Insertion single tranvenous electrode/ppm/implantable defibrillator at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$1,505.25
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.
$10,035.00
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.
$1,806.30 with United vs $22,474.20 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 |
|---|---|---|---|
| United | Commercial|Exchange | $1,806.30 | ↑ +20% |
| United | Commercial|All Other Plans | $2,308.05 | ↑ +53% |
| Aetna | Commercial|All Plans | $2,508.75 | ↑ +67% |
| Cigna | Commercial|All Plans | $3,326.00 | ↑ +121% |
| SUPERIOR | Medicaid|STARPLUS | $4,538.30 | ↑ +201% |
| UNITED | Medicaid|STARKIDS | $4,538.30 | ↑ +201% |
| Wellpoint | Medicaid|All Other Plans | $4,538.30 | ↑ +201% |
| TCHP | Medicaid|All Plans | $4,538.30 | ↑ +201% |
| UNITED | Medicaid|All Other Plans | $4,538.30 | ↑ +201% |
| UNITED | Medicaid|STAR | $4,538.30 | ↑ +201% |
| SUPERIOR | Medicaid|All Other Plans | $4,538.30 | ↑ +201% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $4,629.07 | ↑ +208% |
| Wellpoint | Medicaid|STARPLUS | $4,674.45 | ↑ +211% |
| BCBS | Medicaid|All Plans | $4,765.22 | ↑ +217% |
| BCBS-TX | Commercial|Blue Advantage HMO | $5,043.62 | ↑ +235% |
| PHCS | Commercial|All Plans | $6,823.80 | ↑ +353% |
| Humana | Commercial|All Plans | $7,024.50 | ↑ +367% |
| Multiplan | Commercial|All Plans | $7,024.50 | ↑ +367% |
| SUPERIOR | Medicaid|STAR | $7,125.13 | ↑ +373% |
| Wellpoint | Medicaid|STAR | $7,125.13 | ↑ +373% |
| HUMANA | Medicare|All Plans | $7,491.40 | ↑ +398% |
| AETNA | Medicare|All Plans | $7,491.40 | ↑ +398% |
| Wellpoint | Medicare|All Plans | $7,716.14 | ↑ +413% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $7,865.97 | ↑ +423% |
| CIGNA HEALTHSPRING | Medicare|PPO | $7,940.88 | ↑ +428% |
| UNITED | Medicaid|STARPLUS | $8,123.56 | ↑ +440% |
| UNITED | Medicare|All Plans | $8,213.75 | ↑ +446% |
| BCBS | Medicare|All Plans | $8,213.75 | ↑ +446% |
| SCANHealth | Medicare|All Plans | $8,370.20 | ↑ +456% |
| Galaxy | Commercial|All Plans | $9,031.50 | ↑ +500% |
| MD Save | Commercial|All Plans | $9,364.25 | ↑ +522% |
| Entrust | Commercial|All Plans | $10,436.40 | ↑ +593% |
| BCBS-TX | Commercial|Blue Premier | $11,233.52 | ↑ +646% |
| BCBS-TX | Commercial|HMO | $11,462.78 | ↑ +662% |
| Wellpoint | Commercial|Exchange | $12,320.63 | ↑ +719% |
| BCBS-TX | Commercial|PPO | $12,609.05 | ↑ +738% |
| Angelina County | Commercial|All Plans | $20,451.52 | ↑ +1259% |
| Brookshire Brothers | Commercial|All Plans | $22,474.20 | ↑ +1393% |
Visitor-reported prices
Comments
Insertion single tranvenous electrode/ppm/implantable defibrillator at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $10,799.55 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,687.71 | $2,405.72 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $9,465.05 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $10,799.55 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $11,687.71 | $4,855.98 – $21,045.99 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $11,687.71 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $9,465.05 | $4,538.30 – $21,045.99 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $10,799.55 | $4,538.30 – $21,045.99 |