Critical care 30-74 minutes at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$947.07
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.
$6,313.80
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.
$782.47 with HUMANA vs $10,171.54 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 |
|---|---|---|---|
| HUMANA | Medicare|All Plans | $782.47 | ↓ -17% |
| AETNA | Medicare|All Plans | $782.47 | ↓ -17% |
| Wellpoint | Medicare|All Plans | $805.94 | ↓ -15% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $821.59 | ↓ -13% |
| CIGNA HEALTHSPRING | Medicare|PPO | $829.42 | ↓ -12% |
| BCBS | Medicare|All Plans | $836.27 | ↓ -12% |
| UNITED | Medicare|All Plans | $836.27 | ↓ -12% |
| SCANHealth | Medicare|All Plans | $852.20 | ↓ -10% |
| MD Save | Commercial|All Plans | $978.09 | ↑ +3% |
| United | Commercial|Exchange | $1,136.49 | ↑ +20% |
| Wellpoint | Commercial|Exchange | $1,254.41 | ↑ +32% |
| BCBS-TX | Commercial|Blue Premier | $1,426.65 | ↑ +51% |
| United | Commercial|All Other Plans | $1,452.18 | ↑ +53% |
| Aetna | Commercial|All Plans | $1,578.45 | ↑ +67% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,626.65 | ↑ +72% |
| BCBS-TX | Commercial|HMO | $1,633.32 | ↑ +72% |
| BCBS-TX | Commercial|PPO | $1,773.32 | ↑ +87% |
| Angelina County | Commercial|All Plans | $2,136.14 | ↑ +126% |
| Brookshire Brothers | Commercial|All Plans | $2,347.41 | ↑ +148% |
| PHCS | Commercial|All Plans | $4,293.39 | ↑ +353% |
| Humana | Commercial|All Plans | $4,419.66 | ↑ +367% |
| Multiplan | Commercial|All Plans | $4,419.66 | ↑ +367% |
| Cigna | Commercial|All Plans | $4,804.00 | ↑ +407% |
| UNITED | Medicaid|All Other Plans | $5,682.42 | ↑ +500% |
| Galaxy | Commercial|All Plans | $5,682.42 | ↑ +500% |
| UNITED | Medicaid|CHIP | $5,682.42 | ↑ +500% |
| Wellpoint | Medicaid|All Other Plans | $5,682.42 | ↑ +500% |
| UNITED | Medicaid|STARKIDS | $5,682.42 | ↑ +500% |
| UNITED | Medicaid|STAR | $5,682.42 | ↑ +500% |
| TCHP | Medicaid|All Plans | $5,682.42 | ↑ +500% |
| SUPERIOR | Medicaid|STARPLUS | $5,682.42 | ↑ +500% |
| SUPERIOR | Medicaid|All Other Plans | $5,682.42 | ↑ +500% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $5,796.07 | ↑ +512% |
| Wellpoint | Medicaid|STARPLUS | $5,852.90 | ↑ +518% |
| BCBS | Medicaid|All Plans | $5,966.55 | ↑ +530% |
| Entrust | Commercial|All Plans | $6,566.36 | ↑ +593% |
| SUPERIOR | Medicaid|STAR | $8,921.40 | ↑ +842% |
| Wellpoint | Medicaid|STAR | $8,921.40 | ↑ +842% |
| UNITED | Medicaid|STARPLUS | $10,171.54 | ↑ +974% |
Visitor-reported prices
Comments
Critical care 30-74 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $7,379.79 | $2,566.64 – $2,566.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,540.23 | $719.73 – $3,175.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,062.22 | $630.31 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,595.72 | $719.14 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,540.23 | $677.39 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,062.22 | $788.30 – $4,593.33 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,062.22 | $1,582.15 – $4,593.33 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,595.72 | $788.30 – $5,393.58 |