Coombs direct at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$35.45
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.
$236.31
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.
$4.53 with TCHP vs $176.40 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 | $4.53 | ↓ -87% |
| SUPERIOR | Medicaid|All Other Plans | $7.38 | ↓ -79% |
| UNITED | Medicaid|All Other Plans | $7.38 | ↓ -79% |
| UNITED | Medicaid|CHIP | $7.38 | ↓ -79% |
| UNITED | Medicaid|STAR | $7.38 | ↓ -79% |
| SUPERIOR | Medicaid|STARPLUS | $7.38 | ↓ -79% |
| UNITED | Medicaid|STARKIDS | $7.38 | ↓ -79% |
| Wellpoint | Medicaid|All Other Plans | $7.38 | ↓ -79% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $7.53 | ↓ -79% |
| Wellpoint | Medicaid|STARPLUS | $7.60 | ↓ -79% |
| BCBS | Medicaid|All Plans | $7.75 | ↓ -78% |
| Wellpoint | Medicaid|STAR | $11.59 | ↓ -67% |
| SUPERIOR | Medicaid|STAR | $11.59 | ↓ -67% |
| UNITED | Medicaid|STARPLUS | $13.21 | ↓ -63% |
| Entrust | Commercial|All Plans | $14.01 | ↓ -60% |
| Cigna | Commercial|All Plans | $23.94 | ↓ -32% |
| United | Commercial|Exchange | $35.28 | ↓ -0% |
| United | Commercial|All Other Plans | $45.08 | ↑ +27% |
| Aetna | Commercial|All Plans | $49.00 | ↑ +38% |
| HUMANA | Medicare|All Plans | $53.94 | ↑ +52% |
| AETNA | Medicare|All Plans | $53.94 | ↑ +52% |
| Wellpoint | Medicare|All Plans | $55.56 | ↑ +57% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $56.64 | ↑ +60% |
| CIGNA HEALTHSPRING | Medicare|PPO | $57.18 | ↑ +61% |
| BCBS | Medicare|All Plans | $58.96 | ↑ +66% |
| UNITED | Medicare|All Plans | $58.96 | ↑ +66% |
| SCANHealth | Medicare|All Plans | $60.08 | ↑ +69% |
| BCBS-TX | Commercial|Blue Advantage HMO | $63.52 | ↑ +79% |
| MD Save | Commercial|All Plans | $67.42 | ↑ +90% |
| Wellpoint | Commercial|Exchange | $88.44 | ↑ +149% |
| BCBS-TX | Commercial|Blue Premier | $110.32 | ↑ +211% |
| BCBS-TX | Commercial|HMO | $117.01 | ↑ +230% |
| PHCS | Commercial|All Plans | $133.28 | ↑ +276% |
| BCBS-TX | Commercial|PPO | $135.06 | ↑ +281% |
| Humana | Commercial|All Plans | $137.20 | ↑ +287% |
| Multiplan | Commercial|All Plans | $137.20 | ↑ +287% |
| Angelina County | Commercial|All Plans | $147.26 | ↑ +315% |
| Brookshire Brothers | Commercial|All Plans | $161.82 | ↑ +356% |
| Galaxy | Commercial|All Plans | $176.40 | ↑ +398% |
Visitor-reported prices
Comments
Coombs direct at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $153.56 | $4.85 – $128.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $71.74 | $3.76 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $77.75 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $71.74 | $4.85 – $151.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $71.74 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $77.75 | $4.53 – $151.53 |