Tib/per revasc stent & ather 37231 at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$10,397.40
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.
$69,316.00
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.
$3,326.00 with Cigna vs $72,088.64 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 | $3,326.00 | ↓ -68% |
| SUPERIOR | Medicaid|All Other Plans | $8,648.77 | ↓ -17% |
| UNITED | Medicaid|All Other Plans | $8,648.77 | ↓ -17% |
| UNITED | Medicaid|STAR | $8,648.77 | ↓ -17% |
| SUPERIOR | Medicaid|STARPLUS | $8,648.77 | ↓ -17% |
| UNITED | Medicaid|STARKIDS | $8,648.77 | ↓ -17% |
| TCHP | Medicaid|All Plans | $8,648.77 | ↓ -17% |
| Wellpoint | Medicaid|All Other Plans | $8,648.77 | ↓ -17% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $8,821.75 | ↓ -15% |
| Wellpoint | Medicaid|STARPLUS | $8,908.23 | ↓ -14% |
| BCBS | Medicaid|All Plans | $9,081.21 | ↓ -13% |
| BCBS-TX | Commercial|Blue Advantage HMO | $10,520.38 | ↑ +1% |
| United | Commercial|Exchange | $12,476.88 | ↑ +20% |
| Wellpoint | Medicaid|STAR | $13,578.57 | ↑ +31% |
| SUPERIOR | Medicaid|STAR | $13,578.57 | ↑ +31% |
| HUMANA | Medicare|All Plans | $15,462.28 | ↑ +49% |
| AETNA | Medicare|All Plans | $15,462.28 | ↑ +49% |
| UNITED | Medicaid|STARPLUS | $15,481.30 | ↑ +49% |
| Wellpoint | Medicare|All Plans | $15,926.15 | ↑ +53% |
| United | Commercial|All Other Plans | $15,942.68 | ↑ +53% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $16,235.39 | ↑ +56% |
| CIGNA HEALTHSPRING | Medicare|PPO | $16,390.02 | ↑ +58% |
| Aetna | Commercial|All Plans | $17,329.00 | ↑ +67% |
| UNITED | Medicare|All Plans | $17,821.70 | ↑ +71% |
| BCBS | Medicare|All Plans | $17,821.70 | ↑ +71% |
| SCANHealth | Medicare|All Plans | $18,161.16 | ↑ +75% |
| MD Save | Commercial|All Plans | $19,327.85 | ↑ +86% |
| BCBS-TX | Commercial|Blue Premier | $23,431.76 | ↑ +125% |
| BCBS-TX | Commercial|HMO | $23,909.96 | ↑ +130% |
| BCBS-TX | Commercial|PPO | $26,300.95 | ↑ +153% |
| Wellpoint | Commercial|Exchange | $26,732.55 | ↑ +157% |
| Angelina County | Commercial|All Plans | $42,212.02 | ↑ +306% |
| Brookshire Brothers | Commercial|All Plans | $46,386.84 | ↑ +346% |
| PHCS | Commercial|All Plans | $47,134.88 | ↑ +353% |
| Multiplan | Commercial|All Plans | $48,521.20 | ↑ +367% |
| Humana | Commercial|All Plans | $48,521.20 | ↑ +367% |
| Galaxy | Commercial|All Plans | $62,384.40 | ↑ +500% |
| Entrust | Commercial|All Plans | $72,088.64 | ↑ +593% |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $33,770.88 | $6,299.00 – $47,842.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $31,077.17 | $71.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $31,299.50 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $33,770.88 | $7,038.00 – $47,842.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $31,077.17 | $85.00 – $46,615.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $31,077.17 | $16,056.54 – $46,615.76 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $31,299.50 | $71.00 – $46,949.26 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $33,770.88 | $7,038.00 – $47,842.08 |