Hemolysin acid 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

$24.68

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.

$164.50

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.

$7.45 with TCHP vs $148.05 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 $7.45 ↓ -70%
AETNA Medicare|All Plans $8.87 ↓ -64%
HUMANA Medicare|All Plans $8.87 ↓ -64%
Wellpoint Medicare|All Plans $9.14 ↓ -63%
CIGNA HEALTHSPRING Medicare|All Other Plans $9.31 ↓ -62%
UNITED Medicare|All Plans $9.31 ↓ -62%
BCBS Medicare|All Plans $9.31 ↓ -62%
CIGNA HEALTHSPRING Medicare|PPO $9.40 ↓ -62%
SCANHealth Medicare|All Plans $9.49 ↓ -62%
MD Save Commercial|All Plans $11.09 ↓ -55%
Wellpoint Medicaid|All Other Plans $12.15 ↓ -51%
UNITED Medicaid|All Other Plans $12.15 ↓ -51%
UNITED Medicaid|CHIP $12.15 ↓ -51%
UNITED Medicaid|STAR $12.15 ↓ -51%
UNITED Medicaid|STARKIDS $12.15 ↓ -51%
SUPERIOR Medicaid|STARPLUS $12.15 ↓ -51%
SUPERIOR Medicaid|All Other Plans $12.15 ↓ -51%
CIGNA HEALTHSPRING Medicaid|STARPLUS $12.39 ↓ -50%
Wellpoint Medicaid|STARPLUS $12.51 ↓ -49%
BCBS Medicaid|All Plans $12.76 ↓ -48%
Wellpoint Commercial|Exchange $13.97 ↓ -43%
BCBS-TX Commercial|Blue Advantage HMO $16.85 ↓ -32%
Wellpoint Medicaid|STAR $19.08 ↓ -23%
SUPERIOR Medicaid|STAR $19.08 ↓ -23%
UNITED Medicaid|STARPLUS $21.75 ↓ -12%
Entrust Commercial|All Plans $23.06 ↓ -7%
Angelina County Commercial|All Plans $24.22 ↓ -2%
Brookshire Brothers Commercial|All Plans $26.61 ↑ +8%
BCBS-TX Commercial|Blue Premier $29.27 ↑ +19%
United Commercial|Exchange $29.61 ↑ +20%
BCBS-TX Commercial|HMO $31.05 ↑ +26%
BCBS-TX Commercial|PPO $35.83 ↑ +45%
United Commercial|All Other Plans $37.84 ↑ +53%
Cigna Commercial|All Plans $38.89 ↑ +58%
Aetna Commercial|All Plans $41.13 ↑ +67%
PHCS Commercial|All Plans $111.86 ↑ +353%
Multiplan Commercial|All Plans $115.15 ↑ +367%
Humana Commercial|All Plans $115.15 ↑ +367%
Galaxy Commercial|All Plans $148.05 ↑ +500%

Visitor-reported prices

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Hemolysin acid at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $136.34 $7.45 – $170.42
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $11.83 $2.44 – $21.29
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $11.83 $7.45 – $21.29
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $136.34 $7.45 – $170.42
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $11.83 $7.97 – $21.29
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $11.83 $7.45 – $21.29
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $11.83 $7.45 – $21.29
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $136.34 $7.45 – $170.42

All Texas hospitals for this procedure →