Myelography neck spine 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

$379.35

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.

$2,529.00

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.

$322.85 with Cigna vs $2,591.68 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 →

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
Cigna Commercial|All Plans $322.85 ↓ -15%
United Commercial|Exchange $448.56 ↑ +18%
United Commercial|All Other Plans $573.16 ↑ +51%
Aetna Commercial|All Plans $623.00 ↑ +64%
HUMANA Medicare|All Plans $706.03 ↑ +86%
AETNA Medicare|All Plans $706.03 ↑ +86%
Wellpoint Medicare|All Plans $727.21 ↑ +92%
CIGNA HEALTHSPRING Medicare|All Other Plans $741.33 ↑ +95%
CIGNA HEALTHSPRING Medicare|PPO $748.39 ↑ +97%
BCBS Medicare|All Plans $784.12 ↑ +107%
UNITED Medicare|All Plans $784.12 ↑ +107%
SCANHealth Medicare|All Plans $799.05 ↑ +111%
MD Save Commercial|All Plans $882.54 ↑ +133%
TCHP Medicaid|All Plans $933.35 ↑ +146%
Wellpoint Medicaid|All Other Plans $961.23 ↑ +153%
UNITED Medicaid|All Other Plans $961.23 ↑ +153%
SUPERIOR Medicaid|STARPLUS $961.23 ↑ +153%
UNITED Medicaid|STAR $961.23 ↑ +153%
SUPERIOR Medicaid|All Other Plans $961.23 ↑ +153%
CIGNA HEALTHSPRING Medicaid|STARPLUS $980.45 ↑ +158%
Wellpoint Medicaid|STARPLUS $990.07 ↑ +161%
BCBS Medicaid|All Plans $1,009.29 ↑ +166%
Wellpoint Commercial|Exchange $1,176.18 ↑ +210%
BCBS-TX Commercial|Blue Advantage HMO $1,279.94 ↑ +237%
Wellpoint Medicaid|STAR $1,509.13 ↑ +298%
SUPERIOR Medicaid|STAR $1,509.13 ↑ +298%
PHCS Commercial|All Plans $1,694.56 ↑ +347%
UNITED Medicaid|STARPLUS $1,720.60 ↑ +354%
Humana Commercial|All Plans $1,744.40 ↑ +360%
Multiplan Commercial|All Plans $1,744.40 ↑ +360%
BCBS-TX Commercial|Blue Premier $1,763.32 ↑ +365%
BCBS-TX Commercial|HMO $1,831.41 ↑ +383%
Angelina County Commercial|All Plans $1,927.46 ↑ +408%
BCBS-TX Commercial|PPO $2,035.65 ↑ +437%
Brookshire Brothers Commercial|All Plans $2,118.09 ↑ +458%
Galaxy Commercial|All Plans $2,242.80 ↑ +491%
Entrust Commercial|All Plans $2,591.68 ↑ +583%

Visitor-reported prices

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Myelography neck spine at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $875.40 $112.26 – $1,983.49
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,088.80 $224.11 – $1,983.49
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,133.23 $112.26 – $1,983.49
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $875.40 $112.26 – $1,983.49
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $1,088.80 $120.12 – $1,983.49
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $1,088.80 $112.26 – $1,983.49
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $1,133.23 $112.26 – $1,983.49
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $875.40 $112.26 – $1,983.49

All Texas hospitals for this procedure →