Brain MRI (with contrast) at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$1,843.35
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.
$12,289.00
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 $12,780.56 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 | ↓ -82% |
| AETNA | Medicare|All Plans | $339.11 | ↓ -82% |
| Wellpoint | Medicare|All Plans | $349.28 | ↓ -81% |
| BCBS | Medicare|All Plans | $354.45 | ↓ -81% |
| UNITED | Medicare|All Plans | $354.45 | ↓ -81% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $356.07 | ↓ -81% |
| CIGNA HEALTHSPRING | Medicare|PPO | $359.46 | ↓ -80% |
| SCANHealth | Medicare|All Plans | $361.20 | ↓ -80% |
| MD Save | Commercial|All Plans | $423.89 | ↓ -77% |
| BCBS-TX | Commercial|Blue Advantage HMO | $439.13 | ↓ -76% |
| SUPERIOR | Medicaid|All Other Plans | $461.69 | ↓ -75% |
| Wellpoint | Medicaid|All Other Plans | $461.69 | ↓ -75% |
| SUPERIOR | Medicaid|STARPLUS | $461.69 | ↓ -75% |
| UNITED | Medicaid|STAR | $461.69 | ↓ -75% |
| UNITED | Medicaid|All Other Plans | $461.69 | ↓ -75% |
| TCHP | Medicaid|All Plans | $464.22 | ↓ -75% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $470.92 | ↓ -74% |
| Wellpoint | Medicaid|STARPLUS | $475.54 | ↓ -74% |
| BCBS | Medicaid|All Plans | $484.77 | ↓ -74% |
| Wellpoint | Commercial|Exchange | $531.68 | ↓ -71% |
| SUPERIOR | Medicaid|STAR | $724.85 | ↓ -61% |
| Wellpoint | Medicaid|STAR | $724.85 | ↓ -61% |
| UNITED | Medicaid|STARPLUS | $826.43 | ↓ -55% |
| Angelina County | Commercial|All Plans | $925.77 | ↓ -50% |
| Brookshire Brothers | Commercial|All Plans | $1,017.33 | ↓ -45% |
| BCBS-TX | Commercial|Blue Premier | $1,202.83 | ↓ -35% |
| BCBS-TX | Commercial|HMO | $1,263.92 | ↓ -31% |
| BCBS-TX | Commercial|PPO | $1,523.58 | ↓ -17% |
| Cigna | Commercial|All Plans | $1,654.00 | ↓ -10% |
| United | Commercial|Exchange | $2,212.02 | ↑ +20% |
| United | Commercial|All Other Plans | $2,826.47 | ↑ +53% |
| Aetna | Commercial|All Plans | $3,072.25 | ↑ +67% |
| PHCS | Commercial|All Plans | $8,356.52 | ↑ +353% |
| Multiplan | Commercial|All Plans | $8,602.30 | ↑ +367% |
| Humana | Commercial|All Plans | $8,602.30 | ↑ +367% |
| Galaxy | Commercial|All Plans | $11,060.10 | ↑ +500% |
| Entrust | Commercial|All Plans | $12,780.56 | ↑ +593% |
Visitor-reported prices
Comments
Brain MRI (with contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,224.96 | $278.66 – $2,781.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,163.67 | $445.36 – $3,245.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,554.03 | $278.66 – $3,192.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,224.96 | $278.66 – $2,781.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,163.67 | $298.17 – $3,245.51 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,163.67 | $278.66 – $3,245.51 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,554.03 | $278.66 – $3,831.05 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,224.96 | $278.66 – $2,781.20 |