Buprenorphine 8 mg-naloxone 2 mg sublingual tablet 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

$25.43

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.

$169.48

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.

$10.85 with BCBS-TX vs $152.54 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
BCBS-TX Commercial|Blue Premier $10.85 ↓ -57%
BCBS-TX Commercial|Blue Advantage HMO $11.20 ↓ -56%
BCBS-TX Commercial|HMO $11.41 ↓ -55%
BCBS-TX Commercial|PPO $13.13 ↓ -48%
Cigna Commercial|All Plans $23.73 ↓ -7%
United Commercial|Exchange $30.51 ↑ +20%
United Commercial|All Other Plans $38.98 ↑ +53%
Aetna Commercial|All Plans $42.37 ↑ +67%
Entrust Commercial|All Plans $67.79 ↑ +167%
Angelina County Commercial|All Plans $67.79 ↑ +167%
PHCS Commercial|All Plans $115.25 ↑ +353%
Humana Commercial|All Plans $118.64 ↑ +367%
Multiplan Commercial|All Plans $118.64 ↑ +367%
Galaxy Commercial|All Plans $152.54 ↑ +500%

Visitor-reported prices

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Buprenorphine 8 mg-naloxone 2 mg sublingual tablet at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON KINGWOOD HUMBLE $123.06 $9.94 – $66.13
St. Luke's Health Memorial Lufkin Lufkin $25.43 $10.40 – $152.54
St. Luke's Health Memorial Livingston Livingston $25.43 $10.85 – $152.54
Adventhealth Rollins Brook Lampasas not published $19.52 – $19.52
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $9.94 – $66.13
HCA HOUSTON MEDICAL CENTER Houston not published $9.94 – $66.13
Covenant Children's Hospital Lubbock not published $18.96 – $44.35
HCA HOUSTON CONROE CONROE not published $9.94 – $66.13

All Texas hospitals for this procedure →