Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (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

$5,413.24

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.

$36,088.21

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.

$10.32 with AETNA vs $16,239.70 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
AETNA Medicare|All Plans $10.32 ↓ -100%
HUMANA Medicare|All Plans $10.32 ↓ -100%
Wellpoint Medicare|All Plans $10.63 ↓ -100%
CIGNA HEALTHSPRING Medicare|All Other Plans $10.84 ↓ -100%
CIGNA HEALTHSPRING Medicare|PPO $10.94 ↓ -100%
BCBS Medicare|All Plans $11.40 ↓ -100%
UNITED Medicare|All Plans $11.40 ↓ -100%
SCANHealth Medicare|All Plans $11.62 ↓ -100%
Cigna Commercial|All Plans $12.62 ↓ -100%
MD Save Commercial|All Plans $12.90 ↓ -100%
Wellpoint Commercial|Exchange $17.88 ↓ -100%
BCBS-TX Commercial|Blue Premier $18.53 ↓ -100%
BCBS-TX Commercial|Blue Advantage HMO $19.14 ↓ -100%
BCBS-TX Commercial|HMO $19.49 ↓ -100%
BCBS-TX Commercial|PPO $22.43 ↓ -100%
Angelina County Commercial|All Plans $27.03 ↓ -100%
Brookshire Brothers Commercial|All Plans $29.79 ↓ -99%
United Commercial|Exchange $3,247.94 ↓ -40%
United Commercial|All Other Plans $4,150.15 ↓ -23%
Aetna Commercial|All Plans $4,511.03 ↓ -17%
Entrust Commercial|All Plans $7,217.65 ↑ +33%
PHCS Commercial|All Plans $12,270.00 ↑ +127%
Multiplan Commercial|All Plans $12,630.88 ↑ +133%
Humana Commercial|All Plans $12,630.88 ↑ +133%
Galaxy Commercial|All Plans $16,239.70 ↑ +200%

Visitor-reported prices

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Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $14,720.43 $33.34 – $33.34
Covenant Children's Hospital Lubbock $17,246.74 $32.39 – $42.01
HCA HOUSTON KINGWOOD HUMBLE $5,153.20 $12.11 – $29.04
St. Luke's Health Memorial Lufkin Lufkin $5,413.24 $12.62 – $16,239.70
St. Luke's Health Memorial Livingston Livingston $5,413.24 $12.62 – $16,239.70
Texas Health Hospital Mansfield Mansfield $9,045.53 $11.46 – $24.14
Ascension Seton Edgar B. Davis (Ascension Seton) Luling $455.40 $10.37 – $36.29
Adventhealth Central Texas Killeen $14,720.43 $12.07 – $33.34

All Texas hospitals for this procedure →