Declotting thrombolytic agent implanted vas access device 36 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

$69.45

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.

$463.00

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.

$20.72 with BCBS-TX vs $895.89 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
BCBS-TX Commercial|Blue Advantage HMO $20.72 ↓ -70%
Wellpoint Medicaid|All Other Plans $26.30 ↓ -62%
SUPERIOR Medicaid|STARPLUS $26.30 ↓ -62%
UNITED Medicaid|All Other Plans $26.30 ↓ -62%
SUPERIOR Medicaid|All Other Plans $26.30 ↓ -62%
UNITED Medicaid|STAR $26.30 ↓ -62%
TCHP Medicaid|All Plans $26.30 ↓ -62%
UNITED Medicaid|STARKIDS $26.30 ↓ -62%
CIGNA HEALTHSPRING Medicaid|STARPLUS $26.83 ↓ -61%
Wellpoint Medicaid|STARPLUS $27.09 ↓ -61%
BCBS Medicaid|All Plans $27.62 ↓ -60%
SUPERIOR Medicaid|STAR $41.29 ↓ -41%
Wellpoint Medicaid|STAR $41.29 ↓ -41%
BCBS-TX Commercial|Blue Premier $46.16 ↓ -34%
UNITED Medicaid|STARPLUS $47.08 ↓ -32%
BCBS-TX Commercial|HMO $47.10 ↓ -32%
BCBS-TX Commercial|PPO $51.81 ↓ -25%
United Commercial|Exchange $75.01 ↑ +8%
United Commercial|All Other Plans $95.85 ↑ +38%
Aetna Commercial|All Plans $104.18 ↑ +50%
PHCS Commercial|All Plans $283.36 ↑ +308%
Cigna Commercial|All Plans $289.00 ↑ +316%
Humana Commercial|All Plans $291.69 ↑ +320%
Multiplan Commercial|All Plans $291.69 ↑ +320%
HUMANA Medicare|All Plans $298.63 ↑ +330%
AETNA Medicare|All Plans $298.63 ↑ +330%
Wellpoint Medicare|All Plans $307.59 ↑ +343%
CIGNA HEALTHSPRING Medicare|All Other Plans $313.56 ↑ +351%
CIGNA HEALTHSPRING Medicare|PPO $316.55 ↑ +356%
BCBS Medicare|All Plans $329.20 ↑ +374%
UNITED Medicare|All Plans $329.20 ↑ +374%
SCANHealth Medicare|All Plans $335.47 ↑ +383%
MD Save Commercial|All Plans $373.29 ↑ +437%
Galaxy Commercial|All Plans $375.03 ↑ +440%
UNITED Medicaid|CHIP $375.03 ↑ +440%
Entrust Commercial|All Plans $433.37 ↑ +524%
Wellpoint Commercial|Exchange $493.80 ↑ +611%
Angelina County Commercial|All Plans $815.26 ↑ +1074%
Brookshire Brothers Commercial|All Plans $895.89 ↑ +1190%

Visitor-reported prices

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Declotting thrombolytic agent implanted vas access device 36 at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $635.93 $26.30 – $838.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $693.86 $28.14 – $1,040.80
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $492.66 $26.30 – $838.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $635.93 $26.30 – $838.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $693.86 $28.14 – $1,040.80
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $693.86 $26.30 – $1,040.80
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $492.66 $26.30 – $838.97
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $635.93 $26.30 – $838.97

All Texas hospitals for this procedure →