Dactinomycin 0.5 mg intravenous solution 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

$2,157.32

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.

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What you pay up front if you don't use insurance.

$14,382.11

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.

$286.63 with UNITED vs $12,943.90 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
UNITED Medicare|All Plans $286.63 ↓ -87%
BCBS Medicare|All Plans $286.63 ↓ -87%
SCANHealth Medicare|All Plans $292.09 ↓ -86%
HUMANA Medicare|All Plans $367.89 ↓ -83%
AETNA Medicare|All Plans $367.89 ↓ -83%
Wellpoint Medicare|All Plans $378.93 ↓ -82%
CIGNA HEALTHSPRING Medicare|All Other Plans $386.28 ↓ -82%
CIGNA HEALTHSPRING Medicare|PPO $389.96 ↓ -82%
Cigna Commercial|All Plans $397.80 ↓ -82%
Wellpoint Commercial|Exchange $450.98 ↓ -79%
MD Save Commercial|All Plans $459.86 ↓ -79%
Angelina County Commercial|All Plans $1,384.03 ↓ -36%
Brookshire Brothers Commercial|All Plans $1,857.18 ↓ -14%
BCBS-TX Commercial|Blue Premier $2,246.59 ↑ +4%
BCBS-TX Commercial|Blue Advantage HMO $2,320.08 ↑ +8%
BCBS-TX Commercial|HMO $2,362.07 ↑ +9%
United Commercial|Exchange $2,588.78 ↑ +20%
BCBS-TX Commercial|PPO $2,719.01 ↑ +26%
United Commercial|All Other Plans $3,307.89 ↑ +53%
Aetna Commercial|All Plans $3,595.53 ↑ +67%
Entrust Commercial|All Plans $5,752.85 ↑ +167%
PHCS Commercial|All Plans $9,779.84 ↑ +353%
Multiplan Commercial|All Plans $10,067.48 ↑ +367%
Humana Commercial|All Plans $10,067.48 ↑ +367%
Galaxy Commercial|All Plans $12,943.90 ↑ +500%

Visitor-reported prices

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Dactinomycin 0.5 mg intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $445.66 $288.80 – $13,905.51
Covenant Children's Hospital Lubbock $9,916.68 $1,060.23 – $4,191.60
Baylor St Luke's Medical Center Houston $5,912.84 $568.40 – $2,732.37
St. Luke's Health Memorial Lufkin Lufkin $2,157.32 $397.80 – $12,943.90
St. Luke's Health - Springwoods Village Hospital Spring $5,912.84 $463.81 – $2,732.37
St. Luke's Health - Sugar Land Hospital Sugar Land $5,912.84 $463.81 – $2,732.37
St. Luke's Health - Lakeside Hospital The Woodlands $5,912.84 $463.81 – $2,732.37
St. Luke's Health - The Vintage Hospital Houston $5,912.84 $463.81 – $2,732.37

All Texas hospitals for this procedure →