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

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$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.

Full explanation →

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.

Full explanation →

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
?

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

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

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

All Texas hospitals for this procedure →