Mayo sirolimus therapeutic drug level 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

$87.45

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.

$583.00

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.

$11.53 with TCHP vs $524.70 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 $11.53 ↓ -87%
AETNA Medicare|All Plans $13.73 ↓ -84%
HUMANA Medicare|All Plans $13.73 ↓ -84%
Wellpoint Medicare|All Plans $14.14 ↓ -84%
CIGNA HEALTHSPRING Medicare|All Other Plans $14.42 ↓ -84%
UNITED Medicare|All Plans $14.42 ↓ -84%
BCBS Medicare|All Plans $14.42 ↓ -84%
CIGNA HEALTHSPRING Medicare|PPO $14.55 ↓ -83%
SCANHealth Medicare|All Plans $14.69 ↓ -83%
MD Save Commercial|All Plans $17.16 ↓ -80%
Wellpoint Medicaid|All Other Plans $18.81 ↓ -78%
UNITED Medicaid|All Other Plans $18.81 ↓ -78%
UNITED Medicaid|CHIP $18.81 ↓ -78%
UNITED Medicaid|STAR $18.81 ↓ -78%
UNITED Medicaid|STARKIDS $18.81 ↓ -78%
SUPERIOR Medicaid|STARPLUS $18.81 ↓ -78%
SUPERIOR Medicaid|All Other Plans $18.81 ↓ -78%
CIGNA HEALTHSPRING Medicaid|STARPLUS $19.19 ↓ -78%
Wellpoint Medicaid|STARPLUS $19.37 ↓ -78%
BCBS Medicaid|All Plans $19.75 ↓ -77%
Wellpoint Commercial|Exchange $21.63 ↓ -75%
BCBS-TX Commercial|Blue Advantage HMO $26.09 ↓ -70%
Wellpoint Medicaid|STAR $29.53 ↓ -66%
SUPERIOR Medicaid|STAR $29.53 ↓ -66%
UNITED Medicaid|STARPLUS $33.67 ↓ -61%
Entrust Commercial|All Plans $35.70 ↓ -59%
Angelina County Commercial|All Plans $37.48 ↓ -57%
Brookshire Brothers Commercial|All Plans $41.19 ↓ -53%
BCBS-TX Commercial|Blue Premier $45.31 ↓ -48%
BCBS-TX Commercial|HMO $48.06 ↓ -45%
BCBS-TX Commercial|PPO $55.47 ↓ -37%
Cigna Commercial|All Plans $59.81 ↓ -32%
United Commercial|Exchange $104.94 ↑ +20%
United Commercial|All Other Plans $134.09 ↑ +53%
Aetna Commercial|All Plans $145.75 ↑ +67%
PHCS Commercial|All Plans $396.44 ↑ +353%
Multiplan Commercial|All Plans $408.10 ↑ +367%
Humana Commercial|All Plans $408.10 ↑ +367%
Galaxy Commercial|All Plans $524.70 ↑ +500%

Visitor-reported prices

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Mayo sirolimus therapeutic drug level at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $162.75 $10.00 – $203.44
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $115.49 $12.00 – $173.23
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $112.13 $11.53 – $140.16
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $162.75 $10.00 – $203.44
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $115.49 $12.00 – $173.23
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $115.49 $8.00 – $173.23
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $112.13 $11.53 – $168.19
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $162.75 $10.00 – $203.44

All Texas hospitals for this procedure →