Ghs simple repair 7.6 - 12.5 cm - 12004 at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$348.15
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.
$2,321.00
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.
$115.32 with BCBS-TX vs $3,739.14 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 Advantage HMO | $115.32 | ↓ -67% |
| AETNA | Medicare|All Plans | $176.54 | ↓ -49% |
| HUMANA | Medicare|All Plans | $176.54 | ↓ -49% |
| Wellpoint | Medicare|All Plans | $181.84 | ↓ -48% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $185.37 | ↓ -47% |
| CIGNA HEALTHSPRING | Medicare|PPO | $187.13 | ↓ -46% |
| UNITED | Medicare|All Plans | $197.21 | ↓ -43% |
| BCBS | Medicare|All Plans | $197.21 | ↓ -43% |
| SCANHealth | Medicare|All Plans | $200.97 | ↓ -42% |
| MD Save | Commercial|All Plans | $220.67 | ↓ -37% |
| BCBS-TX | Commercial|Blue Premier | $256.85 | ↓ -26% |
| BCBS-TX | Commercial|HMO | $262.10 | ↓ -25% |
| BCBS-TX | Commercial|PPO | $288.30 | ↓ -17% |
| Cigna | Commercial|All Plans | $289.00 | ↓ -17% |
| Wellpoint | Commercial|Exchange | $295.82 | ↓ -15% |
| United | Commercial|Exchange | $417.78 | ↑ +20% |
| Angelina County | Commercial|All Plans | $481.95 | ↑ +38% |
| Brookshire Brothers | Commercial|All Plans | $529.62 | ↑ +52% |
| United | Commercial|All Other Plans | $533.83 | ↑ +53% |
| Aetna | Commercial|All Plans | $580.25 | ↑ +67% |
| PHCS | Commercial|All Plans | $1,578.28 | ↑ +353% |
| Humana | Commercial|All Plans | $1,624.70 | ↑ +367% |
| Multiplan | Commercial|All Plans | $1,624.70 | ↑ +367% |
| UNITED | Medicaid|All Other Plans | $2,088.90 | ↑ +500% |
| UNITED | Medicaid|STARKIDS | $2,088.90 | ↑ +500% |
| SUPERIOR | Medicaid|All Other Plans | $2,088.90 | ↑ +500% |
| SUPERIOR | Medicaid|STARPLUS | $2,088.90 | ↑ +500% |
| TCHP | Medicaid|All Plans | $2,088.90 | ↑ +500% |
| UNITED | Medicaid|STAR | $2,088.90 | ↑ +500% |
| UNITED | Medicaid|CHIP | $2,088.90 | ↑ +500% |
| Galaxy | Commercial|All Plans | $2,088.90 | ↑ +500% |
| Wellpoint | Medicaid|All Other Plans | $2,088.90 | ↑ +500% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $2,130.68 | ↑ +512% |
| Wellpoint | Medicaid|STARPLUS | $2,151.57 | ↑ +518% |
| BCBS | Medicaid|All Plans | $2,193.35 | ↑ +530% |
| Entrust | Commercial|All Plans | $2,413.84 | ↑ +593% |
| Wellpoint | Medicaid|STAR | $3,279.58 | ↑ +842% |
| SUPERIOR | Medicaid|STAR | $3,279.58 | ↑ +842% |
| UNITED | Medicaid|STARPLUS | $3,739.14 | ↑ +974% |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,142.40 | $218.41 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $569.06 | $111.00 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $470.47 | $71.00 – $705.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $545.35 | $71.00 – $681.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $569.06 | $151.75 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $470.47 | $85.00 – $705.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $470.47 | $243.08 – $705.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $545.35 | $71.00 – $818.02 |