Serpina1 gene 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

$105.27

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.

$701.76

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.

$36.67 with TCHP vs $631.59 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 $36.67 ↓ -65%
AETNA Medicare|All Plans $43.65 ↓ -59%
HUMANA Medicare|All Plans $43.65 ↓ -59%
Wellpoint Medicare|All Plans $44.96 ↓ -57%
CIGNA HEALTHSPRING Medicare|All Other Plans $45.83 ↓ -56%
UNITED Medicare|All Plans $45.83 ↓ -56%
BCBS Medicare|All Plans $45.83 ↓ -56%
CIGNA HEALTHSPRING Medicare|PPO $46.27 ↓ -56%
SCANHealth Medicare|All Plans $46.71 ↓ -56%
MD Save Commercial|All Plans $54.56 ↓ -48%
Wellpoint Medicaid|All Other Plans $59.80 ↓ -43%
UNITED Medicaid|All Other Plans $59.80 ↓ -43%
UNITED Medicaid|CHIP $59.80 ↓ -43%
UNITED Medicaid|STAR $59.80 ↓ -43%
UNITED Medicaid|STARKIDS $59.80 ↓ -43%
SUPERIOR Medicaid|STARPLUS $59.80 ↓ -43%
SUPERIOR Medicaid|All Other Plans $59.80 ↓ -43%
CIGNA HEALTHSPRING Medicaid|STARPLUS $61.00 ↓ -42%
Wellpoint Medicaid|STARPLUS $61.59 ↓ -41%
BCBS Medicaid|All Plans $62.79 ↓ -40%
Wellpoint Commercial|Exchange $68.75 ↓ -35%
BCBS-TX Commercial|Blue Advantage HMO $82.94 ↓ -21%
Wellpoint Medicaid|STAR $93.89 ↓ -11%
SUPERIOR Medicaid|STAR $93.89 ↓ -11%
UNITED Medicaid|STARPLUS $107.04 ↑ +2%
Entrust Commercial|All Plans $113.49 ↑ +8%
Angelina County Commercial|All Plans $119.16 ↑ +13%
United Commercial|Exchange $126.32 ↑ +20%
Brookshire Brothers Commercial|All Plans $130.95 ↑ +24%
BCBS-TX Commercial|Blue Premier $144.05 ↑ +37%
BCBS-TX Commercial|HMO $152.78 ↑ +45%
United Commercial|All Other Plans $161.41 ↑ +53%
Aetna Commercial|All Plans $175.44 ↑ +67%
BCBS-TX Commercial|PPO $176.35 ↑ +68%
Cigna Commercial|All Plans $188.45 ↑ +79%
PHCS Commercial|All Plans $477.20 ↑ +353%
Multiplan Commercial|All Plans $491.24 ↑ +367%
Humana Commercial|All Plans $491.24 ↑ +367%
Galaxy Commercial|All Plans $631.59 ↑ +500%

Visitor-reported prices

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Serpina1 gene at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $335.18 $35.00 – $418.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $310.54 $36.00 – $465.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $310.54 $36.00 – $388.18
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $335.18 $35.00 – $418.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $310.54 $36.00 – $465.81
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $310.54 $26.00 – $465.81
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $310.54 $36.00 – $465.81
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $335.18 $35.00 – $418.97

All Texas hospitals for this procedure →