Nm imaging hepatobiliary system w/pharmacologic intervention at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$1,229.25
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.
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What you pay up front if you don't use insurance.
$8,195.00
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.
$476.61 with HUMANA vs $8,522.80 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 |
|---|---|---|---|
| HUMANA | Medicare|All Plans | $476.61 | ↓ -61% |
| AETNA | Medicare|All Plans | $476.61 | ↓ -61% |
| Wellpoint | Medicare|All Plans | $490.91 | ↓ -60% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $500.44 | ↓ -59% |
| CIGNA HEALTHSPRING | Medicare|PPO | $505.21 | ↓ -59% |
| BCBS | Medicare|All Plans | $534.22 | ↓ -57% |
| UNITED | Medicare|All Plans | $534.22 | ↓ -57% |
| SCANHealth | Medicare|All Plans | $544.39 | ↓ -56% |
| MD Save | Commercial|All Plans | $595.76 | ↓ -52% |
| UNITED | Medicaid|All Other Plans | $635.67 | ↓ -48% |
| TCHP | Medicaid|All Plans | $635.67 | ↓ -48% |
| SUPERIOR | Medicaid|STARPLUS | $635.67 | ↓ -48% |
| Wellpoint | Medicaid|All Other Plans | $635.67 | ↓ -48% |
| UNITED | Medicaid|STAR | $635.67 | ↓ -48% |
| SUPERIOR | Medicaid|All Other Plans | $635.67 | ↓ -48% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $648.38 | ↓ -47% |
| Wellpoint | Medicaid|STARPLUS | $654.74 | ↓ -47% |
| BCBS | Medicaid|All Plans | $667.45 | ↓ -46% |
| BCBS-TX | Commercial|Blue Advantage HMO | $785.93 | ↓ -36% |
| Wellpoint | Commercial|Exchange | $801.33 | ↓ -35% |
| SUPERIOR | Medicaid|STAR | $998.00 | ↓ -19% |
| Wellpoint | Medicaid|STAR | $998.00 | ↓ -19% |
| BCBS-TX | Commercial|Blue Premier | $1,082.75 | ↓ -12% |
| BCBS-TX | Commercial|HMO | $1,124.55 | ↓ -9% |
| UNITED | Medicaid|STARPLUS | $1,137.85 | ↓ -7% |
| BCBS-TX | Commercial|PPO | $1,249.97 | ↑ +2% |
| Angelina County | Commercial|All Plans | $1,301.15 | ↑ +6% |
| Brookshire Brothers | Commercial|All Plans | $1,429.83 | ↑ +16% |
| United | Commercial|Exchange | $1,475.10 | ↑ +20% |
| United | Commercial|All Other Plans | $1,884.85 | ↑ +53% |
| Aetna | Commercial|All Plans | $2,048.75 | ↑ +67% |
| Cigna | Commercial|All Plans | $4,153.00 | ↑ +238% |
| PHCS | Commercial|All Plans | $5,572.60 | ↑ +353% |
| Humana | Commercial|All Plans | $5,736.50 | ↑ +367% |
| Multiplan | Commercial|All Plans | $5,736.50 | ↑ +367% |
| Galaxy | Commercial|All Plans | $7,375.50 | ↑ +500% |
| Entrust | Commercial|All Plans | $8,522.80 | ↑ +593% |
Visitor-reported prices
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Nm imaging hepatobiliary system w/pharmacologic intervention at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,900.64 | $390.26 – $2,375.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,968.94 | $405.27 – $2,953.41 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,968.31 | $390.26 – $2,460.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,900.64 | $390.26 – $2,375.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,968.94 | $417.58 – $2,953.41 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,968.94 | $390.26 – $2,953.41 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,968.31 | $390.26 – $2,952.47 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,900.64 | $390.26 – $2,375.80 |