Ot therapeutic activities direct patient contact each 15 minutes at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$56.25
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.
$375.00
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.
$67.50 with United vs $390.00 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 |
|---|---|---|---|
| United | Commercial|Exchange | $67.50 | ↑ +20% |
| United | Commercial|All Other Plans | $86.25 | ↑ +53% |
| BCBS-TX | Commercial|Blue Premier | $87.14 | ↑ +55% |
| Aetna | Commercial|All Plans | $93.75 | ↑ +67% |
| BCBS-TX | Commercial|Blue Advantage HMO | $99.36 | ↑ +77% |
| BCBS-TX | Commercial|HMO | $99.76 | ↑ +77% |
| Cigna | Commercial|All Plans | $100.00 | ↑ +78% |
| BCBS-TX | Commercial|PPO | $108.32 | ↑ +93% |
| PHCS | Commercial|All Plans | $255.00 | ↑ +353% |
| Humana | Commercial|All Plans | $262.50 | ↑ +367% |
| Multiplan | Commercial|All Plans | $262.50 | ↑ +367% |
| Galaxy | Commercial|All Plans | $337.50 | ↑ +500% |
| Entrust | Commercial|All Plans | $390.00 | ↑ +593% |
Visitor-reported prices
Comments
Ot therapeutic activities direct patient contact each 15 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $289.38 | $156.77 – $156.77 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $122.76 | $34.78 – $173.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $138.53 | $28.51 – $207.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $147.08 | $29.42 – $183.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $122.76 | $32.74 – $173.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $138.53 | $44.47 – $207.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $138.53 | $71.57 – $207.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $147.08 | $49.03 – $220.63 |