Conjugated estrogens 25 mg solution for injection 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

$1,079.59

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.

$7,197.23

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.

$355.41 with AETNA vs $6,477.51 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
AETNA Medicare|All Plans $355.41 ↓ -67%
HUMANA Medicare|All Plans $355.41 ↓ -67%
Wellpoint Medicare|All Plans $366.07 ↓ -66%
CIGNA HEALTHSPRING Medicare|All Other Plans $373.18 ↓ -65%
CIGNA HEALTHSPRING Medicare|PPO $376.73 ↓ -65%
BCBS Medicare|All Plans $380.01 ↓ -65%
UNITED Medicare|All Plans $380.01 ↓ -65%
SCANHealth Medicare|All Plans $387.24 ↓ -64%
Cigna Commercial|All Plans $432.55 ↓ -60%
MD Save Commercial|All Plans $444.26 ↓ -59%
Wellpoint Commercial|Exchange $581.72 ↓ -46%
BCBS-TX Commercial|Blue Premier $635.15 ↓ -41%
BCBS-TX Commercial|Blue Advantage HMO $655.93 ↓ -39%
BCBS-TX Commercial|HMO $667.80 ↓ -38%
BCBS-TX Commercial|PPO $768.71 ↓ -29%
Angelina County Commercial|All Plans $940.81 ↓ -13%
Brookshire Brothers Commercial|All Plans $1,033.23 ↓ -4%
United Commercial|Exchange $1,295.51 ↑ +20%
United Commercial|All Other Plans $1,655.37 ↑ +53%
Aetna Commercial|All Plans $1,799.31 ↑ +67%
Entrust Commercial|All Plans $2,878.89 ↑ +167%
PHCS Commercial|All Plans $4,894.12 ↑ +353%
Multiplan Commercial|All Plans $5,038.07 ↑ +367%
Humana Commercial|All Plans $5,038.07 ↑ +367%
Galaxy Commercial|All Plans $6,477.51 ↑ +500%

Visitor-reported prices

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Conjugated estrogens 25 mg solution for injection at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $1,769.04 $382.89 – $3,006.06
HCA HOUSTON MEDICAL CENTER Houston $2,525.80 $382.89 – $3,006.06
Covenant Children's Hospital Lubbock $2,728.54 $1,110.03 – $1,414.17
HCA HOUSTON CONROE CONROE $2,073.35 $391.76 – $3,006.06
HCA HOUSTON KINGWOOD HUMBLE $2,453.19 $391.76 – $3,006.06
HCA HOUSTON NORTHWEST SPRING $2,437.64 $382.89 – $3,006.06
Baylor St Luke's Medical Center Houston $515.34 $267.12 – $1,472.40
St. Joseph Health Madison Hospital Madisonville $50.79 $36.98 – $290.20

All Texas hospitals for this procedure →