Ins pm gen w/exist mlt leads at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$7,002.01
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.
$46,680.02
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.
$3,326.00 with Cigna vs $51,545.58 with Brookshire Brothers — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $3,326.00 | ↓ -52% |
| United | Commercial|Exchange | $8,402.41 | ↑ +20% |
| UNITED | Medicaid|All Other Plans | $9,868.48 | ↑ +41% |
| UNITED | Medicaid|STAR | $9,868.48 | ↑ +41% |
| UNITED | Medicaid|STARKIDS | $9,868.48 | ↑ +41% |
| Wellpoint | Medicaid|All Other Plans | $9,868.48 | ↑ +41% |
| SUPERIOR | Medicaid|All Other Plans | $9,868.48 | ↑ +41% |
| TCHP | Medicaid|All Plans | $9,868.48 | ↑ +41% |
| SUPERIOR | Medicaid|STARPLUS | $9,868.48 | ↑ +41% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $10,065.85 | ↑ +44% |
| Wellpoint | Medicaid|STARPLUS | $10,164.53 | ↑ +45% |
| BCBS | Medicaid|All Plans | $10,361.90 | ↑ +48% |
| United | Commercial|All Other Plans | $10,736.41 | ↑ +53% |
| Aetna | Commercial|All Plans | $11,670.01 | ↑ +67% |
| BCBS-TX | Commercial|Blue Advantage HMO | $12,086.73 | ↑ +73% |
| Wellpoint | Medicaid|STAR | $15,493.51 | ↑ +121% |
| SUPERIOR | Medicaid|STAR | $15,493.51 | ↑ +121% |
| HUMANA | Medicare|All Plans | $17,181.86 | ↑ +145% |
| AETNA | Medicare|All Plans | $17,181.86 | ↑ +145% |
| UNITED | Medicaid|STARPLUS | $17,664.58 | ↑ +152% |
| Wellpoint | Medicare|All Plans | $17,697.32 | ↑ +153% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $18,040.95 | ↑ +158% |
| CIGNA HEALTHSPRING | Medicare|PPO | $18,212.77 | ↑ +160% |
| BCBS | Medicare|All Plans | $18,927.76 | ↑ +170% |
| UNITED | Medicare|All Plans | $18,927.76 | ↑ +170% |
| SCANHealth | Medicare|All Plans | $19,288.29 | ↑ +175% |
| MD Save | Commercial|All Plans | $21,477.33 | ↑ +207% |
| BCBS-TX | Commercial|Blue Premier | $26,920.43 | ↑ +284% |
| BCBS-TX | Commercial|HMO | $27,469.83 | ↑ +292% |
| Wellpoint | Commercial|Exchange | $28,391.64 | ↑ +305% |
| BCBS-TX | Commercial|PPO | $30,216.81 | ↑ +332% |
| PHCS | Commercial|All Plans | $31,742.42 | ↑ +353% |
| Multiplan | Commercial|All Plans | $32,676.02 | ↑ +367% |
| Humana | Commercial|All Plans | $32,676.02 | ↑ +367% |
| Galaxy | Commercial|All Plans | $42,012.02 | ↑ +500% |
| Angelina County | Commercial|All Plans | $46,906.48 | ↑ +570% |
| Entrust | Commercial|All Plans | $48,547.23 | ↑ +593% |
| Brookshire Brothers | Commercial|All Plans | $51,545.58 | ↑ +636% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $19,886.41 | $6,299.00 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $10,353.83 | $2,131.16 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $16,463.38 | $9,868.48 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $19,886.41 | $9,868.48 – $48,269.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $10,353.83 | $6,277.87 – $48,269.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $10,353.83 | $9,491.01 – $48,269.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $16,463.38 | $9,868.48 – $48,269.91 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $19,886.41 | $9,868.48 – $48,269.91 |