Abdominal CT scan (with contrast) at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$1,449.75
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.
$9,665.00
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.
$162.01 with HUMANA vs $10,050.68 with Entrust — 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 |
|---|---|---|---|
| HUMANA | Medicare|All Plans | $162.01 | ↓ -89% |
| AETNA | Medicare|All Plans | $162.01 | ↓ -89% |
| Wellpoint | Medicare|All Plans | $166.87 | ↓ -88% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $170.11 | ↓ -88% |
| CIGNA HEALTHSPRING | Medicare|PPO | $171.73 | ↓ -88% |
| BCBS | Medicare|All Plans | $176.68 | ↓ -88% |
| UNITED | Medicare|All Plans | $176.68 | ↓ -88% |
| SCANHealth | Medicare|All Plans | $180.05 | ↓ -88% |
| MD Save | Commercial|All Plans | $202.51 | ↓ -86% |
| BCBS-TX | Commercial|Blue Advantage HMO | $209.55 | ↓ -86% |
| SUPERIOR | Medicaid|All Other Plans | $220.58 | ↓ -85% |
| Wellpoint | Medicaid|All Other Plans | $220.58 | ↓ -85% |
| SUPERIOR | Medicaid|STARPLUS | $220.58 | ↓ -85% |
| UNITED | Medicaid|STAR | $220.58 | ↓ -85% |
| UNITED | Medicaid|All Other Plans | $220.58 | ↓ -85% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $224.99 | ↓ -84% |
| Wellpoint | Medicaid|STARPLUS | $227.20 | ↓ -84% |
| TCHP | Medicaid|All Plans | $227.23 | ↓ -84% |
| BCBS | Medicaid|All Plans | $231.61 | ↓ -84% |
| Wellpoint | Commercial|Exchange | $265.02 | ↓ -82% |
| SUPERIOR | Medicaid|STAR | $346.31 | ↓ -76% |
| Wellpoint | Medicaid|STAR | $346.31 | ↓ -76% |
| UNITED | Medicaid|STARPLUS | $394.84 | ↓ -73% |
| Angelina County | Commercial|All Plans | $442.29 | ↓ -69% |
| Brookshire Brothers | Commercial|All Plans | $486.03 | ↓ -66% |
| BCBS-TX | Commercial|Blue Premier | $573.99 | ↓ -60% |
| BCBS-TX | Commercial|HMO | $603.15 | ↓ -58% |
| BCBS-TX | Commercial|PPO | $727.06 | ↓ -50% |
| Cigna | Commercial|All Plans | $1,103.00 | ↓ -24% |
| United | Commercial|Exchange | $1,739.54 | ↑ +20% |
| United | Commercial|All Other Plans | $2,222.75 | ↑ +53% |
| Aetna | Commercial|All Plans | $2,416.03 | ↑ +67% |
| PHCS | Commercial|All Plans | $6,571.60 | ↑ +353% |
| Multiplan | Commercial|All Plans | $6,764.88 | ↑ +367% |
| Humana | Commercial|All Plans | $6,764.88 | ↑ +367% |
| Galaxy | Commercial|All Plans | $8,697.70 | ↑ +500% |
| Entrust | Commercial|All Plans | $10,050.68 | ↑ +593% |
Visitor-reported prices
Comments
Abdominal CT scan (with contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $4,701.85 | $849.15 – $849.15 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,061.80 | $167.39 – $3,827.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,153.60 | $236.02 – $3,230.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,670.05 | $167.39 – $3,337.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,061.80 | $167.39 – $3,827.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,153.60 | $167.39 – $3,230.40 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,153.60 | $175.06 – $3,230.40 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,670.05 | $167.39 – $4,005.08 |