Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at St. Luke's Health Memorial San Augustine

511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$10,273.50

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$68,490.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3,326.00 with Cigna vs $87,030.24 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 →

Payer
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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
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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 ↓ -68%
United Commercial|Exchange $12,328.20 ↑ +20%
United Commercial|All Other Plans $15,752.70 ↑ +53%
Aetna Commercial|All Plans $17,122.50 ↑ +67%
BCBS-TX Commercial|Blue Advantage HMO $21,306.54 ↑ +107%
TCHP Medicaid|All Plans $21,852.74 ↑ +113%
UNITED Medicaid|STARKIDS $21,852.74 ↑ +113%
UNITED Medicaid|STAR $21,852.74 ↑ +113%
SUPERIOR Medicaid|STARPLUS $21,852.74 ↑ +113%
UNITED Medicaid|All Other Plans $21,852.74 ↑ +113%
SUPERIOR Medicaid|All Other Plans $21,852.74 ↑ +113%
Wellpoint Medicaid|All Other Plans $21,852.74 ↑ +113%
CIGNA HEALTHSPRING Medicaid|STARPLUS $22,289.79 ↑ +117%
Wellpoint Medicaid|STARPLUS $22,508.32 ↑ +119%
BCBS Medicaid|All Plans $22,945.38 ↑ +123%
HUMANA Medicare|All Plans $29,010.08 ↑ +182%
AETNA Medicare|All Plans $29,010.08 ↑ +182%
Wellpoint Medicare|All Plans $29,880.38 ↑ +191%
CIGNA HEALTHSPRING Medicare|All Other Plans $30,460.58 ↑ +196%
CIGNA HEALTHSPRING Medicare|PPO $30,750.68 ↑ +199%
UNITED Medicare|All Plans $31,820.51 ↑ +210%
BCBS Medicare|All Plans $31,820.51 ↑ +210%
SCANHealth Medicare|All Plans $32,426.62 ↑ +216%
SUPERIOR Medicaid|STAR $34,308.80 ↑ +234%
Wellpoint Medicaid|STAR $34,308.80 ↑ +234%
MD Save Commercial|All Plans $36,262.60 ↑ +253%
UNITED Medicaid|STARPLUS $39,116.40 ↑ +281%
PHCS Commercial|All Plans $46,573.20 ↑ +353%
BCBS-TX Commercial|Blue Premier $47,455.48 ↑ +362%
Wellpoint Commercial|Exchange $47,730.77 ↑ +365%
Humana Commercial|All Plans $47,943.00 ↑ +367%
Multiplan Commercial|All Plans $47,943.00 ↑ +367%
BCBS-TX Commercial|HMO $48,423.96 ↑ +371%
BCBS-TX Commercial|PPO $53,266.36 ↑ +418%
Galaxy Commercial|All Plans $61,641.00 ↑ +500%
Entrust Commercial|All Plans $71,229.60 ↑ +593%
Angelina County Commercial|All Plans $79,197.52 ↑ +671%
Brookshire Brothers Commercial|All Plans $87,030.24 ↑ +747%

Visitor-reported prices

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Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $43,324.90 $6,299.00 – $81,499.55
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $42,510.52 $8,750.08 – $81,499.55
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $40,970.38 $15,811.00 – $81,499.55
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $43,324.90 $21,852.74 – $81,499.55
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $42,510.52 $15,811.00 – $81,499.55
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $42,510.52 $21,852.74 – $81,499.55
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $40,970.38 $15,811.00 – $81,499.55
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $43,324.90 $21,852.74 – $81,499.55

All Texas hospitals for this procedure →