Cdna analysis for variants at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$611.85
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.
$4,079.00
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.
$155.57 with TCHP vs $3,671.10 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 |
|---|---|---|---|
| TCHP | Medicaid|All Plans | $155.57 | ↓ -75% |
| AETNA | Medicare|All Plans | $185.20 | ↓ -70% |
| HUMANA | Medicare|All Plans | $185.20 | ↓ -70% |
| Wellpoint | Medicare|All Plans | $190.76 | ↓ -69% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $194.46 | ↓ -68% |
| UNITED | Medicare|All Plans | $194.46 | ↓ -68% |
| BCBS | Medicare|All Plans | $194.46 | ↓ -68% |
| CIGNA HEALTHSPRING | Medicare|PPO | $196.31 | ↓ -68% |
| SCANHealth | Medicare|All Plans | $198.16 | ↓ -68% |
| MD Save | Commercial|All Plans | $231.50 | ↓ -62% |
| Wellpoint | Medicaid|All Other Plans | $253.72 | ↓ -59% |
| UNITED | Medicaid|All Other Plans | $253.72 | ↓ -59% |
| UNITED | Medicaid|CHIP | $253.72 | ↓ -59% |
| UNITED | Medicaid|STAR | $253.72 | ↓ -59% |
| UNITED | Medicaid|STARKIDS | $253.72 | ↓ -59% |
| SUPERIOR | Medicaid|STARPLUS | $253.72 | ↓ -59% |
| SUPERIOR | Medicaid|All Other Plans | $253.72 | ↓ -59% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $258.79 | ↓ -58% |
| Wellpoint | Medicaid|STARPLUS | $261.33 | ↓ -57% |
| BCBS | Medicaid|All Plans | $266.41 | ↓ -56% |
| Wellpoint | Commercial|Exchange | $291.69 | ↓ -52% |
| BCBS-TX | Commercial|Blue Advantage HMO | $351.88 | ↓ -42% |
| Wellpoint | Medicaid|STAR | $398.34 | ↓ -35% |
| SUPERIOR | Medicaid|STAR | $398.34 | ↓ -35% |
| UNITED | Medicaid|STARPLUS | $454.16 | ↓ -26% |
| Entrust | Commercial|All Plans | $481.52 | ↓ -21% |
| Angelina County | Commercial|All Plans | $505.60 | ↓ -17% |
| Brookshire Brothers | Commercial|All Plans | $555.60 | ↓ -9% |
| BCBS-TX | Commercial|Blue Premier | $611.16 | ↓ -0% |
| BCBS-TX | Commercial|HMO | $648.20 | ↑ +6% |
| United | Commercial|Exchange | $734.22 | ↑ +20% |
| BCBS-TX | Commercial|PPO | $748.21 | ↑ +22% |
| Cigna | Commercial|All Plans | $800.14 | ↑ +31% |
| United | Commercial|All Other Plans | $938.17 | ↑ +53% |
| Aetna | Commercial|All Plans | $1,019.75 | ↑ +67% |
| PHCS | Commercial|All Plans | $2,773.72 | ↑ +353% |
| Multiplan | Commercial|All Plans | $2,855.30 | ↑ +367% |
| Humana | Commercial|All Plans | $2,855.30 | ↑ +367% |
| Galaxy | Commercial|All Plans | $3,671.10 | ↑ +500% |
Visitor-reported prices
Comments
Cdna analysis for variants at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $750.00 | $10.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $750.00 | $10.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $750.00 | $8.00 – $444.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $750.00 | $10.00 – $444.48 |