Foot X-ray 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

$278.37

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.

$1,855.74

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.

$80.13 with HUMANA vs $1,892.14 with Entrust — 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
HUMANA Medicare|All Plans $80.13 ↓ -71%
AETNA Medicare|All Plans $80.13 ↓ -71%
Wellpoint Medicare|All Plans $82.53 ↓ -70%
CIGNA HEALTHSPRING Medicare|All Other Plans $84.14 ↓ -70%
CIGNA HEALTHSPRING Medicare|PPO $84.94 ↓ -69%
BCBS Medicare|All Plans $87.39 ↓ -69%
UNITED Medicare|All Plans $87.39 ↓ -69%
SCANHealth Medicare|All Plans $89.06 ↓ -68%
MD Save Commercial|All Plans $100.16 ↓ -64%
SUPERIOR Medicaid|All Other Plans $109.09 ↓ -61%
Wellpoint Medicaid|All Other Plans $109.09 ↓ -61%
SUPERIOR Medicaid|STARPLUS $109.09 ↓ -61%
UNITED Medicaid|STAR $109.09 ↓ -61%
UNITED Medicaid|All Other Plans $109.09 ↓ -61%
TCHP Medicaid|All Plans $109.47 ↓ -61%
CIGNA HEALTHSPRING Medicaid|STARPLUS $111.27 ↓ -60%
Wellpoint Medicaid|STARPLUS $112.36 ↓ -60%
BCBS Medicaid|All Plans $114.54 ↓ -59%
Cigna Commercial|All Plans $117.98 ↓ -58%
Wellpoint Commercial|Exchange $131.09 ↓ -53%
BCBS-TX Commercial|Blue Advantage HMO $150.04 ↓ -46%
Wellpoint Medicaid|STAR $171.27 ↓ -38%
SUPERIOR Medicaid|STAR $171.27 ↓ -38%
UNITED Medicaid|STARPLUS $195.27 ↓ -30%
BCBS-TX Commercial|Blue Premier $206.71 ↓ -26%
BCBS-TX Commercial|HMO $214.69 ↓ -23%
Angelina County Commercial|All Plans $218.75 ↓ -21%
BCBS-TX Commercial|PPO $238.63 ↓ -14%
Brookshire Brothers Commercial|All Plans $240.39 ↓ -14%
United Commercial|Exchange $327.49 ↑ +18%
United Commercial|All Other Plans $418.46 ↑ +50%
Aetna Commercial|All Plans $454.84 ↑ +63%
PHCS Commercial|All Plans $1,237.17 ↑ +344%
Multiplan Commercial|All Plans $1,273.56 ↑ +358%
Humana Commercial|All Plans $1,273.56 ↑ +358%
Galaxy Commercial|All Plans $1,637.43 ↑ +488%
Entrust Commercial|All Plans $1,892.14 ↑ +580%

Visitor-reported prices

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Foot X-ray at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $613.26 $307.27 – $307.27
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $365.31 $34.41 – $456.64
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $383.94 $79.03 – $575.91
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $406.02 $34.41 – $507.52
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $365.31 $34.41 – $456.64
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $383.94 $36.82 – $575.91
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $383.94 $34.41 – $575.91
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $406.02 $34.41 – $609.03

All Texas hospitals for this procedure →