Ins pm gen exist dual lead at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$7,854.00
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.
?
What you pay up front if you don't use insurance.
$52,360.00
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.
$3,326.00 with Cigna vs $62,355.09 with Brookshire Brothers — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $3,326.00 | ↓ -58% |
| United | Commercial|Exchange | $8,451.90 | ↑ +8% |
| United | Commercial|All Other Plans | $10,799.65 | ↑ +38% |
| Aetna | Commercial|All Plans | $11,738.75 | ↑ +49% |
| BCBS-TX | Commercial|Blue Advantage HMO | $14,990.51 | ↑ +91% |
| Wellpoint | Medicaid|All Other Plans | $16,993.10 | ↑ +116% |
| UNITED | Medicaid|STARKIDS | $16,993.10 | ↑ +116% |
| UNITED | Medicaid|STAR | $16,993.10 | ↑ +116% |
| SUPERIOR | Medicaid|STARPLUS | $16,993.10 | ↑ +116% |
| UNITED | Medicaid|All Other Plans | $16,993.10 | ↑ +116% |
| TCHP | Medicaid|All Plans | $16,993.10 | ↑ +116% |
| SUPERIOR | Medicaid|All Other Plans | $16,993.10 | ↑ +116% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $17,332.96 | ↑ +121% |
| Wellpoint | Medicaid|STARPLUS | $17,502.89 | ↑ +123% |
| BCBS | Medicaid|All Plans | $17,842.76 | ↑ +127% |
| HUMANA | Medicare|All Plans | $20,785.03 | ↑ +165% |
| AETNA | Medicare|All Plans | $20,785.03 | ↑ +165% |
| Wellpoint | Medicare|All Plans | $21,408.58 | ↑ +173% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $21,824.28 | ↑ +178% |
| CIGNA HEALTHSPRING | Medicare|PPO | $22,032.13 | ↑ +181% |
| BCBS | Medicare|All Plans | $22,277.42 | ↑ +184% |
| UNITED | Medicare|All Plans | $22,277.42 | ↑ +184% |
| SCANHealth | Medicare|All Plans | $22,701.75 | ↑ +189% |
| MD Save | Commercial|All Plans | $25,981.29 | ↑ +231% |
| Wellpoint | Medicaid|STAR | $26,679.17 | ↑ +240% |
| SUPERIOR | Medicaid|STAR | $26,679.17 | ↑ +240% |
| UNITED | Medicaid|STARPLUS | $30,417.65 | ↑ +287% |
| PHCS | Commercial|All Plans | $31,929.40 | ↑ +307% |
| Humana | Commercial|All Plans | $32,868.50 | ↑ +318% |
| Multiplan | Commercial|All Plans | $32,868.50 | ↑ +318% |
| BCBS-TX | Commercial|Blue Premier | $33,387.95 | ↑ +325% |
| Wellpoint | Commercial|Exchange | $33,416.13 | ↑ +325% |
| BCBS-TX | Commercial|HMO | $34,069.34 | ↑ +334% |
| BCBS-TX | Commercial|PPO | $37,476.27 | ↑ +377% |
| Galaxy | Commercial|All Plans | $42,259.50 | ↑ +438% |
| Entrust | Commercial|All Plans | $48,833.20 | ↑ +522% |
| Angelina County | Commercial|All Plans | $56,743.13 | ↑ +622% |
| Brookshire Brothers | Commercial|All Plans | $62,355.09 | ↑ +694% |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $28,383.36 | $6,299.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $32,721.79 | $6,735.24 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $29,876.42 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $28,383.36 | $16,556.96 – $58,392.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $32,721.79 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $32,721.79 | $13,462.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $29,876.42 | $15,811.00 – $58,392.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $28,383.36 | $16,556.96 – $58,392.49 |