Homocysteine 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

$52.65

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.

$351.00

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.

$10.44 with United vs $77.78 with Cigna — 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 $10.44 ↓ -80%
United Commercial|All Other Plans $13.34 ↓ -75%
Aetna Commercial|All Plans $14.50 ↓ -72%
TCHP Medicaid|All Plans $15.05 ↓ -71%
AETNA Medicare|All Plans $17.92 ↓ -66%
HUMANA Medicare|All Plans $17.92 ↓ -66%
Wellpoint Medicare|All Plans $18.46 ↓ -65%
CIGNA HEALTHSPRING Medicare|All Other Plans $18.82 ↓ -64%
UNITED Medicare|All Plans $18.82 ↓ -64%
BCBS Medicare|All Plans $18.82 ↓ -64%
CIGNA HEALTHSPRING Medicare|PPO $19.00 ↓ -64%
SCANHealth Medicare|All Plans $19.17 ↓ -64%
MD Save Commercial|All Plans $22.40 ↓ -57%
SUPERIOR Medicaid|STARPLUS $24.55 ↓ -53%
SUPERIOR Medicaid|All Other Plans $24.55 ↓ -53%
UNITED Medicaid|All Other Plans $24.55 ↓ -53%
Wellpoint Medicaid|All Other Plans $24.55 ↓ -53%
UNITED Medicaid|STARKIDS $24.55 ↓ -53%
UNITED Medicaid|STAR $24.55 ↓ -53%
UNITED Medicaid|CHIP $24.55 ↓ -53%
CIGNA HEALTHSPRING Medicaid|STARPLUS $25.04 ↓ -52%
Wellpoint Medicaid|STARPLUS $25.29 ↓ -52%
BCBS Medicaid|All Plans $25.78 ↓ -51%
Wellpoint Commercial|Exchange $28.23 ↓ -46%
BCBS-TX Commercial|Blue Advantage HMO $34.05 ↓ -35%
Wellpoint Medicaid|STAR $38.54 ↓ -27%
SUPERIOR Medicaid|STAR $38.54 ↓ -27%
PHCS Commercial|All Plans $39.44 ↓ -25%
Humana Commercial|All Plans $40.60 ↓ -23%
Multiplan Commercial|All Plans $40.60 ↓ -23%
UNITED Medicaid|STARPLUS $43.94 ↓ -17%
Entrust Commercial|All Plans $46.59 ↓ -12%
Angelina County Commercial|All Plans $48.92 ↓ -7%
Galaxy Commercial|All Plans $52.20 ↓ -1%
Brookshire Brothers Commercial|All Plans $53.76 ↑ +2%
BCBS-TX Commercial|HMO $58.00 ↑ +10%
BCBS-TX Commercial|PPO $58.00 ↑ +10%
BCBS-TX Commercial|Blue Premier $58.00 ↑ +10%
Cigna Commercial|All Plans $77.78 ↑ +48%

Visitor-reported prices

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Homocysteine at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $284.27 $16.13 – $68.99
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $177.68 $10.00 – $187.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $193.34 $12.00 – $225.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $164.18 $12.00 – $187.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $177.68 $10.00 – $187.50
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $193.34 $12.00 – $225.00
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $193.34 $8.00 – $225.00
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $164.18 $12.00 – $225.00

All Texas hospitals for this procedure →