Ghs peritonsillar abscess i andd at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$126.90
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.
?
What you pay up front if you don't use insurance.
$846.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$87.58 with UNITED vs $2,016.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $87.58 | ↓ -31% |
| Wellpoint | Medicaid|All Other Plans | $87.58 | ↓ -31% |
| SUPERIOR | Medicaid|STARPLUS | $87.58 | ↓ -31% |
| UNITED | Medicaid|All Other Plans | $87.58 | ↓ -31% |
| TCHP | Medicaid|All Plans | $87.58 | ↓ -31% |
| UNITED | Medicaid|STAR | $87.58 | ↓ -31% |
| SUPERIOR | Medicaid|All Other Plans | $87.58 | ↓ -31% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $89.33 | ↓ -30% |
| Wellpoint | Medicaid|STARPLUS | $90.21 | ↓ -29% |
| BCBS | Medicaid|All Plans | $91.96 | ↓ -28% |
| BCBS-TX | Commercial|Blue Advantage HMO | $134.40 | ↑ +6% |
| Wellpoint | Medicaid|STAR | $137.50 | ↑ +8% |
| SUPERIOR | Medicaid|STAR | $137.50 | ↑ +8% |
| United | Commercial|Exchange | $152.28 | ↑ +20% |
| UNITED | Medicaid|STARPLUS | $156.77 | ↑ +24% |
| United | Commercial|All Other Plans | $194.58 | ↑ +53% |
| Aetna | Commercial|All Plans | $211.50 | ↑ +67% |
| HUMANA | Medicare|All Plans | $215.39 | ↑ +70% |
| AETNA | Medicare|All Plans | $215.39 | ↑ +70% |
| Wellpoint | Medicare|All Plans | $221.85 | ↑ +75% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $226.16 | ↑ +78% |
| CIGNA HEALTHSPRING | Medicare|PPO | $228.31 | ↑ +80% |
| UNITED | Medicare|All Plans | $230.47 | ↑ +82% |
| BCBS | Medicare|All Plans | $230.47 | ↑ +82% |
| SCANHealth | Medicare|All Plans | $234.87 | ↑ +85% |
| MD Save | Commercial|All Plans | $269.24 | ↑ +112% |
| BCBS-TX | Commercial|Blue Premier | $299.35 | ↑ +136% |
| BCBS-TX | Commercial|HMO | $305.46 | ↑ +141% |
| BCBS-TX | Commercial|PPO | $336.01 | ↑ +165% |
| Wellpoint | Commercial|Exchange | $345.71 | ↑ +172% |
| PHCS | Commercial|All Plans | $575.28 | ↑ +353% |
| Angelina County | Commercial|All Plans | $588.01 | ↑ +363% |
| Humana | Commercial|All Plans | $592.20 | ↑ +367% |
| Multiplan | Commercial|All Plans | $592.20 | ↑ +367% |
| Brookshire Brothers | Commercial|All Plans | $646.17 | ↑ +409% |
| UNITED | Medicaid|CHIP | $761.40 | ↑ +500% |
| Galaxy | Commercial|All Plans | $761.40 | ↑ +500% |
| Entrust | Commercial|All Plans | $879.84 | ↑ +593% |
| Cigna | Commercial|All Plans | $2,016.00 | ↑ +1489% |
Visitor-reported prices
Comments
Ghs peritonsillar abscess i andd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,646.52 | $254.55 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,453.82 | $87.58 – $1,817.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $867.02 | $71.00 – $1,300.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $844.18 | $71.00 – $1,055.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,453.82 | $87.58 – $1,817.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $867.02 | $85.00 – $1,300.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $867.02 | $87.58 – $1,300.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $844.18 | $71.00 – $1,266.26 |