Mayo factor v at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$77.25
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.
?
What you pay up front if you don't use insurance.
$515.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$10.44 with United vs $76.27 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $10.44 | ↓ -86% |
| United | Commercial|All Other Plans | $13.34 | ↓ -83% |
| Aetna | Commercial|All Plans | $14.50 | ↓ -81% |
| TCHP | Medicaid|All Plans | $14.83 | ↓ -81% |
| AETNA | Medicare|All Plans | $17.65 | ↓ -77% |
| HUMANA | Medicare|All Plans | $17.65 | ↓ -77% |
| Wellpoint | Medicare|All Plans | $18.18 | ↓ -76% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $18.53 | ↓ -76% |
| UNITED | Medicare|All Plans | $18.53 | ↓ -76% |
| BCBS | Medicare|All Plans | $18.53 | ↓ -76% |
| CIGNA HEALTHSPRING | Medicare|PPO | $18.71 | ↓ -76% |
| SCANHealth | Medicare|All Plans | $18.89 | ↓ -76% |
| MD Save | Commercial|All Plans | $22.06 | ↓ -71% |
| SUPERIOR | Medicaid|STARPLUS | $24.18 | ↓ -69% |
| SUPERIOR | Medicaid|All Other Plans | $24.18 | ↓ -69% |
| UNITED | Medicaid|All Other Plans | $24.18 | ↓ -69% |
| Wellpoint | Medicaid|All Other Plans | $24.18 | ↓ -69% |
| UNITED | Medicaid|STARKIDS | $24.18 | ↓ -69% |
| UNITED | Medicaid|STAR | $24.18 | ↓ -69% |
| UNITED | Medicaid|CHIP | $24.18 | ↓ -69% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $24.66 | ↓ -68% |
| Wellpoint | Medicaid|STARPLUS | $24.91 | ↓ -68% |
| BCBS | Medicaid|All Plans | $25.39 | ↓ -67% |
| Wellpoint | Commercial|Exchange | $27.80 | ↓ -64% |
| BCBS-TX | Commercial|Blue Advantage HMO | $33.54 | ↓ -57% |
| Wellpoint | Medicaid|STAR | $37.96 | ↓ -51% |
| SUPERIOR | Medicaid|STAR | $37.96 | ↓ -51% |
| PHCS | Commercial|All Plans | $39.44 | ↓ -49% |
| Humana | Commercial|All Plans | $40.60 | ↓ -47% |
| Multiplan | Commercial|All Plans | $40.60 | ↓ -47% |
| UNITED | Medicaid|STARPLUS | $43.28 | ↓ -44% |
| Entrust | Commercial|All Plans | $45.89 | ↓ -41% |
| Angelina County | Commercial|All Plans | $48.18 | ↓ -38% |
| Galaxy | Commercial|All Plans | $52.20 | ↓ -32% |
| Brookshire Brothers | Commercial|All Plans | $52.95 | ↓ -31% |
| BCBS-TX | Commercial|HMO | $58.00 | ↓ -25% |
| BCBS-TX | Commercial|PPO | $58.00 | ↓ -25% |
| BCBS-TX | Commercial|Blue Premier | $58.00 | ↓ -25% |
| Cigna | Commercial|All Plans | $76.27 | ↓ -1% |
Visitor-reported prices
Comments
Mayo factor v at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $530.23 | $15.89 – $67.95 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $220.03 | $10.00 – $275.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $221.11 | $12.00 – $331.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $208.24 | $12.00 – $260.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $220.03 | $10.00 – $275.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $221.11 | $12.00 – $331.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $221.11 | $8.00 – $331.67 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $208.24 | $12.00 – $312.35 |