Cosyntropin 0.25 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

$2,783.27

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.

$18,555.08

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.

$28.35 with Cigna vs $1,541.39 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
Cigna Commercial|All Plans $28.35 ↓ -99%
BCBS-TX Commercial|Blue Premier $130.43 ↓ -95%
BCBS-TX Commercial|Blue Advantage HMO $134.70 ↓ -95%
BCBS-TX Commercial|HMO $137.14 ↓ -95%
BCBS-TX Commercial|PPO $157.86 ↓ -94%
United Commercial|Exchange $308.28 ↓ -89%
United Commercial|All Other Plans $393.91 ↓ -86%
Aetna Commercial|All Plans $428.17 ↓ -85%
Entrust Commercial|All Plans $685.06 ↓ -75%
Angelina County Commercial|All Plans $685.06 ↓ -75%
PHCS Commercial|All Plans $1,164.61 ↓ -58%
Humana Commercial|All Plans $1,198.86 ↓ -57%
Multiplan Commercial|All Plans $1,198.86 ↓ -57%
Galaxy Commercial|All Plans $1,541.39 ↓ -45%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Cosyntropin 0.25 mg solution for injection at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $734.83 $33.40 – $350.64
HCA HOUSTON MEDICAL CENTER Houston $2,048.72 $33.40 – $350.64
Covenant Children's Hospital Lubbock $647.09 $98.07 – $243.36
HCA HOUSTON KINGWOOD HUMBLE $1,986.70 $20.65 – $350.64
HCA HOUSTON NORTHWEST SPRING $1,973.92 $33.40 – $350.64
Baylor St Luke's Medical Center Houston $61.91 $28.97 – $131.68
HCA HOUSTON PEARLAND Pearland $552.84 $33.40 – $350.64
St. Luke's Health - Springwoods Village Hospital Spring $61.91 $28.97 – $131.68

All Texas hospitals for this procedure →