Transcath biopsy at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$2,221.35
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.
$14,809.00
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.
$1,939.15 with SUPERIOR vs $15,401.36 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|STARPLUS | $1,939.15 | ↓ -13% |
| SUPERIOR | Medicaid|All Other Plans | $1,939.15 | ↓ -13% |
| UNITED | Medicaid|All Other Plans | $1,939.15 | ↓ -13% |
| UNITED | Medicaid|STAR | $1,939.15 | ↓ -13% |
| UNITED | Medicaid|STARKIDS | $1,939.15 | ↓ -13% |
| TCHP | Medicaid|All Plans | $1,939.15 | ↓ -13% |
| Wellpoint | Medicaid|All Other Plans | $1,939.15 | ↓ -13% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $1,977.93 | ↓ -11% |
| Wellpoint | Medicaid|STARPLUS | $1,997.32 | ↓ -10% |
| Cigna | Commercial|All Plans | $2,016.00 | ↓ -9% |
| BCBS | Medicaid|All Plans | $2,036.11 | ↓ -8% |
| United | Commercial|Exchange | $2,665.62 | ↑ +20% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,033.49 | ↑ +37% |
| Wellpoint | Medicaid|STAR | $3,044.47 | ↑ +37% |
| SUPERIOR | Medicaid|STAR | $3,044.47 | ↑ +37% |
| United | Commercial|All Other Plans | $3,406.07 | ↑ +53% |
| UNITED | Medicaid|STARPLUS | $3,471.08 | ↑ +56% |
| Aetna | Commercial|All Plans | $3,702.25 | ↑ +67% |
| HUMANA | Medicare|All Plans | $4,845.74 | ↑ +118% |
| AETNA | Medicare|All Plans | $4,845.74 | ↑ +118% |
| Wellpoint | Medicare|All Plans | $4,991.11 | ↑ +125% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $5,088.03 | ↑ +129% |
| CIGNA HEALTHSPRING | Medicare|PPO | $5,136.48 | ↑ +131% |
| UNITED | Medicare|All Plans | $5,365.06 | ↑ +142% |
| BCBS | Medicare|All Plans | $5,365.06 | ↑ +142% |
| SCANHealth | Medicare|All Plans | $5,467.25 | ↑ +146% |
| MD Save | Commercial|All Plans | $6,057.17 | ↑ +173% |
| BCBS-TX | Commercial|Blue Premier | $6,756.40 | ↑ +204% |
| BCBS-TX | Commercial|HMO | $6,894.29 | ↑ +210% |
| BCBS-TX | Commercial|PPO | $7,583.71 | ↑ +241% |
| Wellpoint | Commercial|Exchange | $8,047.59 | ↑ +262% |
| PHCS | Commercial|All Plans | $10,070.12 | ↑ +353% |
| Multiplan | Commercial|All Plans | $10,366.30 | ↑ +367% |
| Humana | Commercial|All Plans | $10,366.30 | ↑ +367% |
| Angelina County | Commercial|All Plans | $13,228.87 | ↑ +496% |
| Galaxy | Commercial|All Plans | $13,328.10 | ↑ +500% |
| Brookshire Brothers | Commercial|All Plans | $14,537.22 | ↑ +554% |
| Entrust | Commercial|All Plans | $15,401.36 | ↑ +593% |
Visitor-reported prices
Comments
Transcath biopsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,285.93 | $1,939.15 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $4,426.92 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $4,285.93 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,285.93 | $1,939.15 – $13,613.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $4,426.92 | $85.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $4,426.92 | $1,939.15 – $13,613.39 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $4,285.93 | $71.00 – $13,613.39 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,285.93 | $1,939.15 – $13,613.39 |