Coombs indirect qualitative each reagent red cell reference 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

$42.00

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.

$280.00

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.

$4.80 with TCHP vs $451.83 with Brookshire Brothers — 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
TCHP Medicaid|All Plans $4.80 ↓ -89%
SUPERIOR Medicaid|All Other Plans $7.84 ↓ -81%
UNITED Medicaid|All Other Plans $7.84 ↓ -81%
UNITED Medicaid|CHIP $7.84 ↓ -81%
UNITED Medicaid|STAR $7.84 ↓ -81%
SUPERIOR Medicaid|STARPLUS $7.84 ↓ -81%
UNITED Medicaid|STARKIDS $7.84 ↓ -81%
Wellpoint Medicaid|All Other Plans $7.84 ↓ -81%
CIGNA HEALTHSPRING Medicaid|STARPLUS $8.00 ↓ -81%
Wellpoint Medicaid|STARPLUS $8.08 ↓ -81%
BCBS Medicaid|All Plans $8.23 ↓ -80%
Wellpoint Medicaid|STAR $12.31 ↓ -71%
SUPERIOR Medicaid|STAR $12.31 ↓ -71%
UNITED Medicaid|STARPLUS $14.03 ↓ -67%
Entrust Commercial|All Plans $14.87 ↓ -65%
Cigna Commercial|All Plans $25.41 ↓ -40%
United Commercial|Exchange $50.40 ↑ +20%
United Commercial|All Other Plans $64.40 ↑ +53%
Aetna Commercial|All Plans $70.00 ↑ +67%
HUMANA Medicare|All Plans $150.61 ↑ +259%
AETNA Medicare|All Plans $150.61 ↑ +259%
Wellpoint Medicare|All Plans $155.13 ↑ +269%
CIGNA HEALTHSPRING Medicare|All Other Plans $158.14 ↑ +277%
CIGNA HEALTHSPRING Medicare|PPO $159.65 ↑ +280%
BCBS Medicare|All Plans $170.07 ↑ +305%
UNITED Medicare|All Plans $170.07 ↑ +305%
SCANHealth Medicare|All Plans $173.31 ↑ +313%
MD Save Commercial|All Plans $188.26 ↑ +348%
PHCS Commercial|All Plans $190.40 ↑ +353%
Humana Commercial|All Plans $196.00 ↑ +367%
Multiplan Commercial|All Plans $196.00 ↑ +367%
Galaxy Commercial|All Plans $252.00 ↑ +500%
Wellpoint Commercial|Exchange $255.11 ↑ +507%
BCBS-TX Commercial|Blue Advantage HMO $272.65 ↑ +549%
BCBS-TX Commercial|PPO $280.00 ↑ +567%
BCBS-TX Commercial|Blue Premier $280.00 ↑ +567%
BCBS-TX Commercial|HMO $280.00 ↑ +567%
Angelina County Commercial|All Plans $411.17 ↑ +879%
Brookshire Brothers Commercial|All Plans $451.83 ↑ +976%

Visitor-reported prices

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Coombs indirect qualitative each reagent red cell reference at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $60.26 $4.80 – $423.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $74.68 $8.39 – $423.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $50.65 $4.80 – $423.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $60.26 $4.80 – $423.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $74.68 $5.14 – $423.12
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $74.68 $4.80 – $423.12
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $50.65 $4.80 – $423.12
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $60.26 $4.80 – $423.12

All Texas hospitals for this procedure →