Brachy src nonstrand hdr ir-192 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

$436.75

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.

$2,911.65

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.

$321.12 with HUMANA vs $2,620.49 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
HUMANA Medicare|All Plans $321.12 ↓ -26%
AETNA Medicare|All Plans $321.12 ↓ -26%
Wellpoint Medicare|All Plans $330.75 ↓ -24%
CIGNA HEALTHSPRING Medicare|All Other Plans $337.18 ↓ -23%
BCBS Medicare|All Plans $339.81 ↓ -22%
UNITED Medicare|All Plans $339.81 ↓ -22%
CIGNA HEALTHSPRING Medicare|PPO $340.39 ↓ -22%
SCANHealth Medicare|All Plans $346.28 ↓ -21%
MD Save Commercial|All Plans $401.40 ↓ -8%
BCBS-TX Commercial|Blue Advantage HMO $436.75 ↑ +0%
Cigna Commercial|All Plans $494.99 ↑ +13%
Wellpoint Commercial|Exchange $509.72 ↑ +17%
United Commercial|Exchange $524.10 ↑ +20%
United Commercial|All Other Plans $669.68 ↑ +53%
BCBS-TX Commercial|Blue Premier $669.68 ↑ +53%
BCBS-TX Commercial|HMO $727.92 ↑ +67%
Aetna Commercial|All Plans $727.92 ↑ +67%
BCBS-TX Commercial|PPO $786.15 ↑ +80%
Angelina County Commercial|All Plans $876.66 ↑ +101%
Brookshire Brothers Commercial|All Plans $963.36 ↑ +121%
Entrust Commercial|All Plans $1,164.66 ↑ +167%
PHCS Commercial|All Plans $1,979.93 ↑ +353%
Multiplan Commercial|All Plans $2,038.16 ↑ +367%
Humana Commercial|All Plans $2,038.16 ↑ +367%
Galaxy Commercial|All Plans $2,620.49 ↑ +500%

Visitor-reported prices

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Brachy src nonstrand hdr ir-192 at other Texas hospitals

Hospital City Cash price Negotiated range
Baylor St Luke's Medical Center Houston $220.50 $132.30 – $630.00
St. Luke's Health Memorial Lufkin Lufkin $436.75 $436.75 – $2,620.49
St. Luke's Health - Springwoods Village Hospital Spring $220.50 $138.60 – $630.00
St. Luke's Health - Sugar Land Hospital Sugar Land $220.50 $138.60 – $630.00
HCA HOUSTON SOUTHEAST PASADENA $3,439.78 $589.30 – $589.30
St. Luke's Health - Lakeside Hospital The Woodlands $220.50 $138.60 – $630.00
St. Luke's Health - The Vintage Hospital Houston $220.50 $138.60 – $630.00
St. Luke's Health Memorial Livingston Livingston $436.75 $436.75 – $2,620.49

All Texas hospitals for this procedure →