Cystostomy cystotomy w/drainage 51040 at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$839.21
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.
$5,594.70
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.
$652.80 with UNITED vs $5,818.49 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 |
|---|---|---|---|
| UNITED | Medicaid|STARKIDS | $652.80 | ↓ -22% |
| Wellpoint | Medicaid|All Other Plans | $652.80 | ↓ -22% |
| SUPERIOR | Medicaid|STARPLUS | $652.80 | ↓ -22% |
| UNITED | Medicaid|All Other Plans | $652.80 | ↓ -22% |
| TCHP | Medicaid|All Plans | $652.80 | ↓ -22% |
| UNITED | Medicaid|STAR | $652.80 | ↓ -22% |
| SUPERIOR | Medicaid|All Other Plans | $652.80 | ↓ -22% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $665.86 | ↓ -21% |
| Wellpoint | Medicaid|STARPLUS | $672.38 | ↓ -20% |
| BCBS | Medicaid|All Plans | $685.44 | ↓ -18% |
| United | Commercial|Exchange | $1,007.05 | ↑ +20% |
| Wellpoint | Medicaid|STAR | $1,024.90 | ↑ +22% |
| SUPERIOR | Medicaid|STAR | $1,024.90 | ↑ +22% |
| UNITED | Medicaid|STARPLUS | $1,168.51 | ↑ +39% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,169.22 | ↑ +39% |
| United | Commercial|All Other Plans | $1,286.79 | ↑ +53% |
| Aetna | Commercial|All Plans | $1,398.68 | ↑ +67% |
| HUMANA | Medicare|All Plans | $1,796.04 | ↑ +114% |
| AETNA | Medicare|All Plans | $1,796.04 | ↑ +114% |
| Wellpoint | Medicare|All Plans | $1,849.92 | ↑ +120% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $1,885.84 | ↑ +125% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,903.80 | ↑ +127% |
| UNITED | Medicare|All Plans | $2,033.10 | ↑ +142% |
| BCBS | Medicare|All Plans | $2,033.10 | ↑ +142% |
| SCANHealth | Medicare|All Plans | $2,071.83 | ↑ +147% |
| MD Save | Commercial|All Plans | $2,245.05 | ↑ +168% |
| BCBS-TX | Commercial|Blue Premier | $2,604.18 | ↑ +210% |
| BCBS-TX | Commercial|HMO | $2,657.33 | ↑ +217% |
| BCBS-TX | Commercial|PPO | $2,923.06 | ↑ +248% |
| Wellpoint | Commercial|Exchange | $3,049.65 | ↑ +263% |
| Cigna | Commercial|All Plans | $3,623.00 | ↑ +332% |
| PHCS | Commercial|All Plans | $3,804.40 | ↑ +353% |
| Multiplan | Commercial|All Plans | $3,916.29 | ↑ +367% |
| Humana | Commercial|All Plans | $3,916.29 | ↑ +367% |
| Angelina County | Commercial|All Plans | $4,903.19 | ↑ +484% |
| UNITED | Medicaid|CHIP | $5,035.23 | ↑ +500% |
| Galaxy | Commercial|All Plans | $5,035.23 | ↑ +500% |
| Brookshire Brothers | Commercial|All Plans | $5,388.12 | ↑ +542% |
| Entrust | Commercial|All Plans | $5,818.49 | ↑ +593% |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,747.01 | $652.80 – $5,933.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,383.11 | $71.00 – $8,074.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $6,810.14 | $71.00 – $8,512.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,747.01 | $652.80 – $5,933.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,383.11 | $85.00 – $8,074.66 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,383.11 | $652.80 – $8,074.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $6,810.14 | $71.00 – $10,215.22 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,747.01 | $652.80 – $5,933.77 |