Chromosome analysis 20-25 at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$185.25
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.
$1,235.00
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.
$145.46 with TCHP vs $1,111.50 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 | $145.46 | ↓ -21% |
| AETNA | Medicare|All Plans | $173.17 | ↓ -7% |
| HUMANA | Medicare|All Plans | $173.17 | ↓ -7% |
| Wellpoint | Medicare|All Plans | $178.37 | ↓ -4% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $181.83 | ↓ -2% |
| UNITED | Medicare|All Plans | $181.83 | ↓ -2% |
| BCBS | Medicare|All Plans | $181.83 | ↓ -2% |
| CIGNA HEALTHSPRING | Medicare|PPO | $183.56 | ↓ -1% |
| SCANHealth | Medicare|All Plans | $185.29 | ↑ +0% |
| MD Save | Commercial|All Plans | $216.46 | ↑ +17% |
| United | Commercial|Exchange | $222.30 | ↑ +20% |
| UNITED | Medicaid|STAR | $237.24 | ↑ +28% |
| UNITED | Medicaid|CHIP | $237.24 | ↑ +28% |
| UNITED | Medicaid|All Other Plans | $237.24 | ↑ +28% |
| SUPERIOR | Medicaid|STARPLUS | $237.24 | ↑ +28% |
| SUPERIOR | Medicaid|All Other Plans | $237.24 | ↑ +28% |
| UNITED | Medicaid|STARKIDS | $237.24 | ↑ +28% |
| Wellpoint | Medicaid|All Other Plans | $237.24 | ↑ +28% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $241.98 | ↑ +31% |
| Wellpoint | Medicaid|STARPLUS | $244.36 | ↑ +32% |
| BCBS | Medicaid|All Plans | $249.10 | ↑ +34% |
| Wellpoint | Commercial|Exchange | $272.75 | ↑ +47% |
| United | Commercial|All Other Plans | $284.05 | ↑ +53% |
| Aetna | Commercial|All Plans | $308.75 | ↑ +67% |
| BCBS-TX | Commercial|Blue Advantage HMO | $329.02 | ↑ +78% |
| SUPERIOR | Medicaid|STAR | $372.47 | ↑ +101% |
| Wellpoint | Medicaid|STAR | $372.47 | ↑ +101% |
| UNITED | Medicaid|STARPLUS | $424.66 | ↑ +129% |
| Entrust | Commercial|All Plans | $450.24 | ↑ +143% |
| Angelina County | Commercial|All Plans | $472.75 | ↑ +155% |
| Brookshire Brothers | Commercial|All Plans | $519.51 | ↑ +180% |
| BCBS-TX | Commercial|Blue Premier | $571.46 | ↑ +208% |
| BCBS-TX | Commercial|HMO | $606.10 | ↑ +227% |
| BCBS-TX | Commercial|PPO | $699.61 | ↑ +278% |
| Cigna | Commercial|All Plans | $747.81 | ↑ +304% |
| PHCS | Commercial|All Plans | $839.80 | ↑ +353% |
| Multiplan | Commercial|All Plans | $864.50 | ↑ +367% |
| Humana | Commercial|All Plans | $864.50 | ↑ +367% |
| Galaxy | Commercial|All Plans | $1,111.50 | ↑ +500% |
Visitor-reported prices
Comments
Chromosome analysis 20-25 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $617.31 | $35.00 – $771.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $277.09 | $36.00 – $415.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $277.09 | $36.00 – $415.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $617.31 | $35.00 – $771.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $277.09 | $36.00 – $415.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $277.09 | $26.00 – $415.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $277.09 | $36.00 – $415.63 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $617.31 | $35.00 – $771.64 |