Biopsy of prostate at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$930.90
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.
$6,206.00
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.
$652.80 with SUPERIOR vs $6,454.24 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|All Other Plans | $652.80 | ↓ -30% |
| SUPERIOR | Medicaid|STARPLUS | $652.80 | ↓ -30% |
| TCHP | Medicaid|All Plans | $652.80 | ↓ -30% |
| UNITED | Medicaid|All Other Plans | $652.80 | ↓ -30% |
| UNITED | Medicaid|STAR | $652.80 | ↓ -30% |
| Wellpoint | Medicaid|All Other Plans | $652.80 | ↓ -30% |
| UNITED | Medicaid|STARKIDS | $652.80 | ↓ -30% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $665.86 | ↓ -28% |
| Wellpoint | Medicaid|STARPLUS | $672.38 | ↓ -28% |
| BCBS | Medicaid|All Plans | $685.44 | ↓ -26% |
| Wellpoint | Medicaid|STAR | $1,024.90 | ↑ +10% |
| SUPERIOR | Medicaid|STAR | $1,024.90 | ↑ +10% |
| United | Commercial|Exchange | $1,117.08 | ↑ +20% |
| UNITED | Medicaid|STARPLUS | $1,168.51 | ↑ +26% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,169.22 | ↑ +26% |
| United | Commercial|All Other Plans | $1,427.38 | ↑ +53% |
| Aetna | Commercial|All Plans | $1,551.50 | ↑ +67% |
| AETNA | Medicare|All Plans | $1,796.04 | ↑ +93% |
| HUMANA | Medicare|All Plans | $1,796.04 | ↑ +93% |
| Wellpoint | Medicare|All Plans | $1,849.92 | ↑ +99% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $1,885.84 | ↑ +103% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,903.80 | ↑ +105% |
| UNITED | Medicare|All Plans | $2,033.10 | ↑ +118% |
| BCBS | Medicare|All Plans | $2,033.10 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $2,071.83 | ↑ +123% |
| MD Save | Commercial|All Plans | $2,245.05 | ↑ +141% |
| BCBS-TX | Commercial|Blue Premier | $2,604.18 | ↑ +180% |
| BCBS-TX | Commercial|HMO | $2,657.33 | ↑ +185% |
| BCBS-TX | Commercial|PPO | $2,923.06 | ↑ +214% |
| Cigna | Commercial|All Plans | $2,957.00 | ↑ +218% |
| Wellpoint | Commercial|Exchange | $3,049.65 | ↑ +228% |
| PHCS | Commercial|All Plans | $4,220.08 | ↑ +353% |
| Humana | Commercial|All Plans | $4,344.20 | ↑ +367% |
| Multiplan | Commercial|All Plans | $4,344.20 | ↑ +367% |
| Angelina County | Commercial|All Plans | $4,903.19 | ↑ +427% |
| Brookshire Brothers | Commercial|All Plans | $5,388.12 | ↑ +479% |
| Galaxy | Commercial|All Plans | $5,585.40 | ↑ +500% |
| Entrust | Commercial|All Plans | $6,454.24 | ↑ +593% |
Visitor-reported prices
Comments
Biopsy of prostate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,627.06 | $744.33 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,030.85 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,139.32 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,627.06 | $700.55 – $5,045.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,030.85 | $85.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,030.85 | $1,565.94 – $5,045.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,139.32 | $71.00 – $5,045.72 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,627.06 | $700.55 – $5,045.72 |