Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$755.10
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.
$5,034.00
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.
$223.75 with Wellpoint vs $5,235.34 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $223.75 | ↓ -70% |
| UNITED | Medicaid|STARKIDS | $223.75 | ↓ -70% |
| SUPERIOR | Medicaid|STARPLUS | $223.75 | ↓ -70% |
| SUPERIOR | Medicaid|All Other Plans | $223.75 | ↓ -70% |
| UNITED | Medicaid|All Other Plans | $223.75 | ↓ -70% |
| TCHP | Medicaid|All Plans | $223.75 | ↓ -70% |
| UNITED | Medicaid|STAR | $223.75 | ↓ -70% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $228.22 | ↓ -70% |
| Wellpoint | Medicaid|STARPLUS | $230.46 | ↓ -69% |
| BCBS | Medicaid|All Plans | $234.94 | ↓ -69% |
| SUPERIOR | Medicaid|STAR | $351.29 | ↓ -53% |
| Wellpoint | Medicaid|STAR | $351.29 | ↓ -53% |
| UNITED | Medicaid|STARPLUS | $400.51 | ↓ -47% |
| BCBS-TX | Commercial|Blue Advantage HMO | $416.14 | ↓ -45% |
| HUMANA | Medicare|All Plans | $553.95 | ↓ -27% |
| AETNA | Medicare|All Plans | $553.95 | ↓ -27% |
| Wellpoint | Medicare|All Plans | $570.57 | ↓ -24% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $581.65 | ↓ -23% |
| CIGNA HEALTHSPRING | Medicare|PPO | $587.19 | ↓ -22% |
| BCBS | Medicare|All Plans | $613.61 | ↓ -19% |
| UNITED | Medicare|All Plans | $613.61 | ↓ -19% |
| SCANHealth | Medicare|All Plans | $625.30 | ↓ -17% |
| MD Save | Commercial|All Plans | $692.44 | ↓ -8% |
| United | Commercial|Exchange | $906.12 | ↑ +20% |
| Wellpoint | Commercial|Exchange | $920.42 | ↑ +22% |
| BCBS-TX | Commercial|Blue Premier | $926.85 | ↑ +23% |
| BCBS-TX | Commercial|HMO | $945.77 | ↑ +25% |
| BCBS-TX | Commercial|PPO | $1,040.34 | ↑ +38% |
| United | Commercial|All Other Plans | $1,157.82 | ↑ +53% |
| Aetna | Commercial|All Plans | $1,258.50 | ↑ +67% |
| Angelina County | Commercial|All Plans | $1,512.28 | ↑ +100% |
| Brookshire Brothers | Commercial|All Plans | $1,661.85 | ↑ +120% |
| Cigna | Commercial|All Plans | $2,016.00 | ↑ +167% |
| PHCS | Commercial|All Plans | $3,423.11 | ↑ +353% |
| Multiplan | Commercial|All Plans | $3,523.79 | ↑ +367% |
| Humana | Commercial|All Plans | $3,523.79 | ↑ +367% |
| Galaxy | Commercial|All Plans | $4,530.59 | ↑ +500% |
| UNITED | Medicaid|CHIP | $4,530.60 | ↑ +500% |
| Entrust | Commercial|All Plans | $5,235.34 | ↑ +593% |
Visitor-reported prices
Comments
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $5,692.94 | $788.14 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,410.82 | $223.75 – $1,763.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,298.50 | $71.00 – $1,947.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,110.97 | $71.00 – $1,556.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,410.82 | $223.75 – $1,763.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,298.50 | $85.00 – $1,947.74 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,298.50 | $223.75 – $1,947.74 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,110.97 | $71.00 – $1,666.46 |