Assay of leflunomide 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

$53.25

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.

$355.00

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.

$32.40 with TCHP vs $319.50 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 $32.40 ↓ -39%
AETNA Medicare|All Plans $38.57 ↓ -28%
HUMANA Medicare|All Plans $38.57 ↓ -28%
Wellpoint Medicare|All Plans $39.73 ↓ -25%
CIGNA HEALTHSPRING Medicare|All Other Plans $40.50 ↓ -24%
UNITED Medicare|All Plans $40.50 ↓ -24%
BCBS Medicare|All Plans $40.50 ↓ -24%
CIGNA HEALTHSPRING Medicare|PPO $40.88 ↓ -23%
SCANHealth Medicare|All Plans $41.27 ↓ -22%
MD Save Commercial|All Plans $48.21 ↓ -9%
Wellpoint Medicaid|All Other Plans $52.84 ↓ -1%
UNITED Medicaid|All Other Plans $52.84 ↓ -1%
UNITED Medicaid|CHIP $52.84 ↓ -1%
UNITED Medicaid|STAR $52.84 ↓ -1%
UNITED Medicaid|STARKIDS $52.84 ↓ -1%
SUPERIOR Medicaid|STARPLUS $52.84 ↓ -1%
SUPERIOR Medicaid|All Other Plans $52.84 ↓ -1%
CIGNA HEALTHSPRING Medicaid|STARPLUS $53.90 ↑ +1%
Wellpoint Medicaid|STARPLUS $54.43 ↑ +2%
BCBS Medicaid|All Plans $55.48 ↑ +4%
Wellpoint Commercial|Exchange $60.75 ↑ +14%
United Commercial|Exchange $63.90 ↑ +20%
BCBS-TX Commercial|Blue Advantage HMO $73.28 ↑ +38%
United Commercial|All Other Plans $81.65 ↑ +53%
Wellpoint Medicaid|STAR $82.96 ↑ +56%
SUPERIOR Medicaid|STAR $82.96 ↑ +56%
Aetna Commercial|All Plans $88.75 ↑ +67%
UNITED Medicaid|STARPLUS $94.58 ↑ +78%
Entrust Commercial|All Plans $100.28 ↑ +88%
Angelina County Commercial|All Plans $105.30 ↑ +98%
Brookshire Brothers Commercial|All Plans $115.71 ↑ +117%
BCBS-TX Commercial|Blue Premier $127.28 ↑ +139%
BCBS-TX Commercial|HMO $135.00 ↑ +154%
BCBS-TX Commercial|PPO $155.82 ↑ +193%
Cigna Commercial|All Plans $166.03 ↑ +212%
PHCS Commercial|All Plans $241.40 ↑ +353%
Multiplan Commercial|All Plans $248.50 ↑ +367%
Humana Commercial|All Plans $248.50 ↑ +367%
Galaxy Commercial|All Plans $319.50 ↑ +500%

Visitor-reported prices

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Assay of leflunomide at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $112.70 $10.00 – $140.87
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $112.70 $12.00 – $169.05
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $112.70 $12.00 – $140.87
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $112.70 $10.00 – $140.87
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $112.70 $12.00 – $169.05
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $112.70 $8.00 – $169.05
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $112.70 $12.00 – $169.05
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $112.70 $10.00 – $140.87

All Texas hospitals for this procedure →