Alkaline phosphatase at St. Luke's Health Memorial San Augustine

511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$46.65

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$311.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$4.35 with TCHP vs $243.90 with Galaxy — 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 →

Payer
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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
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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
TCHP Medicaid|All Plans $4.35 ↓ -91%
AETNA Medicare|All Plans $5.18 ↓ -89%
HUMANA Medicare|All Plans $5.18 ↓ -89%
Wellpoint Medicare|All Plans $5.34 ↓ -89%
CIGNA HEALTHSPRING Medicare|All Other Plans $5.44 ↓ -88%
UNITED Medicare|All Plans $5.44 ↓ -88%
BCBS Medicare|All Plans $5.44 ↓ -88%
CIGNA HEALTHSPRING Medicare|PPO $5.49 ↓ -88%
SCANHealth Medicare|All Plans $5.54 ↓ -88%
MD Save Commercial|All Plans $6.47 ↓ -86%
Wellpoint Medicaid|All Other Plans $7.10 ↓ -85%
UNITED Medicaid|All Other Plans $7.10 ↓ -85%
UNITED Medicaid|CHIP $7.10 ↓ -85%
UNITED Medicaid|STAR $7.10 ↓ -85%
UNITED Medicaid|STARKIDS $7.10 ↓ -85%
SUPERIOR Medicaid|STARPLUS $7.10 ↓ -85%
SUPERIOR Medicaid|All Other Plans $7.10 ↓ -85%
CIGNA HEALTHSPRING Medicaid|STARPLUS $7.24 ↓ -84%
Wellpoint Medicaid|STARPLUS $7.31 ↓ -84%
BCBS Medicaid|All Plans $7.46 ↓ -84%
Wellpoint Commercial|Exchange $8.16 ↓ -83%
BCBS-TX Commercial|Blue Advantage HMO $9.84 ↓ -79%
Wellpoint Medicaid|STAR $11.15 ↓ -76%
SUPERIOR Medicaid|STAR $11.15 ↓ -76%
UNITED Medicaid|STARPLUS $12.71 ↓ -73%
Entrust Commercial|All Plans $13.47 ↓ -71%
Angelina County Commercial|All Plans $14.14 ↓ -70%
Brookshire Brothers Commercial|All Plans $15.54 ↓ -67%
BCBS-TX Commercial|Blue Premier $17.09 ↓ -63%
BCBS-TX Commercial|HMO $18.13 ↓ -61%
BCBS-TX Commercial|PPO $20.93 ↓ -55%
Cigna Commercial|All Plans $22.43 ↓ -52%
United Commercial|Exchange $48.78 ↑ +5%
United Commercial|All Other Plans $62.33 ↑ +34%
Aetna Commercial|All Plans $67.75 ↑ +45%
PHCS Commercial|All Plans $184.28 ↑ +295%
Multiplan Commercial|All Plans $189.70 ↑ +307%
Humana Commercial|All Plans $189.70 ↑ +307%
Galaxy Commercial|All Plans $243.90 ↑ +423%

Visitor-reported prices

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Alkaline phosphatase at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $160.38 $4.66 – $19.94
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $60.94 $4.35 – $14.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $51.25 $2.46 – $17.91
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $57.10 $4.35 – $14.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $60.94 $4.35 – $14.93
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $51.25 $4.65 – $17.91
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $51.25 $4.35 – $17.91
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $57.10 $4.35 – $17.91

All Texas hospitals for this procedure →