Myelography thoracic spine at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$555.60
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.
$3,704.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$328.86 with Cigna vs $3,620.24 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 →
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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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $328.86 | ↓ -41% |
| United | Commercial|Exchange | $626.58 | ↑ +13% |
| AETNA | Medicare|All Plans | $706.03 | ↑ +27% |
| HUMANA | Medicare|All Plans | $706.03 | ↑ +27% |
| Wellpoint | Medicare|All Plans | $727.21 | ↑ +31% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $741.33 | ↑ +33% |
| CIGNA HEALTHSPRING | Medicare|PPO | $748.39 | ↑ +35% |
| UNITED | Medicare|All Plans | $784.12 | ↑ +41% |
| BCBS | Medicare|All Plans | $784.12 | ↑ +41% |
| SCANHealth | Medicare|All Plans | $799.05 | ↑ +44% |
| United | Commercial|All Other Plans | $800.63 | ↑ +44% |
| Aetna | Commercial|All Plans | $870.25 | ↑ +57% |
| MD Save | Commercial|All Plans | $882.54 | ↑ +59% |
| TCHP | Medicaid|All Plans | $933.35 | ↑ +68% |
| Wellpoint | Medicaid|All Other Plans | $961.23 | ↑ +73% |
| SUPERIOR | Medicaid|STARPLUS | $961.23 | ↑ +73% |
| UNITED | Medicaid|STAR | $961.23 | ↑ +73% |
| UNITED | Medicaid|All Other Plans | $961.23 | ↑ +73% |
| SUPERIOR | Medicaid|All Other Plans | $961.23 | ↑ +73% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $980.45 | ↑ +76% |
| Wellpoint | Medicaid|STARPLUS | $990.07 | ↑ +78% |
| BCBS | Medicaid|All Plans | $1,009.29 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $1,176.18 | ↑ +112% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,279.94 | ↑ +130% |
| SUPERIOR | Medicaid|STAR | $1,509.13 | ↑ +172% |
| Wellpoint | Medicaid|STAR | $1,509.13 | ↑ +172% |
| UNITED | Medicaid|STARPLUS | $1,720.60 | ↑ +210% |
| BCBS-TX | Commercial|Blue Premier | $1,763.32 | ↑ +217% |
| BCBS-TX | Commercial|HMO | $1,831.41 | ↑ +230% |
| Angelina County | Commercial|All Plans | $1,927.46 | ↑ +247% |
| BCBS-TX | Commercial|PPO | $2,035.65 | ↑ +266% |
| Brookshire Brothers | Commercial|All Plans | $2,118.09 | ↑ +281% |
| PHCS | Commercial|All Plans | $2,367.08 | ↑ +326% |
| Multiplan | Commercial|All Plans | $2,436.70 | ↑ +339% |
| Humana | Commercial|All Plans | $2,436.70 | ↑ +339% |
| Galaxy | Commercial|All Plans | $3,132.90 | ↑ +464% |
| Entrust | Commercial|All Plans | $3,620.24 | ↑ +552% |
Visitor-reported prices
Comments
Myelography thoracic spine at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,014.13 | $107.93 – $1,983.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,370.02 | $282.00 – $2,055.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,370.02 | $107.93 – $1,983.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,014.13 | $107.93 – $1,983.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,370.02 | $115.49 – $2,055.03 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,370.02 | $107.93 – $2,055.03 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,370.02 | $107.93 – $2,055.03 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,014.13 | $107.93 – $1,983.49 |