X-ray surgical specimen at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$229.65
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.
$1,531.00
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.
$113.48 with Cigna vs $1,591.54 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 | $113.48 | ↓ -51% |
| United | Commercial|Exchange | $275.46 | ↑ +20% |
| United | Commercial|All Other Plans | $351.98 | ↑ +53% |
| Aetna | Commercial|All Plans | $382.58 | ↑ +67% |
| HUMANA | Medicare|All Plans | $486.46 | ↑ +112% |
| AETNA | Medicare|All Plans | $486.46 | ↑ +112% |
| Wellpoint | Medicare|All Plans | $501.05 | ↑ +118% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $510.78 | ↑ +122% |
| CIGNA HEALTHSPRING | Medicare|PPO | $515.65 | ↑ +125% |
| BCBS | Medicare|All Plans | $544.17 | ↑ +137% |
| UNITED | Medicare|All Plans | $544.17 | ↑ +137% |
| SCANHealth | Medicare|All Plans | $554.54 | ↑ +141% |
| MD Save | Commercial|All Plans | $608.07 | ↑ +165% |
| TCHP | Medicaid|All Plans | $633.94 | ↑ +176% |
| Wellpoint | Medicaid|All Other Plans | $662.29 | ↑ +188% |
| UNITED | Medicaid|All Other Plans | $662.29 | ↑ +188% |
| SUPERIOR | Medicaid|STARPLUS | $662.29 | ↑ +188% |
| UNITED | Medicaid|STAR | $662.29 | ↑ +188% |
| SUPERIOR | Medicaid|All Other Plans | $662.29 | ↑ +188% |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $675.54 | ↑ +194% |
| Wellpoint | Medicaid|STARPLUS | $682.16 | ↑ +197% |
| BCBS | Medicaid|All Plans | $695.40 | ↑ +203% |
| Wellpoint | Commercial|Exchange | $816.26 | ↑ +255% |
| BCBS-TX | Commercial|Blue Advantage HMO | $905.37 | ↑ +294% |
| Wellpoint | Medicaid|STAR | $1,039.80 | ↑ +353% |
| SUPERIOR | Medicaid|STAR | $1,039.80 | ↑ +353% |
| PHCS | Commercial|All Plans | $1,040.62 | ↑ +353% |
| Humana | Commercial|All Plans | $1,071.23 | ↑ +366% |
| Multiplan | Commercial|All Plans | $1,071.23 | ↑ +366% |
| UNITED | Medicaid|STARPLUS | $1,185.50 | ↑ +416% |
| BCBS-TX | Commercial|Blue Premier | $1,247.29 | ↑ +443% |
| BCBS-TX | Commercial|HMO | $1,295.45 | ↑ +464% |
| Angelina County | Commercial|All Plans | $1,328.04 | ↑ +478% |
| Galaxy | Commercial|All Plans | $1,377.29 | ↑ +500% |
| BCBS-TX | Commercial|PPO | $1,439.92 | ↑ +527% |
| Brookshire Brothers | Commercial|All Plans | $1,459.38 | ↑ +535% |
| Entrust | Commercial|All Plans | $1,591.54 | ↑ +593% |
Visitor-reported prices
Comments
X-ray surgical specimen at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $458.88 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $638.62 | $131.45 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $565.09 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $458.88 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $638.62 | $45.77 – $1,366.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $638.62 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $565.09 | $42.78 – $1,366.64 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $458.88 | $42.78 – $1,366.64 |