Ghs i and d perirectal abscess 46040 at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$622.18
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.
$4,147.84
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.
$429.26 with UNITED vs $4,313.76 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 | $429.26 | ↓ -31% |
| Wellpoint | Medicaid|All Other Plans | $429.26 | ↓ -31% |
| SUPERIOR | Medicaid|STARPLUS | $429.26 | ↓ -31% |
| UNITED | Medicaid|All Other Plans | $429.26 | ↓ -31% |
| TCHP | Medicaid|All Plans | $429.26 | ↓ -31% |
| UNITED | Medicaid|STAR | $429.26 | ↓ -31% |
| SUPERIOR | Medicaid|All Other Plans | $429.26 | ↓ -31% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $437.85 | ↓ -30% |
| Wellpoint | Medicaid|STARPLUS | $442.14 | ↓ -29% |
| BCBS | Medicaid|All Plans | $450.72 | ↓ -28% |
| BCBS-TX | Commercial|Blue Advantage HMO | $662.79 | ↑ +7% |
| Wellpoint | Medicaid|STAR | $673.94 | ↑ +8% |
| SUPERIOR | Medicaid|STAR | $673.94 | ↑ +8% |
| United | Commercial|Exchange | $746.62 | ↑ +20% |
| UNITED | Medicaid|STARPLUS | $768.38 | ↑ +23% |
| United | Commercial|All Other Plans | $954.01 | ↑ +53% |
| Aetna | Commercial|All Plans | $1,036.96 | ↑ +67% |
| HUMANA | Medicare|All Plans | $1,040.57 | ↑ +67% |
| AETNA | Medicare|All Plans | $1,040.57 | ↑ +67% |
| Wellpoint | Medicare|All Plans | $1,071.79 | ↑ +72% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $1,092.60 | ↑ +76% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,103.00 | ↑ +77% |
| UNITED | Medicare|All Plans | $1,170.21 | ↑ +88% |
| BCBS | Medicare|All Plans | $1,170.21 | ↑ +88% |
| SCANHealth | Medicare|All Plans | $1,192.50 | ↑ +92% |
| MD Save | Commercial|All Plans | $1,300.71 | ↑ +109% |
| BCBS-TX | Commercial|Blue Premier | $1,476.20 | ↑ +137% |
| BCBS-TX | Commercial|HMO | $1,506.33 | ↑ +142% |
| BCBS-TX | Commercial|PPO | $1,656.96 | ↑ +166% |
| Wellpoint | Commercial|Exchange | $1,755.32 | ↑ +182% |
| PHCS | Commercial|All Plans | $2,820.54 | ↑ +353% |
| Angelina County | Commercial|All Plans | $2,840.76 | ↑ +357% |
| Humana | Commercial|All Plans | $2,903.49 | ↑ +367% |
| Multiplan | Commercial|All Plans | $2,903.49 | ↑ +367% |
| Brookshire Brothers | Commercial|All Plans | $3,121.71 | ↑ +402% |
| Cigna | Commercial|All Plans | $3,623.00 | ↑ +482% |
| UNITED | Medicaid|CHIP | $3,733.06 | ↑ +500% |
| Galaxy | Commercial|All Plans | $3,733.06 | ↑ +500% |
| Entrust | Commercial|All Plans | $4,313.76 | ↑ +593% |
Visitor-reported prices
Comments
Ghs i and d perirectal abscess 46040 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $6,545.71 | $1,255.28 – $2,991.88 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,267.70 | $429.26 – $4,084.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,078.12 | $459.31 – $6,117.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,668.87 | $429.26 – $4,586.09 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,267.70 | $429.26 – $4,084.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,078.12 | $459.31 – $6,117.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,078.12 | $429.26 – $6,117.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,668.87 | $429.26 – $5,503.31 |