Perq plmt bile duct stent at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$2,324.10
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.
$15,494.00
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.
$2,788.92 with United vs $16,113.76 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 | $2,788.92 | ↑ +20% |
| SUPERIOR | Medicaid|STARPLUS | $2,858.51 | ↑ +23% |
| Wellpoint | Medicaid|All Other Plans | $2,858.51 | ↑ +23% |
| TCHP | Medicaid|All Plans | $2,858.51 | ↑ +23% |
| SUPERIOR | Medicaid|All Other Plans | $2,858.51 | ↑ +23% |
| UNITED | Medicaid|All Other Plans | $2,858.51 | ↑ +23% |
| UNITED | Medicaid|STAR | $2,858.51 | ↑ +23% |
| UNITED | Medicaid|STARKIDS | $2,858.51 | ↑ +23% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $2,915.68 | ↑ +25% |
| Wellpoint | Medicaid|STARPLUS | $2,944.27 | ↑ +27% |
| BCBS | Medicaid|All Plans | $3,001.44 | ↑ +29% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,190.25 | ↑ +37% |
| United | Commercial|All Other Plans | $3,563.62 | ↑ +53% |
| Aetna | Commercial|All Plans | $3,873.50 | ↑ +67% |
| SUPERIOR | Medicaid|STAR | $4,487.86 | ↑ +93% |
| Wellpoint | Medicaid|STAR | $4,487.86 | ↑ +93% |
| HUMANA | Medicare|All Plans | $5,087.91 | ↑ +119% |
| AETNA | Medicare|All Plans | $5,087.91 | ↑ +119% |
| UNITED | Medicaid|STARPLUS | $5,116.73 | ↑ +120% |
| Wellpoint | Medicare|All Plans | $5,240.55 | ↑ +125% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $5,342.31 | ↑ +130% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5,393.18 | ↑ +132% |
| UNITED | Medicare|All Plans | $5,790.49 | ↑ +149% |
| BCBS | Medicare|All Plans | $5,790.49 | ↑ +149% |
| SCANHealth | Medicare|All Plans | $5,900.78 | ↑ +154% |
| MD Save | Commercial|All Plans | $6,359.89 | ↑ +174% |
| BCBS-TX | Commercial|Blue Premier | $7,105.55 | ↑ +206% |
| BCBS-TX | Commercial|HMO | $7,250.57 | ↑ +212% |
| BCBS-TX | Commercial|PPO | $7,975.62 | ↑ +243% |
| Wellpoint | Commercial|Exchange | $8,685.74 | ↑ +274% |
| Cigna | Commercial|All Plans | $8,720.00 | ↑ +275% |
| PHCS | Commercial|All Plans | $10,535.92 | ↑ +353% |
| Humana | Commercial|All Plans | $10,845.80 | ↑ +367% |
| Multiplan | Commercial|All Plans | $10,845.80 | ↑ +367% |
| Angelina County | Commercial|All Plans | $13,889.99 | ↑ +498% |
| Galaxy | Commercial|All Plans | $13,944.60 | ↑ +500% |
| Brookshire Brothers | Commercial|All Plans | $15,263.73 | ↑ +557% |
| Entrust | Commercial|All Plans | $16,113.76 | ↑ +593% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,164.80 | $2,858.51 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $9,185.40 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,505.00 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,164.80 | $2,858.51 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $9,185.40 | $85.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $9,185.40 | $2,858.51 – $14,293.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,505.00 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,164.80 | $2,858.51 – $14,293.73 |