Chrom analysis at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$97.80
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.
$652.00
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.
$29.24 with TCHP vs $151.07 with Cigna — 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 | $29.24 | ↓ -70% |
| United | Commercial|Exchange | $30.06 | ↓ -69% |
| HUMANA | Medicare|All Plans | $34.81 | ↓ -64% |
| AETNA | Medicare|All Plans | $34.81 | ↓ -64% |
| Wellpoint | Medicare|All Plans | $35.85 | ↓ -63% |
| UNITED | Medicare|All Plans | $36.55 | ↓ -63% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $36.55 | ↓ -63% |
| BCBS | Medicare|All Plans | $36.55 | ↓ -63% |
| CIGNA HEALTHSPRING | Medicare|PPO | $36.90 | ↓ -62% |
| SCANHealth | Medicare|All Plans | $37.25 | ↓ -62% |
| United | Commercial|All Other Plans | $38.41 | ↓ -61% |
| Aetna | Commercial|All Plans | $41.75 | ↓ -57% |
| MD Save | Commercial|All Plans | $43.51 | ↓ -56% |
| UNITED | Medicaid|STAR | $47.69 | ↓ -51% |
| Wellpoint | Medicaid|All Other Plans | $47.69 | ↓ -51% |
| UNITED | Medicaid|CHIP | $47.69 | ↓ -51% |
| UNITED | Medicaid|All Other Plans | $47.69 | ↓ -51% |
| UNITED | Medicaid|STARKIDS | $47.69 | ↓ -51% |
| SUPERIOR | Medicaid|STARPLUS | $47.69 | ↓ -51% |
| SUPERIOR | Medicaid|All Other Plans | $47.69 | ↓ -51% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $48.64 | ↓ -50% |
| Wellpoint | Medicaid|STARPLUS | $49.12 | ↓ -50% |
| BCBS | Medicaid|All Plans | $50.07 | ↓ -49% |
| Wellpoint | Commercial|Exchange | $54.83 | ↓ -44% |
| BCBS-TX | Commercial|Blue Advantage HMO | $66.14 | ↓ -32% |
| Wellpoint | Medicaid|STAR | $74.87 | ↓ -23% |
| SUPERIOR | Medicaid|STAR | $74.87 | ↓ -23% |
| UNITED | Medicaid|STARPLUS | $85.37 | ↓ -13% |
| Entrust | Commercial|All Plans | $90.51 | ↓ -7% |
| Angelina County | Commercial|All Plans | $95.03 | ↓ -3% |
| Brookshire Brothers | Commercial|All Plans | $104.43 | ↑ +7% |
| PHCS | Commercial|All Plans | $113.56 | ↑ +16% |
| BCBS-TX | Commercial|Blue Premier | $114.87 | ↑ +17% |
| Humana | Commercial|All Plans | $116.90 | ↑ +20% |
| Multiplan | Commercial|All Plans | $116.90 | ↑ +20% |
| BCBS-TX | Commercial|HMO | $121.84 | ↑ +25% |
| BCBS-TX | Commercial|PPO | $140.63 | ↑ +44% |
| Galaxy | Commercial|All Plans | $150.30 | ↑ +54% |
| Cigna | Commercial|All Plans | $151.07 | ↑ +54% |
Visitor-reported prices
Comments
Chrom analysis at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $243.71 | $21.20 – $83.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $220.96 | $7.27 – $83.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $204.30 | $27.32 – $83.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $243.71 | $27.67 – $83.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $220.96 | $27.32 – $83.54 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $220.96 | $26.00 – $83.54 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $204.30 | $27.32 – $83.54 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $243.71 | $27.67 – $83.54 |