Abdominal paracentesis w/image guidance at St. Luke's Health Memorial San Augustine

511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$498.15

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$3,321.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$334.95 with UNITED vs $3,385.20 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 →

Payer
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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
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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 Medicaid|STARKIDS $334.95 ↓ -33%
Wellpoint Medicaid|All Other Plans $334.95 ↓ -33%
SUPERIOR Medicaid|All Other Plans $334.95 ↓ -33%
UNITED Medicaid|All Other Plans $334.95 ↓ -33%
TCHP Medicaid|All Plans $334.95 ↓ -33%
UNITED Medicaid|STAR $334.95 ↓ -33%
SUPERIOR Medicaid|STARPLUS $334.95 ↓ -33%
CIGNA HEALTHSPRING Medicaid|STARPLUS $341.65 ↓ -31%
Wellpoint Medicaid|STARPLUS $345.00 ↓ -31%
BCBS Medicaid|All Plans $351.70 ↓ -29%
BCBS-TX Commercial|Blue Advantage HMO $518.71 ↑ +4%
SUPERIOR Medicaid|STAR $525.87 ↑ +6%
Wellpoint Medicaid|STAR $525.87 ↑ +6%
United Commercial|Exchange $585.90 ↑ +18%
UNITED Medicaid|STARPLUS $599.56 ↑ +20%
United Commercial|All Other Plans $748.65 ↑ +50%
HUMANA Medicare|All Plans $799.33 ↑ +60%
AETNA Medicare|All Plans $799.33 ↑ +60%
Aetna Commercial|All Plans $813.75 ↑ +63%
Wellpoint Medicare|All Plans $823.31 ↑ +65%
CIGNA HEALTHSPRING Medicare|All Other Plans $839.30 ↑ +68%
CIGNA HEALTHSPRING Medicare|PPO $847.29 ↑ +70%
UNITED Medicare|All Plans $930.51 ↑ +87%
BCBS Medicare|All Plans $930.51 ↑ +87%
SCANHealth Medicare|All Plans $948.23 ↑ +90%
MD Save Commercial|All Plans $999.16 ↑ +101%
BCBS-TX Commercial|Blue Premier $1,155.30 ↑ +132%
BCBS-TX Commercial|HMO $1,178.88 ↑ +137%
BCBS-TX Commercial|PPO $1,296.77 ↑ +160%
Wellpoint Commercial|Exchange $1,395.77 ↑ +180%
Cigna Commercial|All Plans $2,016.00 ↑ +305%
Angelina County Commercial|All Plans $2,182.17 ↑ +338%
PHCS Commercial|All Plans $2,213.40 ↑ +344%
Multiplan Commercial|All Plans $2,278.50 ↑ +357%
Humana Commercial|All Plans $2,278.50 ↑ +357%
Brookshire Brothers Commercial|All Plans $2,397.99 ↑ +381%
UNITED Medicaid|CHIP $2,929.50 ↑ +488%
Galaxy Commercial|All Plans $2,929.50 ↑ +488%
Entrust Commercial|All Plans $3,385.20 ↑ +580%

Visitor-reported prices

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Abdominal paracentesis w/image guidance at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,627.09 $334.95 – $2,245.59
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,666.30 $71.00 – $2,499.44
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,457.75 $71.00 – $2,245.59
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,627.09 $334.95 – $2,245.59
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $1,666.30 $85.00 – $2,499.44
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $1,666.30 $334.95 – $2,499.44
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $1,457.75 $71.00 – $2,245.59
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $1,627.09 $334.95 – $2,245.59

All Texas hospitals for this procedure →