CMS Price Transparency Data

X-ray, lower back

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 72110 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$200
about 1.9× the $107 Medicare rate · typically $62–$397
modeled estimate · not a bill or quote
What this hospital charges insurers
$209
About the fair price
about $9 over the fair price · 2.0× Medicare
Medicare pays $107 Fair price $200 This hospital $209 Cash price $515 Hospital's list price $3,433

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $31 Priciest $209

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, lower back is about $200 (about 1.9× the $107 Medicare rate). CHI St Lukes Health Memorial San Augustine charges insurers about $209, or about $515 in cash — about the fair price. Located in San Augustine, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $106 - $3,433 99%
Blue Cross Blue Shieldmajor $100 - $335 94%
Aetnamajor $97 - $858 91%
Cignamajor $102 - $173 95%
Humanamajor $97 - $2,403 91%
+ 6 smaller / regional plans $108 - $3,570
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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