X-ray forearm 2 views (both sides) at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$162.60
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.
$1,084.00
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.
$80.13 with AETNA vs $1,105.52 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 |
|---|---|---|---|
| AETNA | Medicare|All Plans | $80.13 | ↓ -51% |
| HUMANA | Medicare|All Plans | $80.13 | ↓ -51% |
| Wellpoint | Medicare|All Plans | $82.53 | ↓ -49% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $84.14 | ↓ -48% |
| CIGNA HEALTHSPRING | Medicare|PPO | $84.94 | ↓ -48% |
| BCBS | Medicare|All Plans | $87.39 | ↓ -46% |
| UNITED | Medicare|All Plans | $87.39 | ↓ -46% |
| SCANHealth | Medicare|All Plans | $89.06 | ↓ -45% |
| Cigna | Commercial|All Plans | $95.55 | ↓ -41% |
| MD Save | Commercial|All Plans | $100.16 | ↓ -38% |
| UNITED | Medicaid|All Other Plans | $109.09 | ↓ -33% |
| SUPERIOR | Medicaid|STARPLUS | $109.09 | ↓ -33% |
| Wellpoint | Medicaid|All Other Plans | $109.09 | ↓ -33% |
| UNITED | Medicaid|STAR | $109.09 | ↓ -33% |
| SUPERIOR | Medicaid|All Other Plans | $109.09 | ↓ -33% |
| TCHP | Medicaid|All Plans | $109.47 | ↓ -33% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $111.27 | ↓ -32% |
| Wellpoint | Medicaid|STARPLUS | $112.36 | ↓ -31% |
| BCBS | Medicaid|All Plans | $114.54 | ↓ -30% |
| Wellpoint | Commercial|Exchange | $131.09 | ↓ -19% |
| BCBS-TX | Commercial|Blue Advantage HMO | $150.04 | ↓ -8% |
| Wellpoint | Medicaid|STAR | $171.27 | ↑ +5% |
| SUPERIOR | Medicaid|STAR | $171.27 | ↑ +5% |
| United | Commercial|Exchange | $191.34 | ↑ +18% |
| UNITED | Medicaid|STARPLUS | $195.27 | ↑ +20% |
| BCBS-TX | Commercial|Blue Premier | $206.71 | ↑ +27% |
| BCBS-TX | Commercial|HMO | $214.69 | ↑ +32% |
| Angelina County | Commercial|All Plans | $218.75 | ↑ +35% |
| BCBS-TX | Commercial|PPO | $238.63 | ↑ +47% |
| Brookshire Brothers | Commercial|All Plans | $240.39 | ↑ +48% |
| United | Commercial|All Other Plans | $244.49 | ↑ +50% |
| Aetna | Commercial|All Plans | $265.75 | ↑ +63% |
| PHCS | Commercial|All Plans | $722.84 | ↑ +345% |
| Humana | Commercial|All Plans | $744.10 | ↑ +358% |
| Multiplan | Commercial|All Plans | $744.10 | ↑ +358% |
| Galaxy | Commercial|All Plans | $956.70 | ↑ +488% |
| Entrust | Commercial|All Plans | $1,105.52 | ↑ +580% |
Visitor-reported prices
Comments
X-ray forearm 2 views (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $522.39 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $317.62 | $29.40 – $397.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $375.50 | $77.29 – $563.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $372.73 | $29.40 – $465.92 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $317.62 | $29.40 – $397.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $375.50 | $31.46 – $563.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $375.50 | $29.40 – $563.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $372.73 | $29.40 – $559.10 |