Screen pap by tech w md supv at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$9.45
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.
?
What you pay up front if you don't use insurance.
$63.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$11.34 with United vs $65.81 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $11.34 | ↑ +20% |
| United | Commercial|All Other Plans | $14.49 | ↑ +53% |
| Aetna | Commercial|All Plans | $15.75 | ↑ +67% |
| AETNA | Medicare|All Plans | $17.76 | ↑ +88% |
| HUMANA | Medicare|All Plans | $17.76 | ↑ +88% |
| Wellpoint | Medicare|All Plans | $18.29 | ↑ +94% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $18.65 | ↑ +97% |
| CIGNA HEALTHSPRING | Medicare|PPO | $18.83 | ↑ +99% |
| UNITED | Medicare|All Plans | $19.10 | ↑ +102% |
| BCBS | Medicare|All Plans | $19.10 | ↑ +102% |
| SCANHealth | Medicare|All Plans | $19.46 | ↑ +106% |
| MD Save | Commercial|All Plans | $22.20 | ↑ +135% |
| Wellpoint | Commercial|Exchange | $28.65 | ↑ +203% |
| BCBS-TX | Commercial|Blue Advantage HMO | $28.73 | ↑ +204% |
| PHCS | Commercial|All Plans | $42.84 | ↑ +353% |
| Humana | Commercial|All Plans | $44.10 | ↑ +367% |
| Multiplan | Commercial|All Plans | $44.10 | ↑ +367% |
| Entrust | Commercial|All Plans | $45.01 | ↑ +376% |
| Angelina County | Commercial|All Plans | $48.48 | ↑ +413% |
| BCBS-TX | Commercial|Blue Premier | $49.90 | ↑ +428% |
| BCBS-TX | Commercial|HMO | $52.92 | ↑ +460% |
| Brookshire Brothers | Commercial|All Plans | $53.28 | ↑ +464% |
| Galaxy | Commercial|All Plans | $56.70 | ↑ +500% |
| BCBS-TX | Commercial|PPO | $61.08 | ↑ +546% |
| Cigna | Commercial|All Plans | $65.81 | ↑ +596% |
Visitor-reported prices
Comments
Screen pap by tech w md supv at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health Memorial Lufkin | Lufkin | $9.45 | $15.75 – $65.81 |
| St. Luke's Health Memorial Livingston | Livingston | $9.45 | $13.86 – $65.81 |
| Texas Health Hospital Mansfield | Mansfield | $130.42 | $15.12 – $42.25 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $110.48 | $15.86 – $82.57 |
| Adventhealth Rollins Brook | Lampasas | not published | $16.37 – $58.21 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $15.15 – $71.10 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $15.15 – $71.10 |
| Covenant Children's Hospital | Lubbock | not published | $33.10 – $65.92 |