CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: CHI St Lukes Health Memorial Lufkin

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$194

about 1.4× the $136 Medicare rate · typically $100–$444

modeled estimate · not a bill or quote

What this hospital charges insurers

$186

About the fair price

about $8 under the fair price · 1.4× Medicare

Medicare pays $136 Fair price $194 This hospital $186 Cash price $79 Hospital's list price $524

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $48 Priciest $186

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $194 (about 1.4× the $136 Medicare rate). CHI St Lukes Health Memorial Lufkin charges insurers about $186, or about $79 in cash — about the fair price. Located in Lufkin, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$74 - $211	55%
Blue Cross Blue Shieldmajor	$77 - $213	57%
Aetnamajor	$310 - $350	229%
Cignamajor	$75 - $100	55%
Humanamajor	$251 - $284	185%
+ 1 smaller / regional plan	$74 - $131

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 79), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm CHI St Lukes Health Memorial Lufkin is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at CHI St Lukes Health Memorial Lufkin

Compare: Office visit, established patient (30-39 min) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.