Revasc lithotrip tibi/perone at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$6,154.95
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.
$41,033.00
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.
$3,326.00 with Cigna vs $42,674.32 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 | $3,326.00 | ↓ -46% |
| SUPERIOR | Medicaid|All Other Plans | $4,750.24 | ↓ -23% |
| UNITED | Medicaid|All Other Plans | $4,750.24 | ↓ -23% |
| UNITED | Medicaid|STAR | $4,750.24 | ↓ -23% |
| SUPERIOR | Medicaid|STARPLUS | $4,750.24 | ↓ -23% |
| TCHP | Medicaid|All Plans | $4,750.24 | ↓ -23% |
| Wellpoint | Medicaid|All Other Plans | $4,750.24 | ↓ -23% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $4,845.24 | ↓ -21% |
| Wellpoint | Medicaid|STARPLUS | $4,892.75 | ↓ -21% |
| BCBS | Medicaid|All Plans | $4,987.75 | ↓ -19% |
| BCBS-TX | Commercial|Blue Advantage HMO | $6,628.34 | ↑ +8% |
| United | Commercial|Exchange | $7,385.94 | ↑ +20% |
| Wellpoint | Medicaid|STAR | $7,457.88 | ↑ +21% |
| SUPERIOR | Medicaid|STAR | $7,457.88 | ↑ +21% |
| UNITED | Medicaid|STARPLUS | $8,502.93 | ↑ +38% |
| United | Commercial|All Other Plans | $9,437.59 | ↑ +53% |
| AETNA | Medicare|All Plans | $9,700.71 | ↑ +58% |
| HUMANA | Medicare|All Plans | $9,700.71 | ↑ +58% |
| Wellpoint | Medicare|All Plans | $9,991.73 | ↑ +62% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $10,185.75 | ↑ +65% |
| Aetna | Commercial|All Plans | $10,258.25 | ↑ +67% |
| CIGNA HEALTHSPRING | Medicare|PPO | $10,282.75 | ↑ +67% |
| UNITED | Medicare|All Plans | $11,255.30 | ↑ +83% |
| BCBS | Medicare|All Plans | $11,255.30 | ↑ +83% |
| SCANHealth | Medicare|All Plans | $11,469.68 | ↑ +86% |
| MD Save | Commercial|All Plans | $12,125.89 | ↑ +97% |
| BCBS-TX | Commercial|Blue Premier | $14,763.12 | ↑ +140% |
| BCBS-TX | Commercial|HMO | $15,064.41 | ↑ +145% |
| BCBS-TX | Commercial|PPO | $16,570.85 | ↑ +169% |
| Wellpoint | Commercial|Exchange | $16,882.95 | ↑ +174% |
| Angelina County | Commercial|All Plans | $26,482.94 | ↑ +330% |
| PHCS | Commercial|All Plans | $27,902.44 | ↑ +353% |
| Multiplan | Commercial|All Plans | $28,723.10 | ↑ +367% |
| Humana | Commercial|All Plans | $28,723.10 | ↑ +367% |
| Brookshire Brothers | Commercial|All Plans | $29,102.13 | ↑ +373% |
| Galaxy | Commercial|All Plans | $36,929.70 | ↑ +500% |
| Entrust | Commercial|All Plans | $42,674.32 | ↑ +593% |
Visitor-reported prices
Comments
Revasc lithotrip tibi/perone at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $14,653.34 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,653.35 | $3,016.15 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,321.23 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $14,653.34 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,653.35 | $5,082.76 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,653.35 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,321.23 | $4,750.24 – $27,252.71 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $14,653.34 | $4,750.24 – $27,252.71 |