Assay of urine sulfate 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

$56.77

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.

$378.42

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.

$4.61 with TCHP vs $340.58 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 $4.61 ↓ -92%
AETNA Medicare|All Plans $5.49 ↓ -90%
HUMANA Medicare|All Plans $5.49 ↓ -90%
Wellpoint Medicare|All Plans $5.65 ↓ -90%
CIGNA HEALTHSPRING Medicare|All Other Plans $5.76 ↓ -90%
UNITED Medicare|All Plans $5.76 ↓ -90%
BCBS Medicare|All Plans $5.76 ↓ -90%
CIGNA HEALTHSPRING Medicare|PPO $5.82 ↓ -90%
SCANHealth Medicare|All Plans $5.87 ↓ -90%
MD Save Commercial|All Plans $6.86 ↓ -88%
Wellpoint Medicaid|All Other Plans $7.52 ↓ -87%
UNITED Medicaid|All Other Plans $7.52 ↓ -87%
UNITED Medicaid|CHIP $7.52 ↓ -87%
UNITED Medicaid|STAR $7.52 ↓ -87%
UNITED Medicaid|STARKIDS $7.52 ↓ -87%
SUPERIOR Medicaid|STARPLUS $7.52 ↓ -87%
SUPERIOR Medicaid|All Other Plans $7.52 ↓ -87%
CIGNA HEALTHSPRING Medicaid|STARPLUS $7.67 ↓ -86%
Wellpoint Medicaid|STARPLUS $7.75 ↓ -86%
BCBS Medicaid|All Plans $7.90 ↓ -86%
Wellpoint Commercial|Exchange $8.64 ↓ -85%
BCBS-TX Commercial|Blue Advantage HMO $10.43 ↓ -82%
Wellpoint Medicaid|STAR $11.81 ↓ -79%
SUPERIOR Medicaid|STAR $11.81 ↓ -79%
UNITED Medicaid|STARPLUS $13.46 ↓ -76%
Entrust Commercial|All Plans $14.27 ↓ -75%
Angelina County Commercial|All Plans $14.99 ↓ -74%
Brookshire Brothers Commercial|All Plans $16.47 ↓ -71%
BCBS-TX Commercial|Blue Premier $18.12 ↓ -68%
BCBS-TX Commercial|HMO $19.22 ↓ -66%
BCBS-TX Commercial|PPO $22.18 ↓ -61%
Cigna Commercial|All Plans $23.94 ↓ -58%
United Commercial|Exchange $68.12 ↑ +20%
United Commercial|All Other Plans $87.04 ↑ +53%
Aetna Commercial|All Plans $94.61 ↑ +67%
PHCS Commercial|All Plans $257.33 ↑ +353%
Multiplan Commercial|All Plans $264.90 ↑ +367%
Humana Commercial|All Plans $264.90 ↑ +367%
Galaxy Commercial|All Plans $340.58 ↑ +500%

Visitor-reported prices

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Assay of urine sulfate at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $40.73 $4.61 – $50.91
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $45.67 $8.05 – $68.51
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $44.62 $4.61 – $55.78
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $40.73 $4.61 – $50.91
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $45.67 $4.93 – $68.51
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $45.67 $4.61 – $68.51
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $44.62 $4.61 – $66.93
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $40.73 $4.61 – $50.91

All Texas hospitals for this procedure →