Tc-99m bicisate at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$436.80
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.
$2,912.00
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 $3,028.48 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 | ↓ -77% |
| United | Commercial|Exchange | $524.16 | ↑ +20% |
| United | Commercial|All Other Plans | $669.76 | ↑ +53% |
| UNITED | Medicare|All Plans | $678.66 | ↑ +55% |
| BCBS | Medicare|All Plans | $678.66 | ↑ +55% |
| SCANHealth | Medicare|All Plans | $691.58 | ↑ +58% |
| Aetna | Commercial|All Plans | $728.00 | ↑ +67% |
| BCBS-TX | Commercial|Blue Premier | $793.08 | ↑ +82% |
| BCBS-TX | Commercial|Blue Advantage HMO | $819.03 | ↑ +88% |
| BCBS-TX | Commercial|HMO | $833.85 | ↑ +91% |
| BCBS-TX | Commercial|PPO | $959.85 | ↑ +120% |
| Wellpoint | Commercial|Exchange | $1,017.99 | ↑ +133% |
| PHCS | Commercial|All Plans | $1,980.16 | ↑ +353% |
| Humana | Commercial|All Plans | $2,038.40 | ↑ +367% |
| Multiplan | Commercial|All Plans | $2,038.40 | ↑ +367% |
| Galaxy | Commercial|All Plans | $2,620.80 | ↑ +500% |
| Entrust | Commercial|All Plans | $3,028.48 | ↑ +593% |
Visitor-reported prices
Comments
Tc-99m bicisate at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $3,372.43 | $726.38 – $9,049.95 |
| Baylor St Luke's Medical Center | Houston | $1,969.45 | $100.00 – $5,627.00 |
| St. Joseph Health Madison Hospital | Madisonville | $374.68 | $272.77 – $1,926.90 |
| St. Luke's Health Memorial Lufkin | Lufkin | $436.80 | $100.00 – $2,620.80 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $1,969.45 | $100.00 – $5,627.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $1,969.45 | $100.00 – $5,627.00 |
| St. Joseph Health College Station Hospital | College Station | $374.68 | $428.20 – $1,819.85 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $1,969.45 | $100.00 – $5,627.00 |