Surgical pathology level 4 gross & microscopic examination at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$212.10
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.
$1,414.00
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.
$50.50 with HUMANA vs $1,272.60 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 |
|---|---|---|---|
| HUMANA | Medicare|All Plans | $50.50 | ↓ -76% |
| AETNA | Medicare|All Plans | $50.50 | ↓ -76% |
| UNITED | Medicare|All Plans | $50.50 | ↓ -76% |
| BCBS | Medicare|All Plans | $50.50 | ↓ -76% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $50.50 | ↓ -76% |
| CIGNA HEALTHSPRING | Medicare|PPO | $51.01 | ↓ -76% |
| Wellpoint | Medicare|All Plans | $52.02 | ↓ -75% |
| SCANHealth | Medicare|All Plans | $54.03 | ↓ -75% |
| MD Save | Commercial|All Plans | $63.13 | ↓ -70% |
| Wellpoint | Commercial|Exchange | $75.75 | ↓ -64% |
| Angelina County | Commercial|All Plans | $76.45 | ↓ -64% |
| BCBS-TX | Commercial|Blue Advantage HMO | $93.99 | ↓ -56% |
| Entrust | Commercial|All Plans | $124.23 | ↓ -41% |
| Brookshire Brothers | Commercial|All Plans | $143.34 | ↓ -32% |
| Cigna | Commercial|All Plans | $149.39 | ↓ -30% |
| BCBS-TX | Commercial|Blue Premier | $163.25 | ↓ -23% |
| BCBS-TX | Commercial|HMO | $173.15 | ↓ -18% |
| BCBS-TX | Commercial|PPO | $199.86 | ↓ -6% |
| United | Commercial|Exchange | $353.50 | ↑ +67% |
| United | Commercial|All Other Plans | $452.48 | ↑ +113% |
| United | Commercial|PPO | $537.32 | ↑ +153% |
| Humana | Commercial|All Plans | $721.14 | ↑ +240% |
| Aetna | Commercial|All Plans | $890.82 | ↑ +320% |
| PHCS | Commercial|All Plans | $961.52 | ↑ +353% |
| Multiplan | Commercial|All Plans | $989.80 | ↑ +367% |
| Galaxy | Commercial|All Plans | $1,272.60 | ↑ +500% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,149.92 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $474.00 | $36.00 – $272.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $474.00 | $26.00 – $473.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $474.00 | $36.00 – $326.83 |