Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at St. Luke's Health Memorial Lufkin

1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$3,900.01

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$26,000.05

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2.28 with Cigna vs $4,893.27 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 →

Payer
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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
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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 $2.28 ↓ -100%
BCBS-TX Commercial|Blue Premier $5.05 ↓ -100%
BCBS-TX Commercial|Blue Advantage HMO $5.22 ↓ -100%
BCBS-TX Commercial|HMO $5.31 ↓ -100%
BCBS-TX Commercial|PPO $6.11 ↓ -100%
United Commercial|All Other Plans $9.16 ↓ -100%
United Commercial|Exchange $10.18 ↓ -100%
Entrust Commercial|All Plans $2,446.64 ↓ -37%
Humana Commercial|All Plans $2,772.85 ↓ -29%
Aetna Commercial|All Plans $3,425.29 ↓ -12%
Angelina County Commercial|All Plans $3,479.66 ↓ -11%
PHCS Commercial|All Plans $3,697.14 ↓ -5%
Multiplan Commercial|All Plans $3,805.88 ↓ -2%
Galaxy Commercial|All Plans $4,893.27 ↑ +25%

Visitor-reported prices

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Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $66.58 $9.09 – $9.09
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $664.50 $2.32 – $941.38
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $664.50 $2.32 – $996.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $664.50 $2.32 – $830.62
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $664.50 $2.32 – $941.38
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $664.50 $2.32 – $996.75
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $664.50 $2.32 – $996.75
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $664.50 $2.32 – $996.75

All Texas hospitals for this procedure →