Tc-99m exametazime diag at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$524.70
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.
$3,498.00
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 $3,637.92 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 | ↓ -81% |
| United | Commercial|Exchange | $629.64 | ↑ +20% |
| BCBS | Medicare|All Plans | $796.31 | ↑ +52% |
| UNITED | Medicare|All Plans | $796.31 | ↑ +52% |
| United | Commercial|All Other Plans | $804.54 | ↑ +53% |
| SCANHealth | Medicare|All Plans | $811.48 | ↑ +55% |
| Aetna | Commercial|All Plans | $874.50 | ↑ +67% |
| Wellpoint | Commercial|Exchange | $1,194.47 | ↑ +128% |
| PHCS | Commercial|All Plans | $2,378.64 | ↑ +353% |
| Humana | Commercial|All Plans | $2,448.60 | ↑ +367% |
| Multiplan | Commercial|All Plans | $2,448.60 | ↑ +367% |
| BCBS-TX | Commercial|Blue Premier | $3,103.30 | ↑ +491% |
| Galaxy | Commercial|All Plans | $3,148.20 | ↑ +500% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,204.81 | ↑ +511% |
| BCBS-TX | Commercial|HMO | $3,262.82 | ↑ +522% |
| BCBS-TX | Commercial|PPO | $3,498.00 | ↑ +567% |
| Entrust | Commercial|All Plans | $3,637.92 | ↑ +593% |
Visitor-reported prices
Comments
Tc-99m exametazime diag at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $9,053.47 | $1,530.72 – $17,017.34 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,497.16 | $1,530.72 – $17,017.34 |
| HCA HOUSTON NORTHWEST | SPRING | $6,745.24 | $1,530.72 – $17,017.34 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2,389.91 | $100.00 – $5,121.00 |
| Baylor St Luke's Medical Center | Houston | $2,135.70 | $100.00 – $6,102.00 |
| St. Joseph Health Madison Hospital | Madisonville | $494.55 | $360.04 – $2,543.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $524.70 | $100.00 – $3,148.20 |
| HCA HOUSTON PEARLAND | Pearland | $3,218.16 | $1,530.72 – $17,017.34 |