Manipulation chest wall initial demonstration/evaluation 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

$27.45

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.

$183.00

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.

$32.94 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 $32.94 ↑ +20%
United Commercial|All Other Plans $42.09 ↑ +53%
Aetna Commercial|All Plans $45.75 ↑ +67%
Cigna Commercial|All Plans $100.00 ↑ +264%
HUMANA Medicare|All Plans $112.64 ↑ +310%
AETNA Medicare|All Plans $112.64 ↑ +310%
Wellpoint Medicare|All Plans $116.02 ↑ +323%
CIGNA HEALTHSPRING Medicare|All Other Plans $118.27 ↑ +331%
CIGNA HEALTHSPRING Medicare|PPO $119.40 ↑ +335%
PHCS Commercial|All Plans $124.44 ↑ +353%
UNITED Medicare|All Plans $127.93 ↑ +366%
BCBS Medicare|All Plans $127.93 ↑ +366%
Multiplan Commercial|All Plans $128.10 ↑ +367%
Humana Commercial|All Plans $128.10 ↑ +367%
SCANHealth Medicare|All Plans $130.37 ↑ +375%
MD Save Commercial|All Plans $140.80 ↑ +413%
Galaxy Commercial|All Plans $164.70 ↑ +500%
BCBS-TX Commercial|Blue Advantage HMO $183.00 ↑ +567%
BCBS-TX Commercial|Blue Premier $183.00 ↑ +567%
BCBS-TX Commercial|PPO $183.00 ↑ +567%
BCBS-TX Commercial|HMO $183.00 ↑ +567%
Entrust Commercial|All Plans $190.32 ↑ +593%
Wellpoint Commercial|Exchange $191.90 ↑ +599%
Angelina County Commercial|All Plans $307.51 ↑ +1020%
Brookshire Brothers Commercial|All Plans $337.92 ↑ +1131%

Visitor-reported prices

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Manipulation chest wall initial demonstration/evaluation at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $572.01 $419.77 – $419.77
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $226.54 $64.19 – $316.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $216.95 $44.66 – $325.43
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $202.10 $40.42 – $316.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $226.54 $60.41 – $316.45
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $216.95 $69.64 – $325.43
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $216.95 $112.09 – $3,235.82
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $202.10 $67.37 – $316.45

All Texas hospitals for this procedure →