Tomosynthesis breast diagnostic left at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$31.80
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.
$212.00
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.
$47.43 with BCBS-TX vs $183.60 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $47.43 | ↑ +49% |
| United | Commercial|Exchange | $51.00 | ↑ +60% |
| UNITED | Medicaid|CHIP | $59.79 | ↑ +88% |
| UNITED | Medicaid|STAR | $59.79 | ↑ +88% |
| SUPERIOR | Medicaid|STARPLUS | $59.79 | ↑ +88% |
| SUPERIOR | Medicaid|All Other Plans | $59.79 | ↑ +88% |
| UNITED | Medicaid|STARKIDS | $59.79 | ↑ +88% |
| UNITED | Medicaid|All Other Plans | $59.79 | ↑ +88% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $60.99 | ↑ +92% |
| BCBS | Medicaid|All Plans | $62.78 | ↑ +97% |
| United | Commercial|All Other Plans | $65.28 | ↑ +105% |
| BCBS-TX | Commercial|Blue Premier | $65.35 | ↑ +106% |
| TCHP | Medicaid|All Plans | $66.52 | ↑ +109% |
| BCBS-TX | Commercial|HMO | $67.87 | ↑ +113% |
| Wellpoint | Medicaid|All Other Plans | $68.52 | ↑ +115% |
| Wellpoint | Medicaid|STARPLUS | $68.52 | ↑ +115% |
| BCBS-TX | Commercial|PPO | $75.44 | ↑ +137% |
| United | Commercial|PPO | $77.52 | ↑ +144% |
| SUPERIOR | Medicaid|STAR | $93.87 | ↑ +195% |
| Humana | Commercial|All Plans | $104.04 | ↑ +227% |
| Cigna | Commercial|All Plans | $104.71 | ↑ +229% |
| Wellpoint | Medicaid|STAR | $107.76 | ↑ +239% |
| Aetna | Commercial|All Plans | $128.52 | ↑ +304% |
| UNITED | Medicaid|STARPLUS | $133.33 | ↑ +319% |
| PHCS | Commercial|All Plans | $138.72 | ↑ +336% |
| Multiplan | Commercial|All Plans | $142.80 | ↑ +349% |
| Galaxy | Commercial|All Plans | $183.60 | ↑ +477% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $69.72 | $81.74 – $110.00 |
| Baylor St Luke's Medical Center | Houston | $55.30 | $17.38 – $158.00 |
| St. Joseph Health Madison Hospital | Madisonville | $19.78 | $14.40 – $158.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $55.30 | $15.80 – $158.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $55.30 | $12.64 – $158.00 |
| St. Joseph Health College Station Hospital | College Station | $19.78 | $47.45 – $158.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $55.30 | $12.64 – $158.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $39.55 | $6.78 – $101.71 |