CMS Price Transparency Data

Blood test, calcium

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82310
  • Insurance Median: $13
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 2.52x Medicare
The contracted insurance negotiated median rate for a Blood test, calcium at CHI St Lukes Health Memorial San Augustine is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 2.52x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.
Cash / Self-Pay
$22

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)
Cash / Self-Pay: $22 (426%)
Insurance Median: $13 (252%)
Cash: $22 (426% of Medicare)
Ins. Median: $13 (252% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 252% of the Medicare baseline (a markup of 152%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Tchp $4 78%
United $4 - $264 78%
Aetna $5 - $66 97%
Blue Cross Blue Shield $5 - $21 97%
Cigna $5 - $22 97%
Humana $5 - $185 97%
Wellpoint $5 - $11 97%
Md Save $6 116%
Scanhealth $6 116%
Superior $7 - $11 136%
Entrust $13 252%
Angelina County $14 271%
Brookshire Brothers $15 291%
Multiplan $16 - $185 310%
PHCS $16 - $211 310%
Galaxy $21 - $237 407%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 511 Hospital St, San Augustine, TX 75972
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital