Pt evaluation low complexity patient/family at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$100.35
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.
$669.00
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.
$100.00 with Cigna vs $695.76 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $100.00 | ↓ -0% |
| United | Commercial|Exchange | $120.42 | ↑ +20% |
| United | Commercial|All Other Plans | $153.87 | ↑ +53% |
| Aetna | Commercial|All Plans | $167.25 | ↑ +67% |
| BCBS-TX | Commercial|Blue Premier | $185.09 | ↑ +84% |
| BCBS-TX | Commercial|Blue Advantage HMO | $211.04 | ↑ +110% |
| BCBS-TX | Commercial|HMO | $211.90 | ↑ +111% |
| BCBS-TX | Commercial|PPO | $230.06 | ↑ +129% |
| PHCS | Commercial|All Plans | $454.92 | ↑ +353% |
| Humana | Commercial|All Plans | $468.30 | ↑ +367% |
| Multiplan | Commercial|All Plans | $468.30 | ↑ +367% |
| Galaxy | Commercial|All Plans | $602.10 | ↑ +500% |
| Entrust | Commercial|All Plans | $695.76 | ↑ +593% |
Visitor-reported prices
Comments
Pt evaluation low complexity patient/family at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $554.20 | $332.99 – $332.99 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $237.28 | $67.23 – $336.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $304.19 | $62.61 – $456.28 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $351.47 | $70.29 – $439.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $237.28 | $63.28 – $336.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $304.19 | $97.64 – $456.28 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $304.19 | $155.00 – $456.28 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $351.47 | $108.00 – $527.21 |