Change cystostomy tube simple 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

$135.10

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.

$900.61

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.

$40.49 with BCBS-TX vs $2,016.00 with Cigna — 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 Advantage HMO $40.49 ↓ -70%
SUPERIOR Medicaid|All Other Plans $51.77 ↓ -62%
UNITED Medicaid|All Other Plans $51.77 ↓ -62%
TCHP Medicaid|All Plans $51.77 ↓ -62%
UNITED Medicaid|STAR $51.77 ↓ -62%
UNITED Medicaid|STARKIDS $51.77 ↓ -62%
SUPERIOR Medicaid|STARPLUS $51.77 ↓ -62%
Wellpoint Medicaid|All Other Plans $51.77 ↓ -62%
CIGNA HEALTHSPRING Medicaid|STARPLUS $52.81 ↓ -61%
Wellpoint Medicaid|STARPLUS $53.32 ↓ -61%
BCBS Medicaid|All Plans $54.36 ↓ -60%
SUPERIOR Medicaid|STAR $81.28 ↓ -40%
Wellpoint Medicaid|STAR $81.28 ↓ -40%
BCBS-TX Commercial|Blue Premier $90.18 ↓ -33%
BCBS-TX Commercial|HMO $92.03 ↓ -32%
UNITED Medicaid|STARPLUS $92.67 ↓ -31%
BCBS-TX Commercial|PPO $101.23 ↓ -25%
United Commercial|Exchange $162.11 ↑ +20%
United Commercial|All Other Plans $207.15 ↑ +53%
HUMANA Medicare|All Plans $217.93 ↑ +61%
AETNA Medicare|All Plans $217.93 ↑ +61%
Wellpoint Medicare|All Plans $224.47 ↑ +66%
Aetna Commercial|All Plans $225.16 ↑ +67%
CIGNA HEALTHSPRING Medicare|All Other Plans $228.83 ↑ +69%
CIGNA HEALTHSPRING Medicare|PPO $231.01 ↑ +71%
UNITED Medicare|All Plans $241.38 ↑ +79%
BCBS Medicare|All Plans $241.38 ↑ +79%
SCANHealth Medicare|All Plans $245.98 ↑ +82%
MD Save Commercial|All Plans $272.41 ↑ +102%
Wellpoint Commercial|Exchange $362.07 ↑ +168%
Angelina County Commercial|All Plans $594.95 ↑ +340%
PHCS Commercial|All Plans $612.42 ↑ +353%
Humana Commercial|All Plans $630.43 ↑ +367%
Multiplan Commercial|All Plans $630.43 ↑ +367%
Brookshire Brothers Commercial|All Plans $653.79 ↑ +384%
UNITED Medicaid|CHIP $810.55 ↑ +500%
Galaxy Commercial|All Plans $810.55 ↑ +500%
Entrust Commercial|All Plans $936.64 ↑ +593%
Cigna Commercial|All Plans $2,016.00 ↑ +1392%

Visitor-reported prices

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Change cystostomy tube simple at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $946.28 $76.69 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $531.96 $51.77 – $664.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $426.63 $55.39 – $639.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $709.69 $51.77 – $887.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $531.96 $51.77 – $664.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $426.63 $55.39 – $639.95
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $426.63 $51.77 – $639.95
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $709.69 $51.77 – $1,064.53

All Texas hospitals for this procedure →