Observation direct referral from physician office for admission at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$126.00
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.
$840.00
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.
$137.34 with United vs $4,568.00 with Cigna — 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 |
|---|---|---|---|
| United | Commercial|Exchange | $137.34 | ↑ +9% |
| United | Commercial|All Other Plans | $175.49 | ↑ +39% |
| Aetna | Commercial|All Plans | $190.75 | ↑ +51% |
| BCBS-TX | Commercial|Blue Premier | $272.25 | ↑ +116% |
| BCBS-TX | Commercial|Blue Advantage HMO | $310.42 | ↑ +146% |
| BCBS-TX | Commercial|HMO | $311.69 | ↑ +147% |
| BCBS-TX | Commercial|PPO | $338.41 | ↑ +169% |
| PHCS | Commercial|All Plans | $518.84 | ↑ +312% |
| Multiplan | Commercial|All Plans | $534.10 | ↑ +324% |
| Humana | Commercial|All Plans | $534.10 | ↑ +324% |
| HUMANA | Medicare|All Plans | $566.38 | ↑ +350% |
| AETNA | Medicare|All Plans | $566.38 | ↑ +350% |
| Wellpoint | Medicare|All Plans | $583.37 | ↑ +363% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $594.70 | ↑ +372% |
| CIGNA HEALTHSPRING | Medicare|PPO | $600.36 | ↑ +376% |
| BCBS | Medicare|All Plans | $608.49 | ↑ +383% |
| UNITED | Medicare|All Plans | $608.49 | ↑ +383% |
| SCANHealth | Medicare|All Plans | $620.08 | ↑ +392% |
| SUPERIOR | Medicaid|STARPLUS | $686.70 | ↑ +445% |
| Galaxy | Commercial|All Plans | $686.70 | ↑ +445% |
| UNITED | Medicaid|STARKIDS | $686.70 | ↑ +445% |
| UNITED | Medicaid|CHIP | $686.70 | ↑ +445% |
| UNITED | Medicaid|All Other Plans | $686.70 | ↑ +445% |
| TCHP | Medicaid|All Plans | $686.70 | ↑ +445% |
| UNITED | Medicaid|STAR | $686.70 | ↑ +445% |
| Wellpoint | Medicaid|All Other Plans | $686.70 | ↑ +445% |
| SUPERIOR | Medicaid|All Other Plans | $686.70 | ↑ +445% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $700.44 | ↑ +456% |
| Wellpoint | Medicaid|STARPLUS | $707.31 | ↑ +461% |
| MD Save | Commercial|All Plans | $707.98 | ↑ +462% |
| BCBS | Medicaid|All Plans | $721.04 | ↑ +472% |
| Entrust | Commercial|All Plans | $793.52 | ↑ +530% |
| Wellpoint | Commercial|Exchange | $912.74 | ↑ +624% |
| Wellpoint | Medicaid|STAR | $1,078.12 | ↑ +756% |
| SUPERIOR | Medicaid|STAR | $1,078.12 | ↑ +756% |
| UNITED | Medicaid|STARPLUS | $1,229.20 | ↑ +876% |
| Angelina County | Commercial|All Plans | $1,546.22 | ↑ +1127% |
| Brookshire Brothers | Commercial|All Plans | $1,699.14 | ↑ +1249% |
| Cigna | Commercial|All Plans | $4,568.00 | ↑ +3525% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $162.54 | $489.80 – $489.80 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $554.33 | $157.06 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $527.99 | $71.00 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $602.45 | $71.00 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $554.33 | $147.82 – $1,591.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $527.99 | $169.48 – $1,591.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $527.99 | $272.79 – $1,591.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $602.45 | $71.00 – $1,591.17 |