Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge 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

$47.66

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.

$317.73

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.

$57.20 with United vs $330.44 with Entrust — 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 $57.20 ↑ +20%
United Commercial|All Other Plans $73.08 ↑ +53%
Aetna Commercial|All Plans $79.44 ↑ +67%
Cigna Commercial|All Plans $111.21 ↑ +133%
PHCS Commercial|All Plans $216.06 ↑ +353%
Humana Commercial|All Plans $222.42 ↑ +367%
Multiplan Commercial|All Plans $222.42 ↑ +367%
Galaxy Commercial|All Plans $285.96 ↑ +500%
Entrust Commercial|All Plans $330.44 ↑ +593%

Visitor-reported prices

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Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Children's Hospital Lubbock $360.99 not published
St. Luke's Health Memorial Lufkin Lufkin $47.66 $111.21 – $285.96
St. Luke's Health Memorial Livingston Livingston $47.66 $69.91 – $285.96
Covenant Medical Center Lubbock $917.62 not published
Covenant Hospital Plainview Plainview $57.96 not published
Covenant Hospital Levelland Levelland $109.37 not published
Covenant Specialty Hospital Lubbock $143.43 not published

All Texas hospitals for this procedure →