Brachytx, non-str, gold-198 at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$3,379.32
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.
$22,528.80
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.
$250.72 with AETNA vs $1,555.47 with Galaxy — 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 |
|---|---|---|---|
| AETNA | Medicare|All Plans | $250.72 | ↓ -93% |
| HUMANA | Medicare|All Plans | $250.72 | ↓ -93% |
| Wellpoint | Medicare|All Plans | $258.24 | ↓ -92% |
| BCBS-TX | Commercial|Blue Advantage HMO | $259.25 | ↓ -92% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $263.26 | ↓ -92% |
| CIGNA HEALTHSPRING | Medicare|PPO | $265.76 | ↓ -92% |
| Cigna | Commercial|All Plans | $293.82 | ↓ -91% |
| United | Commercial|Exchange | $311.10 | ↓ -91% |
| MD Save | Commercial|All Plans | $313.40 | ↓ -91% |
| United | Commercial|All Other Plans | $397.51 | ↓ -88% |
| BCBS-TX | Commercial|Blue Premier | $397.51 | ↓ -88% |
| BCBS-TX | Commercial|HMO | $432.08 | ↓ -87% |
| Aetna | Commercial|All Plans | $432.08 | ↓ -87% |
| BCBS-TX | Commercial|PPO | $466.65 | ↓ -86% |
| Angelina County | Commercial|All Plans | $684.47 | ↓ -80% |
| Entrust | Commercial|All Plans | $691.32 | ↓ -80% |
| Brookshire Brothers | Commercial|All Plans | $752.16 | ↓ -78% |
| BCBS | Medicare|All Plans | $861.80 | ↓ -74% |
| UNITED | Medicare|All Plans | $861.80 | ↓ -74% |
| SCANHealth | Medicare|All Plans | $878.21 | ↓ -74% |
| PHCS | Commercial|All Plans | $1,175.25 | ↓ -65% |
| Multiplan | Commercial|All Plans | $1,209.81 | ↓ -64% |
| Humana | Commercial|All Plans | $1,209.81 | ↓ -64% |
| Wellpoint | Commercial|Exchange | $1,292.70 | ↓ -62% |
| Galaxy | Commercial|All Plans | $1,555.47 | ↓ -54% |
Visitor-reported prices
Comments
Brachytx, non-str, gold-198 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $448.37 – $448.37 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $213.12 – $213.12 |
| Covenant Children's Hospital | Lubbock | not published | $456.52 – $456.52 |
| HCA HOUSTON CONROE | CONROE | not published | $213.12 – $213.12 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $213.12 – $213.12 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $213.12 – $213.12 |
| HCA HOUSTON PEARLAND | Pearland | not published | $213.12 – $213.12 |
| HCA HOUSTON SOUTHEAST | PASADENA | not published | $213.12 – $213.12 |