Inj nephrosto/ureterogram w/img exstng access at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$1,359.90
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.
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What you pay up front if you don't use insurance.
$9,066.00
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.
$367.31 with BCBS-TX vs $14,605.33 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 | $367.31 | ↓ -73% |
| AETNA | Medicare|All Plans | $602.36 | ↓ -56% |
| HUMANA | Medicare|All Plans | $602.36 | ↓ -56% |
| Wellpoint | Medicare|All Plans | $620.43 | ↓ -54% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $632.48 | ↓ -53% |
| CIGNA HEALTHSPRING | Medicare|PPO | $638.50 | ↓ -53% |
| UNITED | Medicare|All Plans | $662.46 | ↓ -51% |
| BCBS | Medicare|All Plans | $662.46 | ↓ -51% |
| SCANHealth | Medicare|All Plans | $675.07 | ↓ -50% |
| MD Save | Commercial|All Plans | $752.95 | ↓ -45% |
| BCBS-TX | Commercial|Blue Premier | $818.10 | ↓ -40% |
| BCBS-TX | Commercial|HMO | $834.80 | ↓ -39% |
| BCBS-TX | Commercial|PPO | $918.27 | ↓ -32% |
| Wellpoint | Commercial|Exchange | $993.69 | ↓ -27% |
| United | Commercial|Exchange | $1,631.88 | ↑ +20% |
| Angelina County | Commercial|All Plans | $1,644.44 | ↑ +21% |
| Brookshire Brothers | Commercial|All Plans | $1,807.08 | ↑ +33% |
| United | Commercial|All Other Plans | $2,085.18 | ↑ +53% |
| Aetna | Commercial|All Plans | $2,266.50 | ↑ +67% |
| Cigna | Commercial|All Plans | $3,623.00 | ↑ +166% |
| PHCS | Commercial|All Plans | $6,164.88 | ↑ +353% |
| Multiplan | Commercial|All Plans | $6,346.20 | ↑ +367% |
| Humana | Commercial|All Plans | $6,346.20 | ↑ +367% |
| TCHP | Medicaid|All Plans | $8,159.40 | ↑ +500% |
| Galaxy | Commercial|All Plans | $8,159.40 | ↑ +500% |
| Entrust | Commercial|All Plans | $9,428.64 | ↑ +593% |
| UNITED | Medicaid|STARPLUS | $14,605.33 | ↑ +974% |
Visitor-reported prices
Comments
Inj nephrosto/ureterogram w/img exstng access at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,569.23 | $444.62 – $1,961.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,177.23 | $71.00 – $3,265.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,884.14 | $71.00 – $2,355.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,569.23 | $418.46 – $1,961.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,177.23 | $85.00 – $3,265.84 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,177.23 | $1,124.90 – $3,265.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,884.14 | $71.00 – $2,826.21 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,569.23 | $418.46 – $1,961.54 |