X-ray exam of arm infant at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$62.73
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.
$418.20
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.
$75.28 with United vs $434.93 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 |
|---|---|---|---|
| United | Commercial|Exchange | $75.28 | ↑ +20% |
| United | Commercial|All Other Plans | $96.19 | ↑ +53% |
| AETNA | Medicare|All Plans | $96.94 | ↑ +55% |
| HUMANA | Medicare|All Plans | $96.94 | ↑ +55% |
| Wellpoint | Medicare|All Plans | $99.85 | ↑ +59% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $101.79 | ↑ +62% |
| CIGNA HEALTHSPRING | Medicare|PPO | $102.76 | ↑ +64% |
| Aetna | Commercial|All Plans | $104.55 | ↑ +67% |
| BCBS | Medicare|All Plans | $105.54 | ↑ +68% |
| UNITED | Medicare|All Plans | $105.54 | ↑ +68% |
| Cigna | Commercial|All Plans | $107.48 | ↑ +71% |
| SCANHealth | Medicare|All Plans | $107.55 | ↑ +71% |
| MD Save | Commercial|All Plans | $121.17 | ↑ +93% |
| UNITED | Medicaid|All Other Plans | $131.99 | ↑ +110% |
| Wellpoint | Medicaid|All Other Plans | $131.99 | ↑ +110% |
| UNITED | Medicaid|STAR | $131.99 | ↑ +110% |
| SUPERIOR | Medicaid|STARPLUS | $131.99 | ↑ +110% |
| SUPERIOR | Medicaid|All Other Plans | $131.99 | ↑ +110% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $134.63 | ↑ +115% |
| TCHP | Medicaid|All Plans | $134.67 | ↑ +115% |
| Wellpoint | Medicaid|STARPLUS | $135.95 | ↑ +117% |
| BCBS | Medicaid|All Plans | $138.59 | ↑ +121% |
| Wellpoint | Commercial|Exchange | $158.31 | ↑ +152% |
| SUPERIOR | Medicaid|STAR | $207.22 | ↑ +230% |
| Wellpoint | Medicaid|STAR | $207.22 | ↑ +230% |
| BCBS-TX | Commercial|Blue Advantage HMO | $210.71 | ↑ +236% |
| UNITED | Medicaid|STARPLUS | $236.26 | ↑ +277% |
| Angelina County | Commercial|All Plans | $264.65 | ↑ +322% |
| PHCS | Commercial|All Plans | $284.38 | ↑ +353% |
| BCBS-TX | Commercial|Blue Premier | $290.29 | ↑ +363% |
| Brookshire Brothers | Commercial|All Plans | $290.82 | ↑ +364% |
| Humana | Commercial|All Plans | $292.74 | ↑ +367% |
| Multiplan | Commercial|All Plans | $292.74 | ↑ +367% |
| BCBS-TX | Commercial|HMO | $301.50 | ↑ +381% |
| BCBS-TX | Commercial|PPO | $335.12 | ↑ +434% |
| Galaxy | Commercial|All Plans | $376.38 | ↑ +500% |
| Entrust | Commercial|All Plans | $434.93 | ↑ +593% |
Visitor-reported prices
Comments
X-ray exam of arm infant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $113.43 | $68.06 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $248.44 | $51.14 – $372.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $253.40 | $99.77 – $316.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $113.43 | $88.85 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $248.44 | $99.77 – $372.66 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $248.44 | $104.75 – $372.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $253.40 | $99.77 – $380.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $113.43 | $88.85 – $272.35 |