Cls tx of heel fracture w/manip 28405 at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$78.00
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.
$520.00
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.
$85.32 with UNITED vs $2,957.00 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 |
|---|---|---|---|
| UNITED | Medicaid|STARKIDS | $85.32 | ↑ +9% |
| Wellpoint | Medicaid|All Other Plans | $85.32 | ↑ +9% |
| SUPERIOR | Medicaid|STARPLUS | $85.32 | ↑ +9% |
| UNITED | Medicaid|All Other Plans | $85.32 | ↑ +9% |
| TCHP | Medicaid|All Plans | $85.32 | ↑ +9% |
| UNITED | Medicaid|STAR | $85.32 | ↑ +9% |
| SUPERIOR | Medicaid|All Other Plans | $85.32 | ↑ +9% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $87.03 | ↑ +12% |
| Wellpoint | Medicaid|STARPLUS | $87.88 | ↑ +13% |
| BCBS | Medicaid|All Plans | $89.59 | ↑ +15% |
| United | Commercial|Exchange | $93.60 | ↑ +20% |
| United | Commercial|All Other Plans | $119.60 | ↑ +53% |
| Aetna | Commercial|All Plans | $130.00 | ↑ +67% |
| Wellpoint | Medicaid|STAR | $133.95 | ↑ +72% |
| SUPERIOR | Medicaid|STAR | $133.95 | ↑ +72% |
| BCBS-TX | Commercial|Blue Advantage HMO | $142.32 | ↑ +82% |
| UNITED | Medicaid|STARPLUS | $152.72 | ↑ +96% |
| HUMANA | Medicare|All Plans | $207.95 | ↑ +167% |
| AETNA | Medicare|All Plans | $207.95 | ↑ +167% |
| Wellpoint | Medicare|All Plans | $214.19 | ↑ +175% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $218.35 | ↑ +180% |
| CIGNA HEALTHSPRING | Medicare|PPO | $220.43 | ↑ +183% |
| UNITED | Medicare|All Plans | $238.08 | ↑ +205% |
| BCBS | Medicare|All Plans | $238.08 | ↑ +205% |
| SCANHealth | Medicare|All Plans | $242.61 | ↑ +211% |
| MD Save | Commercial|All Plans | $259.94 | ↑ +233% |
| BCBS-TX | Commercial|Blue Premier | $316.99 | ↑ +306% |
| BCBS-TX | Commercial|HMO | $323.46 | ↑ +315% |
| PHCS | Commercial|All Plans | $353.60 | ↑ +353% |
| BCBS-TX | Commercial|PPO | $355.81 | ↑ +356% |
| Wellpoint | Commercial|Exchange | $357.12 | ↑ +358% |
| Humana | Commercial|All Plans | $364.00 | ↑ +367% |
| Multiplan | Commercial|All Plans | $364.00 | ↑ +367% |
| UNITED | Medicaid|CHIP | $468.00 | ↑ +500% |
| Galaxy | Commercial|All Plans | $468.00 | ↑ +500% |
| Entrust | Commercial|All Plans | $540.80 | ↑ +593% |
| Angelina County | Commercial|All Plans | $567.70 | ↑ +628% |
| Brookshire Brothers | Commercial|All Plans | $623.85 | ↑ +700% |
| Cigna | Commercial|All Plans | $2,957.00 | ↑ +3691% |
Visitor-reported prices
Comments
Cls tx of heel fracture w/manip 28405 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,766.26 | $85.32 – $7,207.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,635.14 | $71.00 – $3,952.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,917.67 | $71.00 – $2,397.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,766.26 | $85.32 – $7,207.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,635.14 | $85.00 – $3,952.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,635.14 | $85.32 – $3,952.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,917.67 | $71.00 – $2,876.51 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $5,766.26 | $85.32 – $7,207.83 |