Lung perfusion imaging at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$658.80
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.
$4,392.00
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.
$363.69 with HUMANA vs $4,567.68 with Entrust — 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 |
|---|---|---|---|
| HUMANA | Medicare|All Plans | $363.69 | ↓ -45% |
| AETNA | Medicare|All Plans | $363.69 | ↓ -45% |
| Wellpoint | Medicare|All Plans | $374.60 | ↓ -43% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $381.87 | ↓ -42% |
| CIGNA HEALTHSPRING | Medicare|PPO | $385.51 | ↓ -41% |
| BCBS-TX | Commercial|Blue Advantage HMO | $395.01 | ↓ -40% |
| BCBS | Medicare|All Plans | $398.81 | ↓ -39% |
| UNITED | Medicare|All Plans | $398.81 | ↓ -39% |
| SCANHealth | Medicare|All Plans | $406.41 | ↓ -38% |
| MD Save | Commercial|All Plans | $454.61 | ↓ -31% |
| SUPERIOR | Medicaid|All Other Plans | $489.74 | ↓ -26% |
| TCHP | Medicaid|All Plans | $489.74 | ↓ -26% |
| SUPERIOR | Medicaid|STARPLUS | $489.74 | ↓ -26% |
| UNITED | Medicaid|STAR | $489.74 | ↓ -26% |
| UNITED | Medicaid|All Other Plans | $489.74 | ↓ -26% |
| Wellpoint | Medicaid|All Other Plans | $489.74 | ↓ -26% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $499.53 | ↓ -24% |
| Wellpoint | Medicaid|STARPLUS | $504.43 | ↓ -23% |
| BCBS | Medicaid|All Plans | $514.23 | ↓ -22% |
| BCBS-TX | Commercial|Blue Premier | $544.18 | ↓ -17% |
| BCBS-TX | Commercial|HMO | $565.20 | ↓ -14% |
| Wellpoint | Commercial|Exchange | $598.22 | ↓ -9% |
| BCBS-TX | Commercial|PPO | $628.23 | ↓ -5% |
| SUPERIOR | Medicaid|STAR | $768.89 | ↑ +17% |
| Wellpoint | Medicaid|STAR | $768.89 | ↑ +17% |
| United | Commercial|Exchange | $790.56 | ↑ +20% |
| UNITED | Medicaid|STARPLUS | $876.63 | ↑ +33% |
| Angelina County | Commercial|All Plans | $992.87 | ↑ +51% |
| United | Commercial|All Other Plans | $1,010.16 | ↑ +53% |
| Brookshire Brothers | Commercial|All Plans | $1,091.07 | ↑ +66% |
| Aetna | Commercial|All Plans | $1,098.00 | ↑ +67% |
| Cigna | Commercial|All Plans | $2,327.76 | ↑ +253% |
| PHCS | Commercial|All Plans | $2,986.56 | ↑ +353% |
| Multiplan | Commercial|All Plans | $3,074.40 | ↑ +367% |
| Humana | Commercial|All Plans | $3,074.40 | ↑ +367% |
| Galaxy | Commercial|All Plans | $3,952.80 | ↑ +500% |
| Entrust | Commercial|All Plans | $4,567.68 | ↑ +593% |
Visitor-reported prices
Comments
Lung perfusion imaging at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,348.42 | $213.51 – $1,685.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,082.75 | $222.87 – $1,624.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,100.39 | $213.51 – $1,375.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,348.42 | $213.51 – $1,685.52 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,082.75 | $228.46 – $1,624.13 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,082.75 | $213.51 – $1,624.13 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,100.39 | $213.51 – $1,650.58 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,348.42 | $213.51 – $1,685.52 |