Blood smear microscopic w manual differential wbc count 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

$16.68

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.

$111.18

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.

$3.19 with TCHP vs $93.60 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 $3.19 ↓ -81%
AETNA Medicare|All Plans $3.80 ↓ -77%
HUMANA Medicare|All Plans $3.80 ↓ -77%
Wellpoint Medicare|All Plans $3.91 ↓ -77%
CIGNA HEALTHSPRING Medicare|All Other Plans $3.99 ↓ -76%
UNITED Medicare|All Plans $3.99 ↓ -76%
BCBS Medicare|All Plans $3.99 ↓ -76%
CIGNA HEALTHSPRING Medicare|PPO $4.03 ↓ -76%
SCANHealth Medicare|All Plans $4.07 ↓ -76%
MD Save Commercial|All Plans $4.75 ↓ -72%
Wellpoint Medicaid|All Other Plans $5.21 ↓ -69%
UNITED Medicaid|All Other Plans $5.21 ↓ -69%
UNITED Medicaid|CHIP $5.21 ↓ -69%
UNITED Medicaid|STAR $5.21 ↓ -69%
UNITED Medicaid|STARKIDS $5.21 ↓ -69%
SUPERIOR Medicaid|STARPLUS $5.21 ↓ -69%
SUPERIOR Medicaid|All Other Plans $5.21 ↓ -69%
CIGNA HEALTHSPRING Medicaid|STARPLUS $5.31 ↓ -68%
Wellpoint Medicaid|STARPLUS $5.37 ↓ -68%
BCBS Medicaid|All Plans $5.47 ↓ -67%
Wellpoint Commercial|Exchange $5.99 ↓ -64%
BCBS-TX Commercial|Blue Advantage HMO $7.22 ↓ -57%
Wellpoint Medicaid|STAR $8.18 ↓ -51%
SUPERIOR Medicaid|STAR $8.18 ↓ -51%
UNITED Medicaid|STARPLUS $9.33 ↓ -44%
Entrust Commercial|All Plans $9.88 ↓ -41%
Angelina County Commercial|All Plans $10.37 ↓ -38%
Brookshire Brothers Commercial|All Plans $11.40 ↓ -32%
BCBS-TX Commercial|Blue Premier $12.54 ↓ -25%
BCBS-TX Commercial|HMO $13.30 ↓ -20%
BCBS-TX Commercial|PPO $15.35 ↓ -8%
Cigna Commercial|All Plans $16.46 ↓ -1%
United Commercial|Exchange $18.72 ↑ +12%
United Commercial|All Other Plans $23.92 ↑ +43%
Aetna Commercial|All Plans $26.00 ↑ +56%
PHCS Commercial|All Plans $70.72 ↑ +324%
Multiplan Commercial|All Plans $72.80 ↑ +336%
Humana Commercial|All Plans $72.80 ↑ +336%
Galaxy Commercial|All Plans $93.60 ↑ +461%

Visitor-reported prices

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Blood smear microscopic w manual differential wbc count at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $165.01 $3.42 – $14.63
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $56.14 $3.19 – $70.17
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $42.02 $5.57 – $63.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $41.02 $3.19 – $51.27
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $56.14 $3.19 – $70.17
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $42.02 $3.41 – $63.04
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $42.02 $3.19 – $63.04
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $41.02 $3.19 – $61.52

All Texas hospitals for this procedure →