Nivolumab 10 mg/ml intravenous solution (wrapper) 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

$1,103.97

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.

$7,359.80

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.

$10.47 with Cigna vs $86.31 with Brookshire Brothers — 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
Cigna Commercial|All Plans $10.47 ↓ -99%
United Commercial|Exchange $13.47 ↓ -99%
United Commercial|All Other Plans $17.20 ↓ -98%
Aetna Commercial|All Plans $18.70 ↓ -98%
HUMANA Medicare|All Plans $29.24 ↓ -97%
AETNA Medicare|All Plans $29.24 ↓ -97%
Entrust Commercial|All Plans $29.92 ↓ -97%
Wellpoint Medicare|All Plans $30.12 ↓ -97%
CIGNA HEALTHSPRING Medicare|All Other Plans $30.70 ↓ -97%
CIGNA HEALTHSPRING Medicare|PPO $30.99 ↓ -97%
UNITED Medicare|All Plans $32.11 ↓ -97%
BCBS Medicare|All Plans $32.11 ↓ -97%
SCANHealth Medicare|All Plans $32.72 ↓ -97%
MD Save Commercial|All Plans $36.55 ↓ -97%
Wellpoint Commercial|Exchange $49.13 ↓ -96%
PHCS Commercial|All Plans $50.86 ↓ -95%
Humana Commercial|All Plans $52.35 ↓ -95%
Multiplan Commercial|All Plans $52.35 ↓ -95%
BCBS-TX Commercial|Blue Premier $58.79 ↓ -95%
BCBS-TX Commercial|Blue Advantage HMO $60.71 ↓ -95%
BCBS-TX Commercial|HMO $61.81 ↓ -94%
Galaxy Commercial|All Plans $67.31 ↓ -94%
BCBS-TX Commercial|PPO $71.15 ↓ -94%
Angelina County Commercial|All Plans $78.57 ↓ -93%
Brookshire Brothers Commercial|All Plans $86.31 ↓ -92%

Visitor-reported prices

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Nivolumab 10 mg/ml intravenous solution (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $6,764.78 $105.76 – $105.76
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $5,755.96 $31.19 – $2,900.49
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $5,755.96 $31.66 – $3,480.59
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $5,755.96 $31.66 – $2,900.49
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $5,755.96 $31.19 – $2,900.49
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $5,755.96 $31.66 – $3,480.59
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $5,755.96 $36.99 – $3,480.59
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $5,755.96 $31.66 – $3,480.59

All Texas hospitals for this procedure →