Established Patient Office Visit (level 2) at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$57.53
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.
$383.52
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.
$55.53 with BCBS-TX vs $547.20 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Premier | $55.53 | ↓ -3% |
| United | Commercial|Exchange | $61.14 | ↑ +6% |
| BCBS-TX | Commercial|Blue Advantage HMO | $63.32 | ↑ +10% |
| BCBS-TX | Commercial|HMO | $63.58 | ↑ +11% |
| BCBS-TX | Commercial|PPO | $69.03 | ↑ +20% |
| United | Commercial|All Other Plans | $78.13 | ↑ +36% |
| Aetna | Commercial|All Plans | $84.92 | ↑ +48% |
| Cigna | Commercial|All Plans | $100.00 | ↑ +74% |
| PHCS | Commercial|All Plans | $230.97 | ↑ +301% |
| Multiplan | Commercial|All Plans | $237.77 | ↑ +313% |
| Humana | Commercial|All Plans | $237.77 | ↑ +313% |
| Galaxy | Commercial|All Plans | $305.70 | ↑ +431% |
| UNITED | Medicaid|All Other Plans | $305.70 | ↑ +431% |
| UNITED | Medicaid|CHIP | $305.70 | ↑ +431% |
| UNITED | Medicaid|STAR | $305.70 | ↑ +431% |
| UNITED | Medicaid|STARKIDS | $305.70 | ↑ +431% |
| Wellpoint | Medicaid|All Other Plans | $305.70 | ↑ +431% |
| SUPERIOR | Medicaid|All Other Plans | $305.70 | ↑ +431% |
| SUPERIOR | Medicaid|STARPLUS | $305.70 | ↑ +431% |
| TCHP | Medicaid|All Plans | $305.70 | ↑ +431% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $311.81 | ↑ +442% |
| Wellpoint | Medicaid|STARPLUS | $314.87 | ↑ +447% |
| BCBS | Medicaid|All Plans | $320.98 | ↑ +458% |
| Entrust | Commercial|All Plans | $353.25 | ↑ +514% |
| SUPERIOR | Medicaid|STAR | $479.94 | ↑ +734% |
| Wellpoint | Medicaid|STAR | $479.94 | ↑ +734% |
| UNITED | Medicaid|STARPLUS | $547.20 | ↑ +851% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $314.35 | $99.91 – $99.91 |
| Baylor St Luke's Medical Center | Houston | $118.65 | $30.62 – $339.00 |
| St. Joseph Health Madison Hospital | Madisonville | $190.05 | $9.18 – $104.64 |
| St. Luke's Health Memorial Lufkin | Lufkin | $57.53 | $50.95 – $305.70 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $118.65 | $37.89 – $339.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $118.65 | $37.89 – $339.00 |
| St. Joseph Health College Station Hospital | College Station | $190.05 | $39.60 – $213.64 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $118.65 | $37.89 – $339.00 |