Complx repair fccmnaxghf 13132 at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$333.30
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.
$2,222.00
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.
$216.80 with UNITED vs $3,623.00 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 | $216.80 | ↓ -35% |
| Wellpoint | Medicaid|All Other Plans | $216.80 | ↓ -35% |
| SUPERIOR | Medicaid|STARPLUS | $216.80 | ↓ -35% |
| UNITED | Medicaid|All Other Plans | $216.80 | ↓ -35% |
| TCHP | Medicaid|All Plans | $216.80 | ↓ -35% |
| UNITED | Medicaid|STAR | $216.80 | ↓ -35% |
| SUPERIOR | Medicaid|All Other Plans | $216.80 | ↓ -35% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $221.14 | ↓ -34% |
| Wellpoint | Medicaid|STARPLUS | $223.30 | ↓ -33% |
| BCBS | Medicaid|All Plans | $227.64 | ↓ -32% |
| BCBS-TX | Commercial|Blue Advantage HMO | $328.03 | ↓ -2% |
| Wellpoint | Medicaid|STAR | $340.38 | ↑ +2% |
| SUPERIOR | Medicaid|STAR | $340.38 | ↑ +2% |
| United | Commercial|Exchange | $385.02 | ↑ +16% |
| UNITED | Medicaid|STARPLUS | $388.07 | ↑ +16% |
| United | Commercial|All Other Plans | $491.97 | ↑ +48% |
| Aetna | Commercial|All Plans | $534.75 | ↑ +60% |
| HUMANA | Medicare|All Plans | $553.81 | ↑ +66% |
| AETNA | Medicare|All Plans | $553.81 | ↑ +66% |
| Wellpoint | Medicare|All Plans | $570.42 | ↑ +71% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $581.50 | ↑ +74% |
| CIGNA HEALTHSPRING | Medicare|PPO | $587.04 | ↑ +76% |
| UNITED | Medicare|All Plans | $607.53 | ↑ +82% |
| BCBS | Medicare|All Plans | $607.53 | ↑ +82% |
| SCANHealth | Medicare|All Plans | $619.10 | ↑ +86% |
| MD Save | Commercial|All Plans | $692.26 | ↑ +108% |
| BCBS-TX | Commercial|Blue Premier | $730.62 | ↑ +119% |
| BCBS-TX | Commercial|HMO | $745.53 | ↑ +124% |
| BCBS-TX | Commercial|PPO | $820.08 | ↑ +146% |
| Wellpoint | Commercial|Exchange | $911.30 | ↑ +173% |
| PHCS | Commercial|All Plans | $1,454.52 | ↑ +336% |
| Humana | Commercial|All Plans | $1,497.30 | ↑ +349% |
| Multiplan | Commercial|All Plans | $1,497.30 | ↑ +349% |
| Angelina County | Commercial|All Plans | $1,511.90 | ↑ +354% |
| Brookshire Brothers | Commercial|All Plans | $1,661.43 | ↑ +398% |
| UNITED | Medicaid|CHIP | $1,925.10 | ↑ +478% |
| Galaxy | Commercial|All Plans | $1,925.10 | ↑ +478% |
| Entrust | Commercial|All Plans | $2,224.56 | ↑ +567% |
| Cigna | Commercial|All Plans | $3,623.00 | ↑ +987% |
Visitor-reported prices
Comments
Complx repair fccmnaxghf 13132 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,440.06 | $621.28 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,528.04 | $216.80 – $1,910.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,720.30 | $71.00 – $2,580.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,631.57 | $71.00 – $2,039.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,528.04 | $216.80 – $1,910.06 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,720.30 | $85.00 – $2,580.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,720.30 | $216.80 – $2,580.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,631.57 | $71.00 – $2,447.36 |