Clot factor xiii fibrin stab at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$150.75
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.
$1,005.00
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.
$13.73 with TCHP vs $904.50 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 | $13.73 | ↓ -91% |
| AETNA | Medicare|All Plans | $16.34 | ↓ -89% |
| HUMANA | Medicare|All Plans | $16.34 | ↓ -89% |
| Wellpoint | Medicare|All Plans | $16.83 | ↓ -89% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $17.16 | ↓ -89% |
| UNITED | Medicare|All Plans | $17.16 | ↓ -89% |
| BCBS | Medicare|All Plans | $17.16 | ↓ -89% |
| CIGNA HEALTHSPRING | Medicare|PPO | $17.32 | ↓ -89% |
| SCANHealth | Medicare|All Plans | $17.48 | ↓ -88% |
| MD Save | Commercial|All Plans | $20.43 | ↓ -86% |
| Wellpoint | Medicaid|All Other Plans | $22.39 | ↓ -85% |
| UNITED | Medicaid|All Other Plans | $22.39 | ↓ -85% |
| UNITED | Medicaid|CHIP | $22.39 | ↓ -85% |
| UNITED | Medicaid|STAR | $22.39 | ↓ -85% |
| UNITED | Medicaid|STARKIDS | $22.39 | ↓ -85% |
| SUPERIOR | Medicaid|STARPLUS | $22.39 | ↓ -85% |
| SUPERIOR | Medicaid|All Other Plans | $22.39 | ↓ -85% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $22.84 | ↓ -85% |
| Wellpoint | Medicaid|STARPLUS | $23.06 | ↓ -85% |
| BCBS | Medicaid|All Plans | $23.51 | ↓ -84% |
| Wellpoint | Commercial|Exchange | $25.74 | ↓ -83% |
| BCBS-TX | Commercial|Blue Advantage HMO | $31.05 | ↓ -79% |
| Wellpoint | Medicaid|STAR | $35.15 | ↓ -77% |
| SUPERIOR | Medicaid|STAR | $35.15 | ↓ -77% |
| UNITED | Medicaid|STARPLUS | $40.08 | ↓ -73% |
| Entrust | Commercial|All Plans | $42.48 | ↓ -72% |
| Angelina County | Commercial|All Plans | $44.61 | ↓ -70% |
| Brookshire Brothers | Commercial|All Plans | $49.02 | ↓ -67% |
| BCBS-TX | Commercial|Blue Premier | $53.92 | ↓ -64% |
| BCBS-TX | Commercial|HMO | $57.19 | ↓ -62% |
| BCBS-TX | Commercial|PPO | $66.01 | ↓ -56% |
| Cigna | Commercial|All Plans | $70.31 | ↓ -53% |
| United | Commercial|Exchange | $180.90 | ↑ +20% |
| United | Commercial|All Other Plans | $231.15 | ↑ +53% |
| Aetna | Commercial|All Plans | $251.25 | ↑ +67% |
| PHCS | Commercial|All Plans | $683.40 | ↑ +353% |
| Multiplan | Commercial|All Plans | $703.50 | ↑ +367% |
| Humana | Commercial|All Plans | $703.50 | ↑ +367% |
| Galaxy | Commercial|All Plans | $904.50 | ↑ +500% |
Visitor-reported prices
Comments
Clot factor xiii fibrin stab at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $146.47 | $10.00 – $183.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $199.57 | $12.00 – $299.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $193.75 | $12.00 – $242.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $146.47 | $10.00 – $183.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $199.57 | $12.00 – $299.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $199.57 | $8.00 – $299.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $193.75 | $12.00 – $290.63 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $146.47 | $10.00 – $183.09 |