Ghs intermed repair over 30 cm - 12037 at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$330.00
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.
$2,200.00
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.
$396.00 with United vs $4,824.15 with Brookshire Brothers — 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 | Commercial|Exchange | $396.00 | ↑ +20% |
| United | Commercial|All Other Plans | $506.00 | ↑ +53% |
| Aetna | Commercial|All Plans | $550.00 | ↑ +67% |
| UNITED | Medicaid|STAR | $709.01 | ↑ +115% |
| UNITED | Medicaid|STARKIDS | $709.01 | ↑ +115% |
| Wellpoint | Medicaid|All Other Plans | $709.01 | ↑ +115% |
| SUPERIOR | Medicaid|STARPLUS | $709.01 | ↑ +115% |
| UNITED | Medicaid|All Other Plans | $709.01 | ↑ +115% |
| TCHP | Medicaid|All Plans | $709.01 | ↑ +115% |
| SUPERIOR | Medicaid|All Other Plans | $709.01 | ↑ +115% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $723.19 | ↑ +119% |
| Wellpoint | Medicaid|STARPLUS | $730.28 | ↑ +121% |
| BCBS | Medicaid|All Plans | $744.46 | ↑ +126% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,071.01 | ↑ +225% |
| SUPERIOR | Medicaid|STAR | $1,113.15 | ↑ +237% |
| Wellpoint | Medicaid|STAR | $1,113.15 | ↑ +237% |
| UNITED | Medicaid|STARPLUS | $1,269.13 | ↑ +285% |
| PHCS | Commercial|All Plans | $1,496.00 | ↑ +353% |
| Humana | Commercial|All Plans | $1,540.00 | ↑ +367% |
| Multiplan | Commercial|All Plans | $1,540.00 | ↑ +367% |
| HUMANA | Medicare|All Plans | $1,608.05 | ↑ +387% |
| AETNA | Medicare|All Plans | $1,608.05 | ↑ +387% |
| Wellpoint | Medicare|All Plans | $1,656.29 | ↑ +402% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $1,688.45 | ↑ +412% |
| CIGNA HEALTHSPRING | Medicare|PPO | $1,704.53 | ↑ +417% |
| UNITED | Medicare|All Plans | $1,815.47 | ↑ +450% |
| BCBS | Medicare|All Plans | $1,815.47 | ↑ +450% |
| SCANHealth | Medicare|All Plans | $1,850.05 | ↑ +461% |
| UNITED | Medicaid|CHIP | $1,980.00 | ↑ +500% |
| Galaxy | Commercial|All Plans | $1,980.00 | ↑ +500% |
| MD Save | Commercial|All Plans | $2,010.06 | ↑ +509% |
| Entrust | Commercial|All Plans | $2,288.00 | ↑ +593% |
| BCBS-TX | Commercial|Blue Premier | $2,385.43 | ↑ +623% |
| BCBS-TX | Commercial|HMO | $2,434.11 | ↑ +638% |
| BCBS-TX | Commercial|PPO | $2,677.52 | ↑ +711% |
| Wellpoint | Commercial|Exchange | $2,723.21 | ↑ +725% |
| Cigna | Commercial|All Plans | $2,957.00 | ↑ +796% |
| Angelina County | Commercial|All Plans | $4,389.98 | ↑ +1230% |
| Brookshire Brothers | Commercial|All Plans | $4,824.15 | ↑ +1362% |
Visitor-reported prices
Comments
Ghs intermed repair over 30 cm - 12037 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,123.36 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,524.85 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,646.85 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,123.36 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,524.85 | $85.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,524.85 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,646.85 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,123.36 | $709.01 – $4,517.58 |