Coronary angio/cath placement bypass graft/lv gram/lt heart at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$7,537.80
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.
$50,252.00
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.
$100.00 with Cigna vs $80,955.98 with UNITED — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $100.00 | ↓ -99% |
| HUMANA | Medicare|All Plans | $2,873.37 | ↓ -62% |
| AETNA | Medicare|All Plans | $2,873.37 | ↓ -62% |
| Wellpoint | Medicare|All Plans | $2,959.57 | ↓ -61% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $3,017.04 | ↓ -60% |
| CIGNA HEALTHSPRING | Medicare|PPO | $3,045.77 | ↓ -60% |
| BCBS | Medicare|All Plans | $3,192.23 | ↓ -58% |
| UNITED | Medicare|All Plans | $3,192.23 | ↓ -58% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,220.44 | ↓ -57% |
| SCANHealth | Medicare|All Plans | $3,253.04 | ↓ -57% |
| MD Save | Commercial|All Plans | $3,591.71 | ↓ -52% |
| Wellpoint | Commercial|Exchange | $4,788.35 | ↓ -36% |
| Angelina County | Commercial|All Plans | $7,844.30 | ↑ +4% |
| BCBS-TX | Commercial|Blue Premier | $8,293.35 | ↑ +10% |
| Brookshire Brothers | Commercial|All Plans | $8,620.11 | ↑ +14% |
| United | Commercial|Exchange | $9,045.36 | ↑ +20% |
| BCBS-TX | Commercial|HMO | $9,148.34 | ↑ +21% |
| BCBS-TX | Commercial|PPO | $10,373.82 | ↑ +38% |
| United | Commercial|All Other Plans | $11,557.96 | ↑ +53% |
| Aetna | Commercial|All Plans | $12,563.00 | ↑ +67% |
| PHCS | Commercial|All Plans | $34,171.36 | ↑ +353% |
| Multiplan | Commercial|All Plans | $35,176.40 | ↑ +367% |
| Humana | Commercial|All Plans | $35,176.40 | ↑ +367% |
| TCHP | Medicaid|All Plans | $45,226.80 | ↑ +500% |
| Galaxy | Commercial|All Plans | $45,226.80 | ↑ +500% |
| Entrust | Commercial|All Plans | $52,262.08 | ↑ +593% |
| UNITED | Medicaid|STARPLUS | $80,955.98 | ↑ +974% |
Visitor-reported prices
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Coronary angio/cath placement bypass graft/lv gram/lt heart at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $16,963.25 | $3,093.86 – $21,204.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $20,318.21 | $4,182.16 – $30,477.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $15,558.97 | $3,093.86 – $19,448.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $16,963.25 | $3,093.86 – $21,204.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $20,318.21 | $3,093.86 – $30,477.31 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $20,318.21 | $8,072.30 – $30,477.31 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $15,558.97 | $3,093.86 – $23,338.45 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $16,963.25 | $3,093.86 – $21,204.07 |