Abscess drain retroperitoneal surg code at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$1,186.95
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.
$7,913.00
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.
$486.45 with SUPERIOR vs $8,720.00 with Cigna — 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|All Other Plans | $486.45 | ↓ -59% |
| UNITED | Medicaid|All Other Plans | $486.45 | ↓ -59% |
| UNITED | Medicaid|STAR | $486.45 | ↓ -59% |
| UNITED | Medicaid|STARKIDS | $486.45 | ↓ -59% |
| TCHP | Medicaid|All Plans | $486.45 | ↓ -59% |
| SUPERIOR | Medicaid|STARPLUS | $486.45 | ↓ -59% |
| Wellpoint | Medicaid|All Other Plans | $486.45 | ↓ -59% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $496.18 | ↓ -58% |
| Wellpoint | Medicaid|STARPLUS | $501.04 | ↓ -58% |
| BCBS | Medicaid|All Plans | $510.77 | ↓ -57% |
| Wellpoint | Medicaid|STAR | $763.73 | ↓ -36% |
| SUPERIOR | Medicaid|STAR | $763.73 | ↓ -36% |
| UNITED | Medicaid|STARPLUS | $870.75 | ↓ -27% |
| BCBS-TX | Commercial|Blue Advantage HMO | $905.92 | ↓ -24% |
| United | Commercial|Exchange | $1,343.70 | ↑ +13% |
| AETNA | Medicare|All Plans | $1,429.64 | ↑ +20% |
| HUMANA | Medicare|All Plans | $1,429.64 | ↑ +20% |
| Wellpoint | Medicare|All Plans | $1,472.53 | ↑ +24% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $1,501.12 | ↑ +26% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,515.42 | ↑ +28% |
| UNITED | Medicare|All Plans | $1,608.05 | ↑ +35% |
| BCBS | Medicare|All Plans | $1,608.05 | ↑ +35% |
| SCANHealth | Medicare|All Plans | $1,638.68 | ↑ +38% |
| United | Commercial|All Other Plans | $1,716.95 | ↑ +45% |
| MD Save | Commercial|All Plans | $1,787.05 | ↑ +51% |
| Aetna | Commercial|All Plans | $1,866.25 | ↑ +57% |
| BCBS-TX | Commercial|Blue Premier | $2,017.72 | ↑ +70% |
| BCBS-TX | Commercial|HMO | $2,058.90 | ↑ +73% |
| BCBS-TX | Commercial|PPO | $2,264.79 | ↑ +91% |
| Wellpoint | Commercial|Exchange | $2,412.08 | ↑ +103% |
| Angelina County | Commercial|All Plans | $3,902.92 | ↑ +229% |
| Brookshire Brothers | Commercial|All Plans | $4,288.92 | ↑ +261% |
| PHCS | Commercial|All Plans | $5,076.20 | ↑ +328% |
| Humana | Commercial|All Plans | $5,225.50 | ↑ +340% |
| Multiplan | Commercial|All Plans | $5,225.50 | ↑ +340% |
| Galaxy | Commercial|All Plans | $6,718.50 | ↑ +466% |
| Entrust | Commercial|All Plans | $7,763.60 | ↑ +554% |
| Cigna | Commercial|All Plans | $8,720.00 | ↑ +635% |
Visitor-reported prices
Comments
Abscess drain retroperitoneal surg code at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,053.18 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,053.18 | $71.00 – $4,579.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,053.18 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,053.18 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,053.18 | $85.00 – $4,579.78 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,053.18 | $486.45 – $4,579.78 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,053.18 | $71.00 – $4,579.78 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,053.18 | $486.45 – $4,016.35 |