Upper Endoscopy (EGD, diagnostic) at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$633.60
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.
$4,224.00
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.
$352.37 with SUPERIOR vs $3,801.60 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|All Other Plans | $352.37 | ↓ -44% |
| UNITED | Medicaid|All Other Plans | $352.37 | ↓ -44% |
| UNITED | Medicaid|CHIP | $352.37 | ↓ -44% |
| UNITED | Medicaid|STAR | $352.37 | ↓ -44% |
| UNITED | Medicaid|STARKIDS | $352.37 | ↓ -44% |
| TCHP | Medicaid|All Plans | $352.37 | ↓ -44% |
| SUPERIOR | Medicaid|STARPLUS | $352.37 | ↓ -44% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $359.42 | ↓ -43% |
| Wellpoint | Medicaid|All Other Plans | $362.94 | ↓ -43% |
| Wellpoint | Medicaid|STARPLUS | $362.94 | ↓ -43% |
| BCBS | Medicaid|All Plans | $369.99 | ↓ -42% |
| BCBS-TX | Commercial|Blue Advantage HMO | $518.71 | ↓ -18% |
| SUPERIOR | Medicaid|STAR | $553.22 | ↓ -13% |
| Wellpoint | Medicaid|STAR | $570.84 | ↓ -10% |
| United | Commercial|Exchange | $761.00 | ↑ +20% |
| UNITED | Medicaid|STARPLUS | $785.79 | ↑ +24% |
| HUMANA | Medicare|All Plans | $886.20 | ↑ +40% |
| BCBS | Medicare|All Plans | $886.20 | ↑ +40% |
| AETNA | Medicare|All Plans | $886.20 | ↑ +40% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $886.20 | ↑ +40% |
| UNITED | Medicare|All Plans | $886.20 | ↑ +40% |
| CIGNA HEALTHSPRING | Medicare|PPO | $895.06 | ↑ +41% |
| Wellpoint | Medicare|All Plans | $912.79 | ↑ +44% |
| SCANHealth | Medicare|All Plans | $948.23 | ↑ +50% |
| United | Commercial|All Other Plans | $1,014.00 | ↑ +60% |
| MD Save | Commercial|All Plans | $1,107.75 | ↑ +75% |
| BCBS-TX | Commercial|Blue Premier | $1,155.30 | ↑ +82% |
| BCBS-TX | Commercial|HMO | $1,178.88 | ↑ +86% |
| Angelina County | Commercial|All Plans | $1,278.93 | ↑ +102% |
| BCBS-TX | Commercial|PPO | $1,296.77 | ↑ +105% |
| Wellpoint | Commercial|Exchange | $1,329.30 | ↑ +110% |
| United | Commercial|PPO | $1,605.12 | ↑ +153% |
| Cigna | Commercial|All Plans | $2,016.00 | ↑ +218% |
| Entrust | Commercial|All Plans | $2,078.26 | ↑ +228% |
| Humana | Commercial|All Plans | $2,154.24 | ↑ +240% |
| Brookshire Brothers | Commercial|All Plans | $2,397.99 | ↑ +278% |
| Aetna | Commercial|All Plans | $2,661.12 | ↑ +320% |
| PHCS | Commercial|All Plans | $2,872.32 | ↑ +353% |
| Multiplan | Commercial|All Plans | $2,956.80 | ↑ +367% |
| Galaxy | Commercial|All Plans | $3,801.60 | ↑ +500% |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, diagnostic) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,040.34 | $879.87 – $4,579.48 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,002.54 | $1,718.64 – $2,148.30 |
| St. Joseph Health Madison Hospital | Madisonville | $393.75 | $286.65 – $2,250.00 |
| St. Joseph Health College Station Hospital | College Station | $393.75 | $1,237.50 – $2,250.00 |
| St. Joseph Health Grimes Hospital | Navasota | $393.75 | $815.85 – $2,497.50 |
| St. Luke's Health Memorial Livingston | Livingston | $633.60 | $929.28 – $3,801.60 |
| Covenant Medical Center | Lubbock | $1,040.34 | $894.72 – $4,121.53 |
| St. Luke's Health Memorial San Augustine | San Augustine | $633.60 | $760.32 – $4,392.96 |