Fosphenytoin 50 mg pe/ml injection (wrapper) 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

$274.63

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.

$1,830.83

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.

$2.84 with HUMANA vs $46.86 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
HUMANA Medicare|All Plans $2.84 ↓ -99%
AETNA Medicare|All Plans $2.84 ↓ -99%
Wellpoint Medicare|All Plans $2.93 ↓ -99%
CIGNA HEALTHSPRING Medicare|All Other Plans $2.98 ↓ -99%
CIGNA HEALTHSPRING Medicare|PPO $3.01 ↓ -99%
MD Save Commercial|All Plans $3.55 ↓ -99%
Cigna Commercial|All Plans $4.12 ↓ -98%
BCBS-TX Commercial|Blue Premier $7.02 ↓ -97%
BCBS-TX Commercial|Blue Advantage HMO $7.25 ↓ -97%
BCBS-TX Commercial|HMO $7.38 ↓ -97%
BCBS-TX Commercial|PPO $8.50 ↓ -97%
United Commercial|Exchange $9.38 ↓ -97%
United Commercial|All Other Plans $11.98 ↓ -96%
Aetna Commercial|All Plans $13.02 ↓ -95%
Brookshire Brothers Commercial|All Plans $13.32 ↓ -95%
Angelina County Commercial|All Plans $13.92 ↓ -95%
Entrust Commercial|All Plans $20.83 ↓ -92%
PHCS Commercial|All Plans $35.41 ↓ -87%
Multiplan Commercial|All Plans $36.45 ↓ -87%
Humana Commercial|All Plans $36.45 ↓ -87%
Galaxy Commercial|All Plans $46.86 ↓ -83%

Visitor-reported prices

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Fosphenytoin 50 mg pe/ml injection (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $174.66 $12.63 – $12.63
Covenant Children's Hospital Lubbock $296.60 $12.27 – $18.24
St. Luke's Health - Patients Medical Center Pasadena $8.82 $3.58 – $17.85
Baylor St Luke's Medical Center Houston $76.77 $2.95 – $56.52
St. Luke's Health Memorial Lufkin Lufkin $274.63 $4.12 – $46.86
St. Luke's Health - Springwoods Village Hospital Spring $76.77 $3.58 – $56.52
St. Luke's Health - Sugar Land Hospital Sugar Land $76.77 $3.58 – $56.52
St. Luke's Health - Lakeside Hospital The Woodlands $76.77 $3.58 – $56.52

All Texas hospitals for this procedure →