Pr biopsy skin punch single lesion 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

$105.90

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.

$706.00

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.

$58.27 with BCBS-TX vs $1,054.83 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
BCBS-TX Commercial|Blue Advantage HMO $58.27 ↓ -45%
SUPERIOR Medicaid|All Other Plans $79.46 ↓ -25%
UNITED Medicaid|All Other Plans $79.46 ↓ -25%
UNITED Medicaid|STAR $79.46 ↓ -25%
Wellpoint Medicaid|All Other Plans $79.46 ↓ -25%
UNITED Medicaid|STARKIDS $79.46 ↓ -25%
TCHP Medicaid|All Plans $79.46 ↓ -25%
SUPERIOR Medicaid|STARPLUS $79.46 ↓ -25%
CIGNA HEALTHSPRING Medicaid|STARPLUS $81.05 ↓ -23%
Wellpoint Medicaid|STARPLUS $81.84 ↓ -23%
BCBS Medicaid|All Plans $83.43 ↓ -21%
SUPERIOR Medicaid|STAR $124.75 ↑ +18%
Wellpoint Medicaid|STAR $124.75 ↑ +18%
United Commercial|Exchange $127.08 ↑ +20%
BCBS-TX Commercial|Blue Premier $129.79 ↑ +23%
BCBS-TX Commercial|HMO $132.44 ↑ +25%
UNITED Medicaid|STARPLUS $142.23 ↑ +34%
BCBS-TX Commercial|PPO $145.68 ↑ +38%
United Commercial|All Other Plans $162.38 ↑ +53%
Aetna Commercial|All Plans $176.50 ↑ +67%
Cigna Commercial|All Plans $289.00 ↑ +173%
HUMANA Medicare|All Plans $351.61 ↑ +232%
AETNA Medicare|All Plans $351.61 ↑ +232%
Wellpoint Medicare|All Plans $362.16 ↑ +242%
CIGNA HEALTHSPRING Medicare|All Other Plans $369.19 ↑ +249%
CIGNA HEALTHSPRING Medicare|PPO $372.71 ↑ +252%
BCBS Medicare|All Plans $396.52 ↑ +274%
UNITED Medicare|All Plans $396.52 ↑ +274%
SCANHealth Medicare|All Plans $404.07 ↑ +282%
MD Save Commercial|All Plans $439.51 ↑ +315%
PHCS Commercial|All Plans $480.08 ↑ +353%
Multiplan Commercial|All Plans $494.20 ↑ +367%
Humana Commercial|All Plans $494.20 ↑ +367%
Wellpoint Commercial|Exchange $594.78 ↑ +462%
Galaxy Commercial|All Plans $635.40 ↑ +500%
Entrust Commercial|All Plans $734.24 ↑ +593%
Angelina County Commercial|All Plans $959.90 ↑ +806%
Brookshire Brothers Commercial|All Plans $1,054.83 ↑ +896%

Visitor-reported prices

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Pr biopsy skin punch single lesion at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $942.01 $110.36 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $505.18 $79.46 – $987.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $366.37 $71.00 – $987.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $520.85 $71.00 – $987.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $505.18 $79.46 – $987.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $366.37 $85.00 – $987.79
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $366.37 $79.46 – $987.79
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $520.85 $71.00 – $987.79

All Texas hospitals for this procedure →