CMS Price Transparency Data

X-ray, chest (single view)

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $219
  • Cash Discount Price: $153
  • vs. Medicare Baseline: 2.46x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at CHI St Lukes Health Memorial San Augustine is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.46x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.
Cash / Self-Pay
$153

Average discount available for prompt cash payment at this facility.

Insurance Median
$219

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $153 (172%)
Insurance Median: $219 (246%)
Cash: $153 (172% of Medicare)
Ins. Median: $219 (246% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 246% of the Medicare baseline (a markup of 146%). 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
Cigna $76 - $111 85%
Aetna $80 - $254 90%
Humana $80 - $712 90%
Wellpoint $83 - $171 93%
Blue Cross Blue Shield $87 - $239 98%
United $87 - $1,017 98%
Scanhealth $89 100%
Md Save $100 112%
Superior $109 - $171 123%
Tchp $109 123%
Angelina County $219 246%
Brookshire Brothers $240 270%
PHCS $691 - $814 777%
Multiplan $712 801%
Galaxy $915 1029%
Entrust $1,058 1190%

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