X-ray exam of middle ear at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$117.30
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.
$782.00
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.
$140.76 with United vs $1,459.38 with Brookshire Brothers — 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 | $140.76 | ↑ +20% |
| United | Commercial|All Other Plans | $179.86 | ↑ +53% |
| Aetna | Commercial|All Plans | $195.50 | ↑ +67% |
| Cigna | Commercial|All Plans | $198.74 | ↑ +69% |
| AETNA | Medicare|All Plans | $486.46 | ↑ +315% |
| HUMANA | Medicare|All Plans | $486.46 | ↑ +315% |
| Wellpoint | Medicare|All Plans | $501.05 | ↑ +327% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $510.78 | ↑ +335% |
| CIGNA HEALTHSPRING | Medicare|PPO | $515.65 | ↑ +340% |
| PHCS | Commercial|All Plans | $531.76 | ↑ +353% |
| UNITED | Medicare|All Plans | $544.17 | ↑ +364% |
| BCBS | Medicare|All Plans | $544.17 | ↑ +364% |
| Humana | Commercial|All Plans | $547.40 | ↑ +367% |
| Multiplan | Commercial|All Plans | $547.40 | ↑ +367% |
| SCANHealth | Medicare|All Plans | $554.54 | ↑ +373% |
| MD Save | Commercial|All Plans | $608.07 | ↑ +418% |
| TCHP | Medicaid|All Plans | $633.94 | ↑ +440% |
| UNITED | Medicaid|STAR | $662.29 | ↑ +465% |
| UNITED | Medicaid|All Other Plans | $662.29 | ↑ +465% |
| Wellpoint | Medicaid|All Other Plans | $662.29 | ↑ +465% |
| SUPERIOR | Medicaid|STARPLUS | $662.29 | ↑ +465% |
| SUPERIOR | Medicaid|All Other Plans | $662.29 | ↑ +465% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $675.54 | ↑ +476% |
| Wellpoint | Medicaid|STARPLUS | $682.16 | ↑ +482% |
| BCBS | Medicaid|All Plans | $695.40 | ↑ +493% |
| Galaxy | Commercial|All Plans | $703.80 | ↑ +500% |
| BCBS-TX | Commercial|Blue Advantage HMO | $782.00 | ↑ +567% |
| BCBS-TX | Commercial|PPO | $782.00 | ↑ +567% |
| BCBS-TX | Commercial|HMO | $782.00 | ↑ +567% |
| BCBS-TX | Commercial|Blue Premier | $782.00 | ↑ +567% |
| Entrust | Commercial|All Plans | $813.28 | ↑ +593% |
| Wellpoint | Commercial|Exchange | $816.26 | ↑ +596% |
| SUPERIOR | Medicaid|STAR | $1,039.80 | ↑ +786% |
| Wellpoint | Medicaid|STAR | $1,039.80 | ↑ +786% |
| UNITED | Medicaid|STARPLUS | $1,185.50 | ↑ +911% |
| Angelina County | Commercial|All Plans | $1,328.04 | ↑ +1032% |
| Brookshire Brothers | Commercial|All Plans | $1,459.38 | ↑ +1144% |
Visitor-reported prices
Comments
X-ray exam of middle ear at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $322.45 | $66.37 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $338.57 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $322.45 | $66.50 – $1,366.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $322.45 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $338.57 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $322.45 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $322.45 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $338.57 | $62.15 – $1,618.11 |