Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$20,820.44
Cash price 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.
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What you pay up front if you don't use insurance.
$138,802.89
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$3.96 with BCBS vs $119,087.30 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 →
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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 ?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 ?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 | Medicare|All Plans | $3.96 | ↓ -100% |
| UNITED | Medicare|All Plans | $3.96 | ↓ -100% |
| SCANHealth | Medicare|All Plans | $4.03 | ↓ -100% |
| HUMANA | Medicare|All Plans | $4.12 | ↓ -100% |
| AETNA | Medicare|All Plans | $4.12 | ↓ -100% |
| Wellpoint | Medicare|All Plans | $4.24 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $4.33 | ↓ -100% |
| CIGNA HEALTHSPRING | Medicare|PPO | $4.37 | ↓ -100% |
| MD Save | Commercial|All Plans | $5.15 | ↓ -100% |
| Cigna | Commercial|All Plans | $5.25 | ↓ -100% |
| Wellpoint | Commercial|Exchange | $6.68 | ↓ -100% |
| Angelina County | Commercial|All Plans | $11.68 | ↓ -100% |
| Brookshire Brothers | Commercial|All Plans | $13.38 | ↓ -100% |
| BCBS-TX | Commercial|Blue Premier | $20.29 | ↓ -100% |
| BCBS-TX | Commercial|Blue Advantage HMO | $20.95 | ↓ -100% |
| BCBS-TX | Commercial|HMO | $21.33 | ↓ -100% |
| BCBS-TX | Commercial|PPO | $24.55 | ↓ -100% |
| United | Commercial|Exchange | $23,817.46 | ↑ +14% |
| United | Commercial|All Other Plans | $30,433.43 | ↑ +46% |
| Aetna | Commercial|All Plans | $33,079.81 | ↑ +59% |
| Entrust | Commercial|All Plans | $52,927.69 | ↑ +154% |
| PHCS | Commercial|All Plans | $89,977.07 | ↑ +332% |
| Multiplan | Commercial|All Plans | $92,623.46 | ↑ +345% |
| Humana | Commercial|All Plans | $92,623.46 | ↑ +345% |
| Galaxy | Commercial|All Plans | $119,087.30 | ↑ +472% |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $31,489.91 | $15.70 – $37.85 |
| Baylor St Luke's Medical Center | Houston | $7,010.94 | $6.83 – $20,031.24 |
| St. Luke's Health Memorial Lufkin | Lufkin | $20,820.44 | $5.25 – $119,087.30 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $7,010.94 | $5.57 – $20,031.24 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $7,010.94 | $5.57 – $20,031.24 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $7,010.94 | $5.57 – $20,031.24 |
| St. Luke's Health - The Vintage Hospital | Houston | $7,010.94 | $5.57 – $20,031.24 |
| St. Luke's Health Memorial Livingston | Livingston | $20,820.44 | $5.25 – $119,087.30 |