Biopsy lower leg soft tissue at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$303.45
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.
$2,023.00
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.
$112.42 with BCBS-TX vs $4,288.92 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 | $112.42 | ↓ -63% |
| TCHP | Medicaid|All Plans | $139.54 | ↓ -54% |
| UNITED | Medicaid|All Other Plans | $139.54 | ↓ -54% |
| UNITED | Medicaid|STAR | $139.54 | ↓ -54% |
| Wellpoint | Medicaid|All Other Plans | $139.54 | ↓ -54% |
| UNITED | Medicaid|STARKIDS | $139.54 | ↓ -54% |
| SUPERIOR | Medicaid|STARPLUS | $139.54 | ↓ -54% |
| SUPERIOR | Medicaid|All Other Plans | $139.54 | ↓ -54% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $142.33 | ↓ -53% |
| Wellpoint | Medicaid|STARPLUS | $143.73 | ↓ -53% |
| BCBS | Medicaid|All Plans | $146.52 | ↓ -52% |
| SUPERIOR | Medicaid|STAR | $219.08 | ↓ -28% |
| Wellpoint | Medicaid|STAR | $219.08 | ↓ -28% |
| UNITED | Medicaid|STARPLUS | $249.78 | ↓ -18% |
| BCBS-TX | Commercial|Blue Premier | $250.40 | ↓ -17% |
| BCBS-TX | Commercial|HMO | $255.51 | ↓ -16% |
| BCBS-TX | Commercial|PPO | $281.06 | ↓ -7% |
| United | Commercial|Exchange | $364.14 | ↑ +20% |
| United | Commercial|All Other Plans | $465.29 | ↑ +53% |
| Aetna | Commercial|All Plans | $505.75 | ↑ +67% |
| PHCS | Commercial|All Plans | $1,375.64 | ↑ +353% |
| Humana | Commercial|All Plans | $1,416.10 | ↑ +367% |
| Multiplan | Commercial|All Plans | $1,416.10 | ↑ +367% |
| AETNA | Medicare|All Plans | $1,429.64 | ↑ +371% |
| HUMANA | Medicare|All Plans | $1,429.64 | ↑ +371% |
| Wellpoint | Medicare|All Plans | $1,472.53 | ↑ +385% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $1,501.12 | ↑ +395% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,515.42 | ↑ +399% |
| UNITED | Medicare|All Plans | $1,608.05 | ↑ +430% |
| BCBS | Medicare|All Plans | $1,608.05 | ↑ +430% |
| SCANHealth | Medicare|All Plans | $1,638.68 | ↑ +440% |
| MD Save | Commercial|All Plans | $1,787.05 | ↑ +489% |
| Galaxy | Commercial|All Plans | $1,820.70 | ↑ +500% |
| Cigna | Commercial|All Plans | $2,016.00 | ↑ +564% |
| Entrust | Commercial|All Plans | $2,103.92 | ↑ +593% |
| Wellpoint | Commercial|Exchange | $2,412.08 | ↑ +695% |
| Angelina County | Commercial|All Plans | $3,902.92 | ↑ +1186% |
| Brookshire Brothers | Commercial|All Plans | $4,288.92 | ↑ +1313% |
Visitor-reported prices
Comments
Biopsy lower leg soft tissue at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,551.31 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,415.44 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,551.31 | $85.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,551.31 | $139.54 – $4,016.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,415.44 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,551.31 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,551.31 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,415.44 | $71.00 – $4,016.35 |