Mitomycin instillation at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$76,730.55
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.
$511,536.96
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.
$283.81 with HUMANA vs $460,383.27 with Galaxy — 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 | $283.81 | ↓ -100% |
| AETNA | Medicare|All Plans | $283.81 | ↓ -100% |
| Wellpoint | Medicare|All Plans | $292.32 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $298.00 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|PPO | $300.84 | ↓ -100% |
| BCBS | Medicare|All Plans | $310.64 | ↓ -100% |
| UNITED | Medicare|All Plans | $310.64 | ↓ -100% |
| SCANHealth | Medicare|All Plans | $316.56 | ↓ -100% |
| MD Save | Commercial|All Plans | $354.76 | ↓ -100% |
| Cigna | Commercial|All Plans | $433.35 | ↓ -99% |
| Wellpoint | Commercial|Exchange | $472.55 | ↓ -99% |
| BCBS-TX | Commercial|Blue Premier | $672.22 | ↓ -99% |
| BCBS-TX | Commercial|Blue Advantage HMO | $694.21 | ↓ -99% |
| BCBS-TX | Commercial|HMO | $706.77 | ↓ -99% |
| Angelina County | Commercial|All Plans | $759.46 | ↓ -99% |
| BCBS-TX | Commercial|PPO | $813.57 | ↓ -99% |
| Brookshire Brothers | Commercial|All Plans | $835.02 | ↓ -99% |
| United | Commercial|Exchange | $92,076.66 | ↑ +20% |
| United | Commercial|All Other Plans | $117,653.51 | ↑ +53% |
| Aetna | Commercial|All Plans | $127,884.24 | ↑ +67% |
| Entrust | Commercial|All Plans | $204,614.79 | ↑ +167% |
| PHCS | Commercial|All Plans | $347,845.14 | ↑ +353% |
| Multiplan | Commercial|All Plans | $358,075.88 | ↑ +367% |
| Humana | Commercial|All Plans | $358,075.88 | ↑ +367% |
| Galaxy | Commercial|All Plans | $460,383.27 | ↑ +500% |
Visitor-reported prices
Comments
Mitomycin instillation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health Memorial Lufkin | Lufkin | $76,730.55 | $330.48 – $460,383.27 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $15,382.21 | $442.57 – $28,566.97 |
| St. Luke's Health Memorial Livingston | Livingston | $76,730.55 | $433.35 – $460,383.27 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $7,695.36 | $296.17 – $1,316.16 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $7,695.36 | $296.17 – $1,316.16 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $7,695.36 | $296.17 – $296.17 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $7,695.36 | $296.17 – $296.17 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $7,695.36 | $296.17 – $1,316.16 |