Special physics consult at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$490.50
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.
$3,270.00
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.
$119.65 with HUMANA vs $3,400.80 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 |
|---|---|---|---|
| HUMANA | Medicare|All Plans | $119.65 | ↓ -76% |
| AETNA | Medicare|All Plans | $119.65 | ↓ -76% |
| Wellpoint | Medicare|All Plans | $123.24 | ↓ -75% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $125.63 | ↓ -74% |
| CIGNA HEALTHSPRING | Medicare|PPO | $126.83 | ↓ -74% |
| BCBS | Medicare|All Plans | $131.78 | ↓ -73% |
| UNITED | Medicare|All Plans | $131.78 | ↓ -73% |
| SCANHealth | Medicare|All Plans | $134.28 | ↓ -73% |
| MD Save | Commercial|All Plans | $149.56 | ↓ -70% |
| Wellpoint | Commercial|Exchange | $197.67 | ↓ -60% |
| Angelina County | Commercial|All Plans | $326.64 | ↓ -33% |
| Brookshire Brothers | Commercial|All Plans | $358.95 | ↓ -27% |
| BCBS-TX | Commercial|Blue Advantage HMO | $367.89 | ↓ -25% |
| BCBS-TX | Commercial|Blue Premier | $468.11 | ↓ -5% |
| BCBS-TX | Commercial|HMO | $496.02 | ↑ +1% |
| BCBS-TX | Commercial|PPO | $569.60 | ↑ +16% |
| United | Commercial|Exchange | $588.60 | ↑ +20% |
| United | Commercial|All Other Plans | $752.10 | ↑ +53% |
| Aetna | Commercial|All Plans | $817.50 | ↑ +67% |
| Cigna | Commercial|All Plans | $1,733.10 | ↑ +253% |
| PHCS | Commercial|All Plans | $2,223.60 | ↑ +353% |
| Multiplan | Commercial|All Plans | $2,289.00 | ↑ +367% |
| Humana | Commercial|All Plans | $2,289.00 | ↑ +367% |
| Galaxy | Commercial|All Plans | $2,943.00 | ↑ +500% |
| Entrust | Commercial|All Plans | $3,400.80 | ↑ +593% |
Visitor-reported prices
Comments
Special physics consult at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $945.67 | $128.27 – $1,182.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $799.57 | $164.58 – $1,199.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $699.60 | $128.27 – $874.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $945.67 | $121.79 – $1,182.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $799.57 | $128.27 – $1,199.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $799.57 | $336.13 – $1,199.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $699.60 | $128.27 – $1,049.40 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $945.67 | $128.27 – $1,182.08 |