Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$152.10
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.
$1,014.00
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.
$30.73 with BCBS-TX vs $1,829.40 with Brookshire Brothers — 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $30.73 | ↓ -80% |
| SUPERIOR | Medicaid|All Other Plans | $42.36 | ↓ -72% |
| UNITED | Medicaid|All Other Plans | $42.36 | ↓ -72% |
| UNITED | Medicaid|STAR | $42.36 | ↓ -72% |
| UNITED | Medicaid|STARKIDS | $42.36 | ↓ -72% |
| TCHP | Medicaid|All Plans | $42.36 | ↓ -72% |
| Wellpoint | Medicaid|All Other Plans | $42.36 | ↓ -72% |
| SUPERIOR | Medicaid|STARPLUS | $42.36 | ↓ -72% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $43.21 | ↓ -72% |
| Wellpoint | Medicaid|STARPLUS | $43.63 | ↓ -71% |
| BCBS | Medicaid|All Plans | $44.48 | ↓ -71% |
| SUPERIOR | Medicaid|STAR | $66.51 | ↓ -56% |
| Wellpoint | Medicaid|STAR | $66.51 | ↓ -56% |
| BCBS-TX | Commercial|Blue Premier | $68.44 | ↓ -55% |
| BCBS-TX | Commercial|HMO | $69.84 | ↓ -54% |
| UNITED | Medicaid|STARPLUS | $75.82 | ↓ -50% |
| BCBS-TX | Commercial|PPO | $76.82 | ↓ -49% |
| United | Commercial|Exchange | $182.52 | ↑ +20% |
| United | Commercial|All Other Plans | $233.22 | ↑ +53% |
| Aetna | Commercial|All Plans | $253.50 | ↑ +67% |
| Cigna | Commercial|All Plans | $289.00 | ↑ +90% |
| AETNA | Medicare|All Plans | $609.80 | ↑ +301% |
| HUMANA | Medicare|All Plans | $609.80 | ↑ +301% |
| Wellpoint | Medicare|All Plans | $628.09 | ↑ +313% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $640.29 | ↑ +321% |
| CIGNA HEALTHSPRING | Medicare|PPO | $646.39 | ↑ +325% |
| BCBS | Medicare|All Plans | $687.31 | ↑ +352% |
| UNITED | Medicare|All Plans | $687.31 | ↑ +352% |
| PHCS | Commercial|All Plans | $689.52 | ↑ +353% |
| SCANHealth | Medicare|All Plans | $700.40 | ↑ +360% |
| Humana | Commercial|All Plans | $709.80 | ↑ +367% |
| Multiplan | Commercial|All Plans | $709.80 | ↑ +367% |
| MD Save | Commercial|All Plans | $762.25 | ↑ +401% |
| Galaxy | Commercial|All Plans | $912.60 | ↑ +500% |
| Wellpoint | Commercial|Exchange | $1,030.97 | ↑ +578% |
| Entrust | Commercial|All Plans | $1,054.56 | ↑ +593% |
| Angelina County | Commercial|All Plans | $1,664.75 | ↑ +995% |
| Brookshire Brothers | Commercial|All Plans | $1,829.40 | ↑ +1103% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,107.19 | $42.36 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,088.05 | $45.33 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,008.92 | $42.36 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,107.19 | $42.36 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,088.05 | $45.33 – $1,713.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,088.05 | $42.36 – $1,713.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,008.92 | $42.36 – $1,713.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,107.19 | $42.36 – $1,713.14 |