Ortho ewh rgd without jnt cstm w/fit&adj at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$251.37
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.
$1,675.80
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.
$251.37 with BCBS-TX vs $1,508.22 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $251.37 | ↑ +0% |
| Cigna | Commercial|All Plans | $284.89 | ↑ +13% |
| United | Commercial|Exchange | $301.65 | ↑ +20% |
| BCBS-TX | Commercial|Blue Premier | $351.92 | ↑ +40% |
| BCBS-TX | Commercial|HMO | $368.68 | ↑ +47% |
| United | Commercial|All Other Plans | $385.44 | ↑ +53% |
| BCBS-TX | Commercial|PPO | $402.20 | ↑ +60% |
| Aetna | Commercial|All Plans | $418.95 | ↑ +67% |
| Angelina County | Commercial|All Plans | $670.32 | ↑ +167% |
| Entrust | Commercial|All Plans | $670.32 | ↑ +167% |
| PHCS | Commercial|All Plans | $1,139.55 | ↑ +353% |
| Humana | Commercial|All Plans | $1,173.06 | ↑ +367% |
| Multiplan | Commercial|All Plans | $1,173.06 | ↑ +367% |
| Galaxy | Commercial|All Plans | $1,508.22 | ↑ +500% |
Visitor-reported prices
Comments
Ortho ewh rgd without jnt cstm w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $360.52 | $100.00 – $669.54 |
| St. Luke's Health Memorial Lufkin | Lufkin | $251.37 | $251.37 – $1,508.22 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $888.12 | $304.50 – $1,649.36 |
| St. Luke's Health Memorial Livingston | Livingston | $251.37 | $251.37 – $1,508.22 |
| HCA HOUSTON TOMBALL | HOUSTON | $1,369.00 | $771.47 – $1,692.50 |
| Texas Health Hospital Mansfield | Mansfield | $3,919.14 | not published |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $539.73 | $610.67 – $610.67 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $539.73 | $610.67 – $610.67 |