Bx vulva or perineum/1 lesion 56605 at St. Luke's Health Memorial San Augustine

511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$310.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,072.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$31.44 with BCBS-TX vs $2,154.88 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 →

Payer
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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
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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 $31.44 ↓ -90%
TCHP Medicaid|All Plans $44.85 ↓ -86%
SUPERIOR Medicaid|STARPLUS $44.85 ↓ -86%
SUPERIOR Medicaid|All Other Plans $44.85 ↓ -86%
UNITED Medicaid|All Other Plans $44.85 ↓ -86%
UNITED Medicaid|STAR $44.85 ↓ -86%
Wellpoint Medicaid|All Other Plans $44.85 ↓ -86%
UNITED Medicaid|STARKIDS $44.85 ↓ -86%
CIGNA HEALTHSPRING Medicaid|STARPLUS $45.75 ↓ -85%
Wellpoint Medicaid|STARPLUS $46.20 ↓ -85%
BCBS Medicaid|All Plans $47.09 ↓ -85%
BCBS-TX Commercial|Blue Premier $70.03 ↓ -77%
Wellpoint Medicaid|STAR $70.41 ↓ -77%
SUPERIOR Medicaid|STAR $70.41 ↓ -77%
BCBS-TX Commercial|HMO $71.46 ↓ -77%
BCBS-TX Commercial|PPO $78.61 ↓ -75%
UNITED Medicaid|STARPLUS $80.28 ↓ -74%
United Commercial|Exchange $372.96 ↑ +20%
United Commercial|All Other Plans $476.56 ↑ +53%
Aetna Commercial|All Plans $518.00 ↑ +67%
HUMANA Medicare|All Plans $708.88 ↑ +128%
AETNA Medicare|All Plans $708.88 ↑ +128%
Wellpoint Medicare|All Plans $730.15 ↑ +135%
CIGNA HEALTHSPRING Medicare|All Other Plans $744.32 ↑ +139%
CIGNA HEALTHSPRING Medicare|PPO $751.41 ↑ +142%
BCBS Medicare|All Plans $864.19 ↑ +178%
UNITED Medicare|All Plans $864.19 ↑ +178%
SCANHealth Medicare|All Plans $880.65 ↑ +183%
MD Save Commercial|All Plans $886.10 ↑ +185%
Wellpoint Commercial|Exchange $1,296.29 ↑ +317%
PHCS Commercial|All Plans $1,408.96 ↑ +353%
Multiplan Commercial|All Plans $1,450.40 ↑ +367%
Humana Commercial|All Plans $1,450.40 ↑ +367%
Galaxy Commercial|All Plans $1,864.80 ↑ +500%
Angelina County Commercial|All Plans $1,935.24 ↑ +523%
Cigna Commercial|All Plans $2,016.00 ↑ +549%
Brookshire Brothers Commercial|All Plans $2,126.64 ↑ +584%
Entrust Commercial|All Plans $2,154.88 ↑ +593%

Visitor-reported prices

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Bx vulva or perineum/1 lesion 56605 at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $813.53 $44.85 – $1,991.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,148.20 $47.99 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,117.94 $44.85 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $813.53 $44.85 – $1,991.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $1,148.20 $47.99 – $2,975.00
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $1,148.20 $44.85 – $1,991.50
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $1,117.94 $44.85 – $2,975.00
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $813.53 $44.85 – $1,991.50

All Texas hospitals for this procedure →