Arthrocentesis/aspiration/injection major 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
$172.20
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.
$1,148.00
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.
$34.54 with BCBS-TX vs $1,193.92 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $34.54 | ↓ -80% |
| SUPERIOR | Medicaid|All Other Plans | $47.34 | ↓ -73% |
| UNITED | Medicaid|All Other Plans | $47.34 | ↓ -73% |
| TCHP | Medicaid|All Plans | $47.34 | ↓ -73% |
| UNITED | Medicaid|STAR | $47.34 | ↓ -73% |
| Wellpoint | Medicaid|All Other Plans | $47.34 | ↓ -73% |
| SUPERIOR | Medicaid|STARPLUS | $47.34 | ↓ -73% |
| UNITED | Medicaid|STARKIDS | $47.34 | ↓ -73% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $48.29 | ↓ -72% |
| Wellpoint | Medicaid|STARPLUS | $48.76 | ↓ -72% |
| BCBS | Medicaid|All Plans | $49.71 | ↓ -71% |
| Wellpoint | Medicaid|STAR | $74.32 | ↓ -57% |
| SUPERIOR | Medicaid|STAR | $74.32 | ↓ -57% |
| BCBS-TX | Commercial|Blue Premier | $76.93 | ↓ -55% |
| BCBS-TX | Commercial|HMO | $78.50 | ↓ -54% |
| UNITED | Medicaid|STARPLUS | $84.74 | ↓ -51% |
| BCBS-TX | Commercial|PPO | $86.34 | ↓ -50% |
| United | Commercial|Exchange | $206.64 | ↑ +20% |
| HUMANA | Medicare|All Plans | $261.17 | ↑ +52% |
| AETNA | Medicare|All Plans | $261.17 | ↑ +52% |
| United | Commercial|All Other Plans | $264.04 | ↑ +53% |
| Wellpoint | Medicare|All Plans | $269.01 | ↑ +56% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $274.23 | ↑ +59% |
| CIGNA HEALTHSPRING | Medicare|PPO | $276.84 | ↑ +61% |
| Aetna | Commercial|All Plans | $287.00 | ↑ +67% |
| Cigna | Commercial|All Plans | $289.00 | ↑ +68% |
| BCBS | Medicare|All Plans | $292.97 | ↑ +70% |
| UNITED | Medicare|All Plans | $292.97 | ↑ +70% |
| SCANHealth | Medicare|All Plans | $298.55 | ↑ +73% |
| MD Save | Commercial|All Plans | $326.46 | ↑ +90% |
| Wellpoint | Commercial|Exchange | $439.46 | ↑ +155% |
| Angelina County | Commercial|All Plans | $712.99 | ↑ +314% |
| PHCS | Commercial|All Plans | $780.64 | ↑ +353% |
| Brookshire Brothers | Commercial|All Plans | $783.51 | ↑ +355% |
| Multiplan | Commercial|All Plans | $803.60 | ↑ +367% |
| Humana | Commercial|All Plans | $803.60 | ↑ +367% |
| UNITED | Medicaid|CHIP | $1,033.20 | ↑ +500% |
| Galaxy | Commercial|All Plans | $1,033.20 | ↑ +500% |
| Entrust | Commercial|All Plans | $1,193.92 | ↑ +593% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $984.66 | $65.41 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,123.56 | $47.34 – $1,404.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $910.79 | $50.65 – $1,366.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,111.46 | $47.34 – $1,389.33 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,123.56 | $47.34 – $1,404.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $910.79 | $50.65 – $1,366.18 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $910.79 | $47.34 – $1,366.18 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,111.46 | $47.34 – $1,667.20 |