Dup scan/ue art/graft/bilat/comp 93930 at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$352.20
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.
$2,348.00
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.
$216.07 with HUMANA vs $2,441.92 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 |
|---|---|---|---|
| HUMANA | Medicare|All Plans | $216.07 | ↓ -39% |
| AETNA | Medicare|All Plans | $216.07 | ↓ -39% |
| Wellpoint | Medicare|All Plans | $222.55 | ↓ -37% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $226.87 | ↓ -36% |
| CIGNA HEALTHSPRING | Medicare|PPO | $229.03 | ↓ -35% |
| BCBS | Medicare|All Plans | $239.90 | ↓ -32% |
| UNITED | Medicare|All Plans | $239.90 | ↓ -32% |
| SCANHealth | Medicare|All Plans | $244.47 | ↓ -31% |
| MD Save | Commercial|All Plans | $270.09 | ↓ -23% |
| UNITED | Medicaid|STAR | $294.24 | ↓ -16% |
| TCHP | Medicaid|All Plans | $294.24 | ↓ -16% |
| SUPERIOR | Medicaid|STARPLUS | $294.24 | ↓ -16% |
| SUPERIOR | Medicaid|All Other Plans | $294.24 | ↓ -16% |
| UNITED | Medicaid|All Other Plans | $294.24 | ↓ -16% |
| Wellpoint | Medicaid|All Other Plans | $294.24 | ↓ -16% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $300.12 | ↓ -15% |
| Wellpoint | Medicaid|STARPLUS | $303.07 | ↓ -14% |
| BCBS | Medicaid|All Plans | $308.95 | ↓ -12% |
| Wellpoint | Commercial|Exchange | $359.85 | ↑ +2% |
| BCBS-TX | Commercial|Blue Premier | $361.70 | ↑ +3% |
| BCBS-TX | Commercial|Blue Advantage HMO | $412.41 | ↑ +17% |
| BCBS-TX | Commercial|HMO | $414.10 | ↑ +18% |
| United | Commercial|Exchange | $422.64 | ↑ +20% |
| BCBS-TX | Commercial|PPO | $449.59 | ↑ +28% |
| Wellpoint | Medicaid|STAR | $461.96 | ↑ +31% |
| SUPERIOR | Medicaid|STAR | $461.96 | ↑ +31% |
| UNITED | Medicaid|STARPLUS | $526.69 | ↑ +50% |
| United | Commercial|All Other Plans | $540.04 | ↑ +53% |
| Aetna | Commercial|All Plans | $587.00 | ↑ +67% |
| Angelina County | Commercial|All Plans | $589.87 | ↑ +67% |
| Brookshire Brothers | Commercial|All Plans | $648.21 | ↑ +84% |
| Cigna | Commercial|All Plans | $714.17 | ↑ +103% |
| PHCS | Commercial|All Plans | $1,596.64 | ↑ +353% |
| Humana | Commercial|All Plans | $1,643.60 | ↑ +367% |
| Multiplan | Commercial|All Plans | $1,643.60 | ↑ +367% |
| Galaxy | Commercial|All Plans | $2,113.20 | ↑ +500% |
| Entrust | Commercial|All Plans | $2,441.92 | ↑ +593% |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,124.64 | $650.73 – $650.73 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,005.61 | $197.14 – $1,257.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $904.78 | $186.23 – $1,357.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $838.98 | $197.14 – $1,117.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,005.61 | $197.14 – $1,257.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $904.78 | $210.94 – $1,357.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $904.78 | $197.14 – $1,357.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $838.98 | $197.14 – $1,258.47 |