Mayo manganese 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

$26.40

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.

$176.00

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.

$22.39 with TCHP vs $158.40 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 $22.39 ↓ -15%
AETNA Medicare|All Plans $26.65 ↑ +1%
HUMANA Medicare|All Plans $26.65 ↑ +1%
Wellpoint Medicare|All Plans $27.45 ↑ +4%
CIGNA HEALTHSPRING Medicare|All Other Plans $27.98 ↑ +6%
UNITED Medicare|All Plans $27.98 ↑ +6%
BCBS Medicare|All Plans $27.98 ↑ +6%
CIGNA HEALTHSPRING Medicare|PPO $28.25 ↑ +7%
SCANHealth Medicare|All Plans $28.52 ↑ +8%
United Commercial|Exchange $31.68 ↑ +20%
MD Save Commercial|All Plans $33.31 ↑ +26%
UNITED Medicaid|STAR $36.51 ↑ +38%
UNITED Medicaid|CHIP $36.51 ↑ +38%
UNITED Medicaid|All Other Plans $36.51 ↑ +38%
SUPERIOR Medicaid|STARPLUS $36.51 ↑ +38%
SUPERIOR Medicaid|All Other Plans $36.51 ↑ +38%
UNITED Medicaid|STARKIDS $36.51 ↑ +38%
Wellpoint Medicaid|All Other Plans $36.51 ↑ +38%
CIGNA HEALTHSPRING Medicaid|STARPLUS $37.24 ↑ +41%
Wellpoint Medicaid|STARPLUS $37.61 ↑ +42%
BCBS Medicaid|All Plans $38.34 ↑ +45%
United Commercial|All Other Plans $40.48 ↑ +53%
Wellpoint Commercial|Exchange $41.97 ↑ +59%
Aetna Commercial|All Plans $44.00 ↑ +67%
BCBS-TX Commercial|Blue Advantage HMO $50.64 ↑ +92%
SUPERIOR Medicaid|STAR $57.32 ↑ +117%
Wellpoint Medicaid|STAR $57.32 ↑ +117%
UNITED Medicaid|STARPLUS $65.35 ↑ +148%
Entrust Commercial|All Plans $69.29 ↑ +162%
Angelina County Commercial|All Plans $72.75 ↑ +176%
Brookshire Brothers Commercial|All Plans $79.95 ↑ +203%
BCBS-TX Commercial|Blue Premier $87.95 ↑ +233%
BCBS-TX Commercial|HMO $93.28 ↑ +253%
BCBS-TX Commercial|PPO $107.67 ↑ +308%
Cigna Commercial|All Plans $115.16 ↑ +336%
PHCS Commercial|All Plans $119.68 ↑ +353%
Multiplan Commercial|All Plans $123.20 ↑ +367%
Humana Commercial|All Plans $123.20 ↑ +367%
Galaxy Commercial|All Plans $158.40 ↑ +500%

Visitor-reported prices

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Mayo manganese at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $114.38 $10.00 – $142.98
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $123.51 $12.00 – $185.26
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $120.22 $12.00 – $150.27
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $114.38 $10.00 – $142.98
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $123.51 $12.00 – $185.26
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $123.51 $8.00 – $185.26
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $120.22 $12.00 – $180.32
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $114.38 $10.00 – $142.98

All Texas hospitals for this procedure →