Mayo tramadol definitive assay w metabolite quantitative urine 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

$16.65

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.

$111.00

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.

$9.00 with United vs $52.00 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 $9.00 ↓ -46%
TCHP Medicaid|All Plans $10.33 ↓ -38%
United Commercial|All Other Plans $11.50 ↓ -31%
Aetna Commercial|All Plans $12.50 ↓ -25%
UNITED Medicaid|All Other Plans $16.85 ↑ +1%
SUPERIOR Medicaid|STARPLUS $16.85 ↑ +1%
UNITED Medicaid|CHIP $16.85 ↑ +1%
UNITED Medicaid|STAR $16.85 ↑ +1%
UNITED Medicaid|STARKIDS $16.85 ↑ +1%
Wellpoint Medicaid|All Other Plans $16.85 ↑ +1%
SUPERIOR Medicaid|All Other Plans $16.85 ↑ +1%
CIGNA HEALTHSPRING Medicaid|STARPLUS $17.19 ↑ +3%
Wellpoint Medicaid|STARPLUS $17.36 ↑ +4%
BCBS Medicaid|All Plans $17.69 ↑ +6%
Wellpoint Medicaid|STAR $26.45 ↑ +59%
SUPERIOR Medicaid|STAR $26.45 ↑ +59%
UNITED Medicaid|STARPLUS $30.16 ↑ +81%
PHCS Commercial|All Plans $34.00 ↑ +104%
Humana Commercial|All Plans $35.00 ↑ +110%
Multiplan Commercial|All Plans $35.00 ↑ +110%
Galaxy Commercial|All Plans $45.00 ↑ +170%
Cigna Commercial|All Plans $50.00 ↑ +200%
Entrust Commercial|All Plans $52.00 ↑ +212%

Visitor-reported prices

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Mayo tramadol definitive assay w metabolite quantitative urine at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $168.67 $10.00 – $238.94
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $296.88 $12.00 – $445.32
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $294.53 $10.33 – $368.16
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $168.67 $10.00 – $238.94
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $296.88 $11.05 – $445.32
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $296.88 $8.00 – $445.32
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $294.53 $10.33 – $441.79
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $168.67 $10.00 – $238.94

All Texas hospitals for this procedure →