Revision tips at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$1,857.15
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.
$12,381.00
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.
$2,228.58 with United vs $19,945.80 with UNITED — 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 | $2,228.58 | ↑ +20% |
| United | Commercial|All Other Plans | $2,847.63 | ↑ +53% |
| Aetna | Commercial|All Plans | $3,095.25 | ↑ +67% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,269.58 | ↑ +76% |
| Cigna | Commercial|All Plans | $3,326.00 | ↑ +79% |
| HUMANA | Medicare|All Plans | $5,040.02 | ↑ +171% |
| AETNA | Medicare|All Plans | $5,040.02 | ↑ +171% |
| Wellpoint | Medicare|All Plans | $5,191.22 | ↑ +180% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $5,292.02 | ↑ +185% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5,342.42 | ↑ +188% |
| BCBS | Medicare|All Plans | $5,658.65 | ↑ +205% |
| UNITED | Medicare|All Plans | $5,658.65 | ↑ +205% |
| SCANHealth | Medicare|All Plans | $5,766.43 | ↑ +210% |
| MD Save | Commercial|All Plans | $6,300.03 | ↑ +239% |
| BCBS-TX | Commercial|Blue Premier | $7,282.25 | ↑ +292% |
| BCBS-TX | Commercial|HMO | $7,430.87 | ↑ +300% |
| BCBS-TX | Commercial|PPO | $8,173.95 | ↑ +340% |
| PHCS | Commercial|All Plans | $8,419.08 | ↑ +353% |
| Wellpoint | Commercial|Exchange | $8,487.98 | ↑ +357% |
| Humana | Commercial|All Plans | $8,666.70 | ↑ +367% |
| Multiplan | Commercial|All Plans | $8,666.70 | ↑ +367% |
| TCHP | Medicaid|All Plans | $11,142.90 | ↑ +500% |
| Galaxy | Commercial|All Plans | $11,142.90 | ↑ +500% |
| Entrust | Commercial|All Plans | $12,876.24 | ↑ +593% |
| Angelina County | Commercial|All Plans | $13,759.25 | ↑ +641% |
| Brookshire Brothers | Commercial|All Plans | $15,120.06 | ↑ +714% |
| UNITED | Medicaid|STARPLUS | $19,945.80 | ↑ +974% |
Visitor-reported prices
Comments
Revision tips at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $11,218.30 | $3,178.52 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,711.04 | $71.00 – $22,066.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,111.45 | $71.00 – $16,389.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $11,218.30 | $2,991.55 – $14,159.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,711.04 | $85.00 – $22,066.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,711.04 | $7,600.70 – $22,066.56 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,111.45 | $71.00 – $19,667.17 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $11,218.30 | $2,991.55 – $14,159.18 |