Rmvl icd gen w/rplc icd gen mlt lead sys at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$8,296.05
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.
$55,307.00
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.
$3,326.00 with Cigna vs $87,030.24 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $3,326.00 | ↓ -60% |
| United | Commercial|Exchange | $11,665.00 | ↑ +41% |
| United | Commercial|All Other Plans | $15,553.00 | ↑ +87% |
| United | Commercial|PPO | $21,016.66 | ↑ +153% |
| BCBS-TX | Commercial|Blue Advantage HMO | $21,306.54 | ↑ +157% |
| UNITED | Medicaid|STAR | $22,898.31 | ↑ +176% |
| UNITED | Medicaid|STARKIDS | $22,898.31 | ↑ +176% |
| SUPERIOR | Medicaid|All Other Plans | $22,898.31 | ↑ +176% |
| TCHP | Medicaid|All Plans | $22,898.31 | ↑ +176% |
| SUPERIOR | Medicaid|STARPLUS | $22,898.31 | ↑ +176% |
| UNITED | Medicaid|All Other Plans | $22,898.31 | ↑ +176% |
| UNITED | Medicaid|CHIP | $22,898.31 | ↑ +176% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $23,356.28 | ↑ +182% |
| Wellpoint | Medicaid|STARPLUS | $23,585.26 | ↑ +184% |
| Wellpoint | Medicaid|All Other Plans | $23,585.26 | ↑ +184% |
| BCBS | Medicaid|All Plans | $24,043.23 | ↑ +190% |
| Humana | Commercial|All Plans | $28,206.57 | ↑ +240% |
| BCBS | Medicare|All Plans | $30,305.25 | ↑ +265% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $30,305.25 | ↑ +265% |
| HUMANA | Medicare|All Plans | $30,305.25 | ↑ +265% |
| UNITED | Medicare|All Plans | $30,305.25 | ↑ +265% |
| AETNA | Medicare|All Plans | $30,305.25 | ↑ +265% |
| CIGNA HEALTHSPRING | Medicare|PPO | $30,608.30 | ↑ +269% |
| Wellpoint | Medicare|All Plans | $31,214.41 | ↑ +276% |
| SCANHealth | Medicare|All Plans | $32,426.62 | ↑ +291% |
| Aetna | Commercial|All Plans | $34,843.41 | ↑ +320% |
| SUPERIOR | Medicaid|STAR | $35,950.35 | ↑ +333% |
| Wellpoint | Medicaid|STAR | $37,095.26 | ↑ +347% |
| PHCS | Commercial|All Plans | $37,608.76 | ↑ +353% |
| MD Save | Commercial|All Plans | $37,881.56 | ↑ +357% |
| Multiplan | Commercial|All Plans | $38,714.90 | ↑ +367% |
| Wellpoint | Commercial|Exchange | $45,457.88 | ↑ +448% |
| Angelina County | Commercial|All Plans | $46,416.13 | ↑ +459% |
| BCBS-TX | Commercial|Blue Premier | $47,455.48 | ↑ +472% |
| BCBS-TX | Commercial|HMO | $48,423.96 | ↑ +484% |
| Galaxy | Commercial|All Plans | $49,776.30 | ↑ +500% |
| UNITED | Medicaid|STARPLUS | $51,063.23 | ↑ +516% |
| BCBS-TX | Commercial|PPO | $53,266.36 | ↑ +542% |
| Entrust | Commercial|All Plans | $75,426.21 | ↑ +809% |
| Brookshire Brothers | Commercial|All Plans | $87,030.24 | ↑ +949% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen mlt lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $44,390.75 | $6,299.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $43,215.38 | $8,895.17 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $40,970.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $44,390.75 | $19,034.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $43,215.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $43,215.38 | $13,462.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $40,970.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $44,390.75 | $19,034.00 – $81,499.55 |