Ghs fish hybrid in situ 100-300 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

$45.90

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.

$306.00

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.

$43.00 with TCHP vs $239.40 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
TCHP Medicaid|All Plans $43.00 ↓ -6%
United Commercial|Exchange $47.88 ↑ +4%
HUMANA Medicare|All Plans $51.19 ↑ +12%
AETNA Medicare|All Plans $51.19 ↑ +12%
Wellpoint Medicare|All Plans $52.73 ↑ +15%
UNITED Medicare|All Plans $53.75 ↑ +17%
CIGNA HEALTHSPRING Medicare|All Other Plans $53.75 ↑ +17%
BCBS Medicare|All Plans $53.75 ↑ +17%
CIGNA HEALTHSPRING Medicare|PPO $54.26 ↑ +18%
SCANHealth Medicare|All Plans $54.77 ↑ +19%
United Commercial|All Other Plans $61.18 ↑ +33%
MD Save Commercial|All Plans $63.99 ↑ +39%
Aetna Commercial|All Plans $66.50 ↑ +45%
UNITED Medicaid|STAR $70.13 ↑ +53%
Wellpoint Medicaid|All Other Plans $70.13 ↑ +53%
UNITED Medicaid|CHIP $70.13 ↑ +53%
UNITED Medicaid|All Other Plans $70.13 ↑ +53%
UNITED Medicaid|STARKIDS $70.13 ↑ +53%
SUPERIOR Medicaid|STARPLUS $70.13 ↑ +53%
SUPERIOR Medicaid|All Other Plans $70.13 ↑ +53%
CIGNA HEALTHSPRING Medicaid|STARPLUS $71.53 ↑ +56%
Wellpoint Medicaid|STARPLUS $72.23 ↑ +57%
BCBS Medicaid|All Plans $73.64 ↑ +60%
Wellpoint Commercial|Exchange $80.63 ↑ +76%
BCBS-TX Commercial|Blue Advantage HMO $97.26 ↑ +112%
Wellpoint Medicaid|STAR $110.10 ↑ +140%
SUPERIOR Medicaid|STAR $110.10 ↑ +140%
UNITED Medicaid|STARPLUS $125.53 ↑ +173%
Entrust Commercial|All Plans $133.09 ↑ +190%
Angelina County Commercial|All Plans $139.75 ↑ +204%
Brookshire Brothers Commercial|All Plans $153.57 ↑ +235%
BCBS-TX Commercial|Blue Premier $168.93 ↑ +268%
BCBS-TX Commercial|HMO $179.17 ↑ +290%
PHCS Commercial|All Plans $180.88 ↑ +294%
Humana Commercial|All Plans $186.20 ↑ +306%
Multiplan Commercial|All Plans $186.20 ↑ +306%
BCBS-TX Commercial|PPO $206.81 ↑ +351%
Cigna Commercial|All Plans $221.34 ↑ +382%
Galaxy Commercial|All Plans $239.40 ↑ +422%

Visitor-reported prices

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Ghs fish hybrid in situ 100-300 at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $492.77 $23.57 – $122.86
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $492.77 $8.08 – $122.86
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $492.77 $30.37 – $122.86
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $492.77 $30.77 – $122.86
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $492.77 $30.37 – $122.86
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $492.77 $26.00 – $122.86
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $492.77 $30.37 – $122.86
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $492.77 $30.77 – $122.86

All Texas hospitals for this procedure →