Conversion ext bil drg cath at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$2,089.05
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.
$13,927.00
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.
$1,151.54 with SUPERIOR vs $14,484.08 with Entrust — 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|STARPLUS | $1,151.54 | ↓ -45% |
| UNITED | Medicaid|STAR | $1,151.54 | ↓ -45% |
| UNITED | Medicaid|STARKIDS | $1,151.54 | ↓ -45% |
| TCHP | Medicaid|All Plans | $1,151.54 | ↓ -45% |
| Wellpoint | Medicaid|All Other Plans | $1,151.54 | ↓ -45% |
| SUPERIOR | Medicaid|All Other Plans | $1,151.54 | ↓ -45% |
| UNITED | Medicaid|All Other Plans | $1,151.54 | ↓ -45% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $1,174.57 | ↓ -44% |
| Wellpoint | Medicaid|STARPLUS | $1,186.09 | ↓ -43% |
| BCBS | Medicaid|All Plans | $1,209.12 | ↓ -42% |
| SUPERIOR | Medicaid|STAR | $1,807.92 | ↓ -13% |
| Wellpoint | Medicaid|STAR | $1,807.92 | ↓ -13% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,052.16 | ↓ -2% |
| UNITED | Medicaid|STARPLUS | $2,061.26 | ↓ -1% |
| United | Commercial|Exchange | $2,506.86 | ↑ +20% |
| HUMANA | Medicare|All Plans | $3,050.70 | ↑ +46% |
| AETNA | Medicare|All Plans | $3,050.70 | ↑ +46% |
| Wellpoint | Medicare|All Plans | $3,142.22 | ↑ +50% |
| United | Commercial|All Other Plans | $3,203.21 | ↑ +53% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $3,203.24 | ↑ +53% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,233.74 | ↑ +55% |
| Aetna | Commercial|All Plans | $3,481.75 | ↑ +67% |
| UNITED | Medicare|All Plans | $3,502.53 | ↑ +68% |
| BCBS | Medicare|All Plans | $3,502.53 | ↑ +68% |
| SCANHealth | Medicare|All Plans | $3,569.24 | ↑ +71% |
| MD Save | Commercial|All Plans | $3,813.38 | ↑ +83% |
| BCBS-TX | Commercial|Blue Premier | $4,570.73 | ↑ +119% |
| BCBS-TX | Commercial|HMO | $4,664.01 | ↑ +123% |
| BCBS-TX | Commercial|PPO | $5,130.41 | ↑ +146% |
| Wellpoint | Commercial|Exchange | $5,253.80 | ↑ +151% |
| Angelina County | Commercial|All Plans | $8,328.41 | ↑ +299% |
| Cigna | Commercial|All Plans | $8,720.00 | ↑ +317% |
| Brookshire Brothers | Commercial|All Plans | $9,152.10 | ↑ +338% |
| PHCS | Commercial|All Plans | $9,470.36 | ↑ +353% |
| Multiplan | Commercial|All Plans | $9,748.90 | ↑ +367% |
| Humana | Commercial|All Plans | $9,748.90 | ↑ +367% |
| Galaxy | Commercial|All Plans | $12,534.30 | ↑ +500% |
| Entrust | Commercial|All Plans | $14,484.08 | ↑ +593% |
Visitor-reported prices
Comments
Conversion ext bil drg cath at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,896.87 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,099.56 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,281.71 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,896.87 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,099.56 | $85.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,099.56 | $1,151.54 – $8,570.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,281.71 | $71.00 – $8,649.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,896.87 | $1,151.54 – $8,570.48 |