Cardiac perf spect sgl/ef/wm rst/strs at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$1,829.55
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.
$12,197.00
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.
$532.55 with BCBS-TX vs $12,684.88 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 →
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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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $532.55 | ↓ -71% |
| BCBS-TX | Commercial|Blue Premier | $733.67 | ↓ -60% |
| BCBS-TX | Commercial|HMO | $762.00 | ↓ -58% |
| BCBS-TX | Commercial|PPO | $846.98 | ↓ -54% |
| AETNA | Medicare|All Plans | $1,252.11 | ↓ -32% |
| HUMANA | Medicare|All Plans | $1,252.11 | ↓ -32% |
| Wellpoint | Medicare|All Plans | $1,289.67 | ↓ -30% |
| BCBS | Medicare|All Plans | $1,295.67 | ↓ -29% |
| UNITED | Medicare|All Plans | $1,295.67 | ↓ -29% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $1,314.72 | ↓ -28% |
| SCANHealth | Medicare|All Plans | $1,320.35 | ↓ -28% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,327.24 | ↓ -27% |
| MD Save | Commercial|All Plans | $1,565.14 | ↓ -14% |
| TCHP | Medicaid|All Plans | $1,672.36 | ↓ -9% |
| Wellpoint | Medicaid|All Other Plans | $1,672.36 | ↓ -9% |
| UNITED | Medicaid|STAR | $1,672.36 | ↓ -9% |
| UNITED | Medicaid|All Other Plans | $1,672.36 | ↓ -9% |
| SUPERIOR | Medicaid|All Other Plans | $1,672.36 | ↓ -9% |
| SUPERIOR | Medicaid|STARPLUS | $1,672.36 | ↓ -9% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $1,705.81 | ↓ -7% |
| Wellpoint | Medicaid|STARPLUS | $1,722.53 | ↓ -6% |
| BCBS | Medicaid|All Plans | $1,755.98 | ↓ -4% |
| Wellpoint | Commercial|Exchange | $1,943.51 | ↑ +6% |
| United | Commercial|Exchange | $2,195.46 | ↑ +20% |
| Wellpoint | Medicaid|STAR | $2,625.61 | ↑ +44% |
| SUPERIOR | Medicaid|STAR | $2,625.61 | ↑ +44% |
| United | Commercial|All Other Plans | $2,805.31 | ↑ +53% |
| UNITED | Medicaid|STARPLUS | $2,993.52 | ↑ +64% |
| Aetna | Commercial|All Plans | $3,049.25 | ↑ +67% |
| Angelina County | Commercial|All Plans | $3,418.26 | ↑ +87% |
| Brookshire Brothers | Commercial|All Plans | $3,756.33 | ↑ +105% |
| Cigna | Commercial|All Plans | $4,153.00 | ↑ +127% |
| PHCS | Commercial|All Plans | $8,293.96 | ↑ +353% |
| Multiplan | Commercial|All Plans | $8,537.90 | ↑ +367% |
| Humana | Commercial|All Plans | $8,537.90 | ↑ +367% |
| Galaxy | Commercial|All Plans | $10,977.30 | ↑ +500% |
| Entrust | Commercial|All Plans | $12,684.88 | ↑ +593% |
Visitor-reported prices
Comments
Cardiac perf spect sgl/ef/wm rst/strs at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,064.87 | $306.74 – $3,831.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,104.72 | $639.05 – $4,657.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,699.01 | $306.74 – $4,623.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,064.87 | $306.74 – $3,831.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,104.72 | $328.21 – $4,657.08 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,104.72 | $306.74 – $4,657.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,699.01 | $306.74 – $5,548.51 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,064.87 | $306.74 – $3,831.08 |