Ureteral reflux study at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$174.45
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.
$1,163.00
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.
$290.75 with United vs $1,092.12 with UNITED — 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 |
|---|---|---|---|
| United | Commercial|Exchange | $290.75 | ↑ +67% |
| United | Commercial|All Other Plans | $372.16 | ↑ +113% |
| BCBS-TX | Commercial|Blue Advantage HMO | $373.33 | ↑ +114% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $379.82 | ↑ +118% |
| UNITED | Medicare|All Plans | $379.82 | ↑ +118% |
| HUMANA | Medicare|All Plans | $379.82 | ↑ +118% |
| AETNA | Medicare|All Plans | $379.82 | ↑ +118% |
| BCBS | Medicare|All Plans | $379.82 | ↑ +118% |
| CIGNA HEALTHSPRING | Medicare|PPO | $383.62 | ↑ +120% |
| Wellpoint | Medicare|All Plans | $391.21 | ↑ +124% |
| SCANHealth | Medicare|All Plans | $406.41 | ↑ +133% |
| United | Commercial|PPO | $441.94 | ↑ +153% |
| MD Save | Commercial|All Plans | $474.77 | ↑ +172% |
| UNITED | Medicaid|STAR | $489.74 | ↑ +181% |
| UNITED | Medicaid|STARKIDS | $489.74 | ↑ +181% |
| SUPERIOR | Medicaid|STARPLUS | $489.74 | ↑ +181% |
| UNITED | Medicaid|CHIP | $489.74 | ↑ +181% |
| UNITED | Medicaid|All Other Plans | $489.74 | ↑ +181% |
| SUPERIOR | Medicaid|All Other Plans | $489.74 | ↑ +181% |
| TCHP | Medicaid|All Plans | $489.74 | ↑ +181% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $499.53 | ↑ +186% |
| Wellpoint | Medicaid|STARPLUS | $504.43 | ↑ +189% |
| Wellpoint | Medicaid|All Other Plans | $504.43 | ↑ +189% |
| BCBS | Medicaid|All Plans | $514.23 | ↑ +195% |
| BCBS-TX | Commercial|Blue Premier | $514.32 | ↑ +195% |
| BCBS-TX | Commercial|HMO | $534.18 | ↑ +206% |
| Wellpoint | Commercial|Exchange | $569.73 | ↑ +227% |
| Angelina County | Commercial|All Plans | $581.90 | ↑ +234% |
| Humana | Commercial|All Plans | $593.13 | ↑ +240% |
| BCBS-TX | Commercial|PPO | $593.75 | ↑ +240% |
| Cigna | Commercial|All Plans | $616.39 | ↑ +253% |
| Aetna | Commercial|All Plans | $732.69 | ↑ +320% |
| SUPERIOR | Medicaid|STAR | $768.89 | ↑ +341% |
| PHCS | Commercial|All Plans | $790.84 | ↑ +353% |
| Wellpoint | Medicaid|STAR | $793.38 | ↑ +355% |
| Multiplan | Commercial|All Plans | $814.10 | ↑ +367% |
| Entrust | Commercial|All Plans | $945.59 | ↑ +442% |
| Galaxy | Commercial|All Plans | $1,046.70 | ↑ +500% |
| Brookshire Brothers | Commercial|All Plans | $1,091.07 | ↑ +525% |
| UNITED | Medicaid|STARPLUS | $1,092.12 | ↑ +526% |
Visitor-reported prices
Comments
Ureteral reflux study at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $432.89 | $209.50 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,298.73 | $267.32 – $1,948.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,200.74 | $209.50 – $1,500.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $432.89 | $209.50 – $1,021.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,298.73 | $224.16 – $1,948.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,298.73 | $209.50 – $1,948.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,200.74 | $209.50 – $1,801.12 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $432.89 | $209.50 – $1,021.72 |