Injection, fulvestrant at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$3,201.33
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.
$21,342.19
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.
$6.85 with BCBS vs $19,207.98 with Galaxy — 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 | Medicare|All Plans | $6.85 | ↓ -100% |
| UNITED | Medicare|All Plans | $6.85 | ↓ -100% |
| SCANHealth | Medicare|All Plans | $6.98 | ↓ -100% |
| HUMANA | Medicare|All Plans | $8.08 | ↓ -100% |
| AETNA | Medicare|All Plans | $8.08 | ↓ -100% |
| Wellpoint | Medicare|All Plans | $8.32 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $8.48 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|PPO | $8.56 | ↓ -100% |
| MD Save | Commercial|All Plans | $10.10 | ↓ -100% |
| Wellpoint | Commercial|Exchange | $10.38 | ↓ -100% |
| Cigna | Commercial|All Plans | $10.59 | ↓ -100% |
| Angelina County | Commercial|All Plans | $20.64 | ↓ -99% |
| Brookshire Brothers | Commercial|All Plans | $23.46 | ↓ -99% |
| BCBS-TX | Commercial|Blue Premier | $176.34 | ↓ -94% |
| BCBS-TX | Commercial|Blue Advantage HMO | $182.10 | ↓ -94% |
| BCBS-TX | Commercial|HMO | $185.40 | ↓ -94% |
| BCBS-TX | Commercial|PPO | $213.42 | ↓ -93% |
| United | Commercial|Exchange | $3,841.60 | ↑ +20% |
| United | Commercial|All Other Plans | $4,908.71 | ↑ +53% |
| Aetna | Commercial|All Plans | $5,335.55 | ↑ +67% |
| Entrust | Commercial|All Plans | $8,536.88 | ↑ +167% |
| PHCS | Commercial|All Plans | $14,512.69 | ↑ +353% |
| Multiplan | Commercial|All Plans | $14,939.54 | ↑ +367% |
| Humana | Commercial|All Plans | $14,939.54 | ↑ +367% |
| Galaxy | Commercial|All Plans | $19,207.98 | ↑ +500% |
Visitor-reported prices
Comments
Injection, fulvestrant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,744.39 | $317.24 – $317.24 |
| Covenant Children's Hospital | Lubbock | $6,160.46 | $24.42 – $329.00 |
| HCA HOUSTON KINGWOOD | HUMBLE | $7,397.97 | $5.72 – $953.94 |
| Baylor St Luke's Medical Center | Houston | $2,550.36 | $11.66 – $746.87 |
| St. Luke's Health Memorial Lufkin | Lufkin | $3,201.33 | $10.59 – $19,207.98 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $2,550.36 | $9.51 – $746.87 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $2,550.36 | $9.51 – $746.87 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $2,550.36 | $9.51 – $746.87 |