Bx bone trocar/ndl deep 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

$297.15

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.

$1,981.00

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.

$356.40 with United vs $4,288.92 with Brookshire Brothers — 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
United Commercial|Exchange $356.40 ↑ +20%
United Commercial|All Other Plans $455.40 ↑ +53%
SUPERIOR Medicaid|STARPLUS $486.45 ↑ +64%
UNITED Medicaid|All Other Plans $486.45 ↑ +64%
UNITED Medicaid|STAR $486.45 ↑ +64%
SUPERIOR Medicaid|All Other Plans $486.45 ↑ +64%
UNITED Medicaid|STARKIDS $486.45 ↑ +64%
TCHP Medicaid|All Plans $486.45 ↑ +64%
Wellpoint Medicaid|All Other Plans $486.45 ↑ +64%
Aetna Commercial|All Plans $495.00 ↑ +67%
CIGNA HEALTHSPRING Medicaid|STARPLUS $496.18 ↑ +67%
Wellpoint Medicaid|STARPLUS $501.04 ↑ +69%
BCBS Medicaid|All Plans $510.77 ↑ +72%
Wellpoint Medicaid|STAR $763.73 ↑ +157%
SUPERIOR Medicaid|STAR $763.73 ↑ +157%
UNITED Medicaid|STARPLUS $870.75 ↑ +193%
BCBS-TX Commercial|Blue Advantage HMO $905.92 ↑ +205%
PHCS Commercial|All Plans $1,346.40 ↑ +353%
Humana Commercial|All Plans $1,386.00 ↑ +366%
Multiplan Commercial|All Plans $1,386.00 ↑ +366%
HUMANA Medicare|All Plans $1,429.64 ↑ +381%
AETNA Medicare|All Plans $1,429.64 ↑ +381%
Wellpoint Medicare|All Plans $1,472.53 ↑ +396%
CIGNA HEALTHSPRING Medicare|All Other Plans $1,501.12 ↑ +405%
CIGNA HEALTHSPRING Medicare|PPO $1,515.42 ↑ +410%
UNITED Medicare|All Plans $1,608.05 ↑ +441%
BCBS Medicare|All Plans $1,608.05 ↑ +441%
SCANHealth Medicare|All Plans $1,638.68 ↑ +451%
Galaxy Commercial|All Plans $1,782.00 ↑ +500%
MD Save Commercial|All Plans $1,787.05 ↑ +501%
BCBS-TX Commercial|Blue Premier $2,017.72 ↑ +579%
BCBS-TX Commercial|HMO $2,058.90 ↑ +593%
Entrust Commercial|All Plans $2,059.20 ↑ +593%
BCBS-TX Commercial|PPO $2,264.79 ↑ +662%
Wellpoint Commercial|Exchange $2,412.08 ↑ +712%
Cigna Commercial|All Plans $2,957.00 ↑ +895%
Angelina County Commercial|All Plans $3,902.92 ↑ +1213%
Brookshire Brothers Commercial|All Plans $4,288.92 ↑ +1343%

Visitor-reported prices

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Bx bone trocar/ndl deep at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $4,836.85 $1,715.75 – $3,432.54
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $2,264.77 $486.45 – $4,016.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $3,017.93 $71.00 – $4,526.89
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $2,718.59 $71.00 – $4,016.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $2,264.77 $486.45 – $4,016.35
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $3,017.93 $85.00 – $4,526.89
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $3,017.93 $486.45 – $4,526.89
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $2,718.59 $71.00 – $4,077.88

All Texas hospitals for this procedure →