Manipulation chest wall demonstration/evaluation subsequent 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

$43.20

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.

$288.00

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.

$51.84 with United vs $337.92 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
United Commercial|Exchange $51.84 ↑ +20%
United Commercial|All Other Plans $66.24 ↑ +53%
Aetna Commercial|All Plans $72.00 ↑ +67%
Cigna Commercial|All Plans $100.00 ↑ +131%
HUMANA Medicare|All Plans $112.64 ↑ +161%
AETNA Medicare|All Plans $112.64 ↑ +161%
Wellpoint Medicare|All Plans $116.02 ↑ +169%
CIGNA HEALTHSPRING Medicare|All Other Plans $118.27 ↑ +174%
CIGNA HEALTHSPRING Medicare|PPO $119.40 ↑ +176%
BCBS Medicare|All Plans $127.93 ↑ +196%
UNITED Medicare|All Plans $127.93 ↑ +196%
SCANHealth Medicare|All Plans $130.37 ↑ +202%
MD Save Commercial|All Plans $140.80 ↑ +226%
Wellpoint Commercial|Exchange $191.90 ↑ +344%
PHCS Commercial|All Plans $195.84 ↑ +353%
Humana Commercial|All Plans $201.60 ↑ +367%
Multiplan Commercial|All Plans $201.60 ↑ +367%
BCBS-TX Commercial|Blue Premier $233.32 ↑ +440%
Galaxy Commercial|All Plans $259.20 ↑ +500%
BCBS-TX Commercial|Blue Advantage HMO $266.03 ↑ +516%
BCBS-TX Commercial|HMO $267.12 ↑ +518%
BCBS-TX Commercial|PPO $288.00 ↑ +567%
Entrust Commercial|All Plans $299.52 ↑ +593%
Angelina County Commercial|All Plans $307.51 ↑ +612%
Brookshire Brothers Commercial|All Plans $337.92 ↑ +682%

Visitor-reported prices

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Manipulation chest wall demonstration/evaluation subsequent at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $354.44 $419.77 – $419.77
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $172.78 $48.95 – $316.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $156.60 $32.23 – $316.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $156.60 $31.32 – $316.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $172.78 $46.08 – $316.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $156.60 $50.27 – $316.45
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $156.60 $80.91 – $3,235.82
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $156.60 $52.20 – $316.45

All Texas hospitals for this procedure →