Brain MRI (with and without contrast) at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$2,177.25
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.
$14,515.00
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.
$339.11 with HUMANA vs $15,095.60 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 |
|---|---|---|---|
| HUMANA | Medicare|All Plans | $339.11 | ↓ -84% |
| AETNA | Medicare|All Plans | $339.11 | ↓ -84% |
| Wellpoint | Medicare|All Plans | $349.28 | ↓ -84% |
| BCBS | Medicare|All Plans | $354.45 | ↓ -84% |
| UNITED | Medicare|All Plans | $354.45 | ↓ -84% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $356.07 | ↓ -84% |
| CIGNA HEALTHSPRING | Medicare|PPO | $359.46 | ↓ -83% |
| SCANHealth | Medicare|All Plans | $361.20 | ↓ -83% |
| MD Save | Commercial|All Plans | $423.89 | ↓ -81% |
| BCBS-TX | Commercial|Blue Advantage HMO | $439.13 | ↓ -80% |
| SUPERIOR | Medicaid|All Other Plans | $461.69 | ↓ -79% |
| Wellpoint | Medicaid|All Other Plans | $461.69 | ↓ -79% |
| SUPERIOR | Medicaid|STARPLUS | $461.69 | ↓ -79% |
| UNITED | Medicaid|STAR | $461.69 | ↓ -79% |
| UNITED | Medicaid|All Other Plans | $461.69 | ↓ -79% |
| TCHP | Medicaid|All Plans | $464.22 | ↓ -79% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $470.92 | ↓ -78% |
| Wellpoint | Medicaid|STARPLUS | $475.54 | ↓ -78% |
| BCBS | Medicaid|All Plans | $484.77 | ↓ -78% |
| Wellpoint | Commercial|Exchange | $531.68 | ↓ -76% |
| SUPERIOR | Medicaid|STAR | $724.85 | ↓ -67% |
| Wellpoint | Medicaid|STAR | $724.85 | ↓ -67% |
| UNITED | Medicaid|STARPLUS | $826.43 | ↓ -62% |
| Angelina County | Commercial|All Plans | $925.77 | ↓ -57% |
| Brookshire Brothers | Commercial|All Plans | $1,017.33 | ↓ -53% |
| BCBS-TX | Commercial|Blue Premier | $1,202.83 | ↓ -45% |
| BCBS-TX | Commercial|HMO | $1,263.92 | ↓ -42% |
| BCBS-TX | Commercial|PPO | $1,523.58 | ↓ -30% |
| Cigna | Commercial|All Plans | $1,654.00 | ↓ -24% |
| United | Commercial|Exchange | $2,612.70 | ↑ +20% |
| United | Commercial|All Other Plans | $3,338.45 | ↑ +53% |
| Aetna | Commercial|All Plans | $3,628.75 | ↑ +67% |
| PHCS | Commercial|All Plans | $9,870.20 | ↑ +353% |
| Multiplan | Commercial|All Plans | $10,160.50 | ↑ +367% |
| Humana | Commercial|All Plans | $10,160.50 | ↑ +367% |
| Galaxy | Commercial|All Plans | $13,063.50 | ↑ +500% |
| Entrust | Commercial|All Plans | $15,095.60 | ↑ +593% |
Visitor-reported prices
Comments
Brain MRI (with and without contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $5,941.03 | $1,779.42 – $1,779.42 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,149.11 | $328.11 – $3,936.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,480.37 | $494.01 – $5,220.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,969.34 | $328.11 – $4,961.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,149.11 | $328.11 – $3,936.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,480.37 | $332.94 – $5,220.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,480.37 | $328.11 – $5,220.56 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,969.34 | $328.11 – $5,954.00 |