Ghs insertion of needle - bone 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

$185.90

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.

$1,239.30

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.

$223.08 with United vs $1,996.52 with UNITED — 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
United Commercial|Exchange $223.08 ↑ +20%
BCBS-TX Commercial|Blue Advantage HMO $239.97 ↑ +29%
United Commercial|All Other Plans $285.04 ↑ +53%
Cigna Commercial|All Plans $289.00 ↑ +55%
Aetna Commercial|All Plans $309.83 ↑ +67%
HUMANA Medicare|All Plans $351.34 ↑ +89%
AETNA Medicare|All Plans $351.34 ↑ +89%
Wellpoint Medicare|All Plans $361.88 ↑ +95%
CIGNA HEALTHSPRING Medicare|All Other Plans $368.91 ↑ +98%
CIGNA HEALTHSPRING Medicare|PPO $372.42 ↑ +100%
UNITED Medicare|All Plans $396.04 ↑ +113%
BCBS Medicare|All Plans $396.04 ↑ +113%
SCANHealth Medicare|All Plans $403.58 ↑ +117%
MD Save Commercial|All Plans $439.17 ↑ +136%
BCBS-TX Commercial|Blue Premier $534.48 ↑ +188%
BCBS-TX Commercial|HMO $545.39 ↑ +193%
Wellpoint Commercial|Exchange $594.06 ↑ +220%
BCBS-TX Commercial|PPO $599.92 ↑ +223%
PHCS Commercial|All Plans $842.73 ↑ +353%
Humana Commercial|All Plans $867.51 ↑ +367%
Multiplan Commercial|All Plans $867.51 ↑ +367%
Angelina County Commercial|All Plans $959.16 ↑ +416%
Brookshire Brothers Commercial|All Plans $1,054.02 ↑ +467%
UNITED Medicaid|All Other Plans $1,115.37 ↑ +500%
UNITED Medicaid|STARKIDS $1,115.37 ↑ +500%
UNITED Medicaid|STAR $1,115.37 ↑ +500%
UNITED Medicaid|CHIP $1,115.37 ↑ +500%
SUPERIOR Medicaid|All Other Plans $1,115.37 ↑ +500%
SUPERIOR Medicaid|STARPLUS $1,115.37 ↑ +500%
TCHP Medicaid|All Plans $1,115.37 ↑ +500%
Galaxy Commercial|All Plans $1,115.37 ↑ +500%
Wellpoint Medicaid|All Other Plans $1,115.37 ↑ +500%
CIGNA HEALTHSPRING Medicaid|STARPLUS $1,137.68 ↑ +512%
Wellpoint Medicaid|STARPLUS $1,148.84 ↑ +518%
BCBS Medicaid|All Plans $1,171.14 ↑ +530%
Entrust Commercial|All Plans $1,288.88 ↑ +593%
SUPERIOR Medicaid|STAR $1,751.14 ↑ +842%
Wellpoint Medicaid|STAR $1,751.14 ↑ +842%
UNITED Medicaid|STARPLUS $1,996.52 ↑ +974%

Visitor-reported prices

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Ghs insertion of needle - bone at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $447.75 $454.49 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $461.99 $130.90 – $987.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $461.99 $71.00 – $987.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $356.00 $71.00 – $987.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $461.99 $123.20 – $987.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $461.99 $85.00 – $987.04
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $461.99 $238.70 – $987.04
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $356.00 $71.00 – $987.04

All Texas hospitals for this procedure →