X-ray knee ap standing bilateral at St. Luke's Health Memorial Lufkin
1201 W Frank Ave, Lufkin, TX · CommonSpirit Health · · NPI 1396746129
$190.50
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.
$1,270.00
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.
$83.23 with BCBS vs $1,143.00 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 | Medicare|All Plans | $83.23 | ↓ -56% |
| AETNA | Medicare|All Plans | $83.23 | ↓ -56% |
| UNITED | Medicare|All Plans | $83.23 | ↓ -56% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $83.23 | ↓ -56% |
| HUMANA | Medicare|All Plans | $83.23 | ↓ -56% |
| CIGNA HEALTHSPRING | Medicare|PPO | $84.06 | ↓ -56% |
| Wellpoint | Medicare|All Plans | $85.73 | ↓ -55% |
| SCANHealth | Medicare|All Plans | $89.06 | ↓ -53% |
| MD Save | Commercial|All Plans | $104.04 | ↓ -45% |
| SUPERIOR | Medicaid|All Other Plans | $109.09 | ↓ -43% |
| UNITED | Medicaid|All Other Plans | $109.09 | ↓ -43% |
| SUPERIOR | Medicaid|STARPLUS | $109.09 | ↓ -43% |
| UNITED | Medicaid|CHIP | $109.09 | ↓ -43% |
| UNITED | Medicaid|STARKIDS | $109.09 | ↓ -43% |
| UNITED | Medicaid|STAR | $109.09 | ↓ -43% |
| TCHP | Medicaid|All Plans | $109.47 | ↓ -43% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $111.27 | ↓ -42% |
| Wellpoint | Medicaid|STARPLUS | $112.75 | ↓ -41% |
| Wellpoint | Medicaid|All Other Plans | $112.75 | ↓ -41% |
| BCBS | Medicaid|All Plans | $114.54 | ↓ -40% |
| Wellpoint | Commercial|Exchange | $124.85 | ↓ -34% |
| Angelina County | Commercial|All Plans | $128.21 | ↓ -33% |
| Cigna | Commercial|All Plans | $143.39 | ↓ -25% |
| BCBS-TX | Commercial|Blue Advantage HMO | $150.04 | ↓ -21% |
| SUPERIOR | Medicaid|STAR | $171.27 | ↓ -10% |
| Wellpoint | Medicaid|STAR | $177.34 | ↓ -7% |
| BCBS-TX | Commercial|Blue Premier | $206.71 | ↑ +9% |
| Entrust | Commercial|All Plans | $208.34 | ↑ +9% |
| BCBS-TX | Commercial|HMO | $214.69 | ↑ +13% |
| BCBS-TX | Commercial|PPO | $238.63 | ↑ +25% |
| Brookshire Brothers | Commercial|All Plans | $240.39 | ↑ +26% |
| UNITED | Medicaid|STARPLUS | $243.27 | ↑ +28% |
| United | Commercial|Exchange | $317.50 | ↑ +67% |
| United | Commercial|All Other Plans | $406.40 | ↑ +113% |
| United | Commercial|PPO | $482.60 | ↑ +153% |
| Humana | Commercial|All Plans | $647.70 | ↑ +240% |
| Aetna | Commercial|All Plans | $800.10 | ↑ +320% |
| PHCS | Commercial|All Plans | $863.60 | ↑ +353% |
| Multiplan | Commercial|All Plans | $889.00 | ↑ +367% |
| Galaxy | Commercial|All Plans | $1,143.00 | ↑ +500% |
Visitor-reported prices
Comments
X-ray knee ap standing bilateral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $922.15 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $299.78 | $40.10 – $374.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $289.34 | $59.56 – $434.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $300.65 | $40.10 – $375.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $299.78 | $40.10 – $374.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $289.34 | $42.91 – $434.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $289.34 | $40.10 – $434.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $300.65 | $40.10 – $450.98 |