Antistreptolysin o screen 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

$44.77

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.

$298.45

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.

$3.60 with United vs $25.41 with Cigna — 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
United Commercial|Exchange $3.60 ↓ -92%
United Commercial|All Other Plans $4.60 ↓ -90%
TCHP Medicaid|All Plans $4.85 ↓ -89%
Aetna Commercial|All Plans $5.00 ↓ -89%
AETNA Medicare|All Plans $5.77 ↓ -87%
HUMANA Medicare|All Plans $5.77 ↓ -87%
Wellpoint Medicare|All Plans $5.94 ↓ -87%
CIGNA HEALTHSPRING Medicare|All Other Plans $6.06 ↓ -86%
UNITED Medicare|All Plans $6.06 ↓ -86%
BCBS Medicare|All Plans $6.06 ↓ -86%
CIGNA HEALTHSPRING Medicare|PPO $6.12 ↓ -86%
SCANHealth Medicare|All Plans $6.17 ↓ -86%
MD Save Commercial|All Plans $7.21 ↓ -84%
SUPERIOR Medicaid|STARPLUS $7.90 ↓ -82%
SUPERIOR Medicaid|All Other Plans $7.90 ↓ -82%
UNITED Medicaid|All Other Plans $7.90 ↓ -82%
Wellpoint Medicaid|All Other Plans $7.90 ↓ -82%
UNITED Medicaid|STARKIDS $7.90 ↓ -82%
UNITED Medicaid|STAR $7.90 ↓ -82%
UNITED Medicaid|CHIP $7.90 ↓ -82%
CIGNA HEALTHSPRING Medicaid|STARPLUS $8.06 ↓ -82%
Wellpoint Medicaid|STARPLUS $8.14 ↓ -82%
BCBS Medicaid|All Plans $8.29 ↓ -81%
Wellpoint Commercial|Exchange $9.09 ↓ -80%
BCBS-TX Commercial|Blue Advantage HMO $10.96 ↓ -76%
Wellpoint Medicaid|STAR $12.40 ↓ -72%
SUPERIOR Medicaid|STAR $12.40 ↓ -72%
PHCS Commercial|All Plans $13.60 ↓ -70%
Humana Commercial|All Plans $14.00 ↓ -69%
Multiplan Commercial|All Plans $14.00 ↓ -69%
UNITED Medicaid|STARPLUS $14.14 ↓ -68%
Entrust Commercial|All Plans $15.00 ↓ -66%
Angelina County Commercial|All Plans $15.75 ↓ -65%
Brookshire Brothers Commercial|All Plans $17.31 ↓ -61%
Galaxy Commercial|All Plans $18.00 ↓ -60%
BCBS-TX Commercial|Blue Premier $19.04 ↓ -57%
BCBS-TX Commercial|HMO $20.00 ↓ -55%
BCBS-TX Commercial|PPO $20.00 ↓ -55%
Cigna Commercial|All Plans $25.41 ↓ -43%

Visitor-reported prices

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Antistreptolysin o screen at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $74.74 $4.85 – $93.43
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $73.38 $8.45 – $110.07
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $72.31 $4.85 – $90.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $74.74 $4.85 – $93.43
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $73.38 $5.19 – $110.07
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $73.38 $4.85 – $110.07
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $72.31 $4.85 – $108.47
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $74.74 $4.85 – $93.43

All Texas hospitals for this procedure →