Dexamethasone 4 mg tablet at St. Luke's Health Memorial San Augustine
511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345
$5.85
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.
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What you pay up front if you don't use insurance.
$38.95
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.
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The hospital's undiscounted list price — almost no one pays this.
$0.02 with BCBS-TX vs $116.85 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 →
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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 ?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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $0.02 | ↓ -100% |
| BCBS-TX | Commercial|Blue Premier | $0.02 | ↓ -100% |
| BCBS-TX | Commercial|HMO | $0.02 | ↓ -100% |
| BCBS-TX | Commercial|PPO | $0.03 | ↓ -99% |
| Cigna | Commercial|All Plans | $0.05 | ↓ -99% |
| United | Commercial|Exchange | $7.02 | ↑ +20% |
| United | Commercial|All Other Plans | $8.96 | ↑ +53% |
| Aetna | Commercial|All Plans | $9.74 | ↑ +66% |
| PHCS | Commercial|All Plans | $26.49 | ↑ +353% |
| Multiplan | Commercial|All Plans | $27.27 | ↑ +366% |
| Humana | Commercial|All Plans | $27.27 | ↑ +366% |
| Galaxy | Commercial|All Plans | $35.06 | ↑ +499% |
| HUMANA | Medicare|All Plans | $38.95 | ↑ +566% |
| SCANHealth | Medicare|All Plans | $38.95 | ↑ +566% |
| AETNA | Medicare|All Plans | $38.95 | ↑ +566% |
| Wellpoint | Medicare|All Plans | $40.12 | ↑ +586% |
| Entrust | Commercial|All Plans | $40.51 | ↑ +592% |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $40.90 | ↑ +599% |
| UNITED | Medicare|All Plans | $40.90 | ↑ +599% |
| BCBS | Medicare|All Plans | $40.90 | ↑ +599% |
| CIGNA HEALTHSPRING | Medicare|PPO | $41.29 | ↑ +606% |
| MD Save | Commercial|All Plans | $48.69 | ↑ +732% |
| Wellpoint | Commercial|Exchange | $61.35 | ↑ +949% |
| Angelina County | Commercial|All Plans | $106.34 | ↑ +1718% |
| Brookshire Brothers | Commercial|All Plans | $116.85 | ↑ +1897% |
Visitor-reported prices
Comments
Dexamethasone 4 mg tablet at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $14.82 | $0.01 – $0.25 |
| St. Joseph Health Madison Hospital | Madisonville | $3.39 | $0.01 – $0.11 |
| St. Luke's Health Memorial Lufkin | Lufkin | $5.85 | $0.02 – $116.85 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $14.82 | $0.01 – $0.25 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $14.82 | $0.01 – $0.25 |
| St. Joseph Health College Station Hospital | College Station | $3.39 | $0.01 – $0.11 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $14.82 | $0.01 – $0.25 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $2.71 | $0.02 – $5.03 |