Consultation/report referred material w/preparation of slides 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

$37.88

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.

$252.50

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.

$45.45 with United vs $262.60 with Entrust — 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 $45.45 ↑ +20%
AETNA Medicare|All Plans $47.78 ↑ +26%
HUMANA Medicare|All Plans $47.78 ↑ +26%
Wellpoint Medicare|All Plans $49.21 ↑ +30%
CIGNA HEALTHSPRING Medicare|All Other Plans $50.17 ↑ +32%
CIGNA HEALTHSPRING Medicare|PPO $50.65 ↑ +34%
BCBS Medicare|All Plans $53.02 ↑ +40%
UNITED Medicare|All Plans $53.02 ↑ +40%
SCANHealth Medicare|All Plans $54.03 ↑ +43%
United Commercial|All Other Plans $58.08 ↑ +53%
MD Save Commercial|All Plans $59.73 ↑ +58%
Aetna Commercial|All Plans $63.13 ↑ +67%
Wellpoint Commercial|Exchange $79.53 ↑ +110%
BCBS-TX Commercial|Blue Advantage HMO $93.99 ↑ +148%
Cigna Commercial|All Plans $117.98 ↑ +211%
Angelina County Commercial|All Plans $130.44 ↑ +244%
Brookshire Brothers Commercial|All Plans $143.34 ↑ +278%
BCBS-TX Commercial|Blue Premier $163.25 ↑ +331%
PHCS Commercial|All Plans $171.70 ↑ +353%
BCBS-TX Commercial|HMO $173.15 ↑ +357%
Multiplan Commercial|All Plans $176.75 ↑ +367%
Humana Commercial|All Plans $176.75 ↑ +367%
BCBS-TX Commercial|PPO $199.86 ↑ +428%
Galaxy Commercial|All Plans $227.25 ↑ +500%
Entrust Commercial|All Plans $262.60 ↑ +593%

Visitor-reported prices

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Consultation/report referred material w/preparation of slides at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $275.42 $35.00 – $344.28
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $309.65 $36.00 – $464.48
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $230.32 $36.00 – $287.89
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $275.42 $35.00 – $344.28
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $309.65 $36.00 – $464.48
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $309.65 $26.00 – $464.48
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $230.32 $36.00 – $345.47
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $275.42 $35.00 – $344.28

All Texas hospitals for this procedure →