X-ray of mammary ducts at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$242.70
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.
$1,618.00
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.
$212.18 with Cigna vs $1,682.72 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 | $212.18 | ↓ -13% |
| AETNA | Medicare|All Plans | $216.07 | ↓ -11% |
| HUMANA | Medicare|All Plans | $216.07 | ↓ -11% |
| Wellpoint | Medicare|All Plans | $222.55 | ↓ -8% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $226.87 | ↓ -7% |
| CIGNA HEALTHSPRING | Medicare|PPO | $229.03 | ↓ -6% |
| BCBS | Medicare|All Plans | $239.90 | ↓ -1% |
| UNITED | Medicare|All Plans | $239.90 | ↓ -1% |
| SCANHealth | Medicare|All Plans | $244.47 | ↑ +1% |
| MD Save | Commercial|All Plans | $270.09 | ↑ +11% |
| United | Commercial|Exchange | $291.24 | ↑ +20% |
| UNITED | Medicaid|STAR | $294.17 | ↑ +21% |
| SUPERIOR | Medicaid|All Other Plans | $294.17 | ↑ +21% |
| UNITED | Medicaid|All Other Plans | $294.17 | ↑ +21% |
| SUPERIOR | Medicaid|STARPLUS | $294.17 | ↑ +21% |
| Wellpoint | Medicaid|All Other Plans | $294.17 | ↑ +21% |
| TCHP | Medicaid|All Plans | $294.24 | ↑ +21% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $300.05 | ↑ +24% |
| Wellpoint | Medicaid|STARPLUS | $303.00 | ↑ +25% |
| BCBS | Medicaid|All Plans | $308.88 | ↑ +27% |
| Wellpoint | Commercial|Exchange | $359.85 | ↑ +48% |
| United | Commercial|All Other Plans | $372.14 | ↑ +53% |
| Aetna | Commercial|All Plans | $404.50 | ↑ +67% |
| BCBS-TX | Commercial|Blue Advantage HMO | $438.12 | ↑ +81% |
| SUPERIOR | Medicaid|STAR | $461.85 | ↑ +90% |
| Wellpoint | Medicaid|STAR | $461.85 | ↑ +90% |
| UNITED | Medicaid|STARPLUS | $526.56 | ↑ +117% |
| Angelina County | Commercial|All Plans | $589.87 | ↑ +143% |
| BCBS-TX | Commercial|Blue Premier | $603.57 | ↑ +149% |
| BCBS-TX | Commercial|HMO | $626.88 | ↑ +158% |
| Brookshire Brothers | Commercial|All Plans | $648.21 | ↑ +167% |
| BCBS-TX | Commercial|PPO | $696.79 | ↑ +187% |
| PHCS | Commercial|All Plans | $1,100.24 | ↑ +353% |
| Multiplan | Commercial|All Plans | $1,132.60 | ↑ +367% |
| Humana | Commercial|All Plans | $1,132.60 | ↑ +367% |
| Galaxy | Commercial|All Plans | $1,456.20 | ↑ +500% |
| Entrust | Commercial|All Plans | $1,682.72 | ↑ +593% |
Visitor-reported prices
Comments
X-ray of mammary ducts at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $437.00 | $89.95 – $655.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $437.00 | $69.50 – $607.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $437.00 | $74.36 – $655.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $437.00 | $69.50 – $655.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $437.00 | $69.50 – $655.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $437.00 | $69.50 – $607.02 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $437.00 | $69.50 – $655.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $437.00 | $69.50 – $783.01 |