Ammonia at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$38.41
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.
$256.02
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.
$7.20 with United vs $62.83 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 |
|---|---|---|---|
| United | Commercial|Exchange | $7.20 | ↓ -81% |
| United | Commercial|All Other Plans | $9.20 | ↓ -76% |
| Aetna | Commercial|All Plans | $10.00 | ↓ -74% |
| TCHP | Medicaid|All Plans | $12.24 | ↓ -68% |
| AETNA | Medicare|All Plans | $14.57 | ↓ -62% |
| HUMANA | Medicare|All Plans | $14.57 | ↓ -62% |
| Wellpoint | Medicare|All Plans | $15.01 | ↓ -61% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $15.30 | ↓ -60% |
| UNITED | Medicare|All Plans | $15.30 | ↓ -60% |
| BCBS | Medicare|All Plans | $15.30 | ↓ -60% |
| CIGNA HEALTHSPRING | Medicare|PPO | $15.44 | ↓ -60% |
| SCANHealth | Medicare|All Plans | $15.59 | ↓ -59% |
| MD Save | Commercial|All Plans | $18.21 | ↓ -53% |
| SUPERIOR | Medicaid|STARPLUS | $19.96 | ↓ -48% |
| SUPERIOR | Medicaid|All Other Plans | $19.96 | ↓ -48% |
| UNITED | Medicaid|All Other Plans | $19.96 | ↓ -48% |
| Wellpoint | Medicaid|All Other Plans | $19.96 | ↓ -48% |
| UNITED | Medicaid|STARKIDS | $19.96 | ↓ -48% |
| UNITED | Medicaid|STAR | $19.96 | ↓ -48% |
| UNITED | Medicaid|CHIP | $19.96 | ↓ -48% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $20.36 | ↓ -47% |
| Wellpoint | Medicaid|STARPLUS | $20.56 | ↓ -46% |
| BCBS | Medicaid|All Plans | $20.96 | ↓ -45% |
| Wellpoint | Commercial|Exchange | $22.95 | ↓ -40% |
| PHCS | Commercial|All Plans | $27.20 | ↓ -29% |
| BCBS-TX | Commercial|Blue Advantage HMO | $27.68 | ↓ -28% |
| Humana | Commercial|All Plans | $28.00 | ↓ -27% |
| Multiplan | Commercial|All Plans | $28.00 | ↓ -27% |
| Wellpoint | Medicaid|STAR | $31.34 | ↓ -18% |
| SUPERIOR | Medicaid|STAR | $31.34 | ↓ -18% |
| UNITED | Medicaid|STARPLUS | $35.73 | ↓ -7% |
| Galaxy | Commercial|All Plans | $36.00 | ↓ -6% |
| Entrust | Commercial|All Plans | $37.88 | ↓ -1% |
| Angelina County | Commercial|All Plans | $39.78 | ↑ +4% |
| BCBS-TX | Commercial|Blue Premier | $40.00 | ↑ +4% |
| BCBS-TX | Commercial|PPO | $40.00 | ↑ +4% |
| BCBS-TX | Commercial|HMO | $40.00 | ↑ +4% |
| Brookshire Brothers | Commercial|All Plans | $43.71 | ↑ +14% |
| Cigna | Commercial|All Plans | $62.83 | ↑ +64% |
Visitor-reported prices
Comments
Ammonia at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $232.94 | $13.11 – $56.09 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $145.94 | $10.00 – $182.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $142.06 | $12.00 – $213.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $145.94 | $12.00 – $182.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $145.94 | $10.00 – $182.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $142.06 | $12.00 – $213.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $142.06 | $8.00 – $213.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $145.94 | $12.00 – $218.91 |