152.40 | ↑ +500% |
| Entrust | Commercial|All Plans | $7,307.79 | ↑ +613% |
| Brookshire Brothers | Commercial|All Plans | $8,432.07 | ↑ +722% |
Visitor-reported prices
Comments
Repos lv lead pm/icd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $6,388.15 | $1,118.22 – $7,985.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,007.97 | $1,030.81 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,525.58 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $6,388.15 | $1,118.22 – $7,985.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,007.97 | $1,196.50 – $7,896.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,007.97 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,525.58 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $6,388.15 | $1,118.22 – $7,985.19 |