Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) 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

$22,553.12

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.

$150,354.12

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.

$145.73 with AETNA vs $125,720.10 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 $145.73 ↓ -99%
HUMANA Medicare|All Plans $145.73 ↓ -99%
Wellpoint Medicare|All Plans $150.10 ↓ -99%
CIGNA HEALTHSPRING Medicare|All Other Plans $153.02 ↓ -99%
CIGNA HEALTHSPRING Medicare|PPO $154.47 ↓ -99%
BCBS Medicare|All Plans $161.24 ↓ -99%
UNITED Medicare|All Plans $161.24 ↓ -99%
SCANHealth Medicare|All Plans $164.31 ↓ -99%
Cigna Commercial|All Plans $178.22 ↓ -99%
MD Save Commercial|All Plans $182.16 ↓ -99%
Wellpoint Commercial|Exchange $255.98 ↓ -99%
BCBS-TX Commercial|Blue Premier $258.41 ↓ -99%
BCBS-TX Commercial|Blue Advantage HMO $266.86 ↓ -99%
BCBS-TX Commercial|HMO $271.69 ↓ -99%
BCBS-TX Commercial|PPO $312.74 ↓ -99%
Angelina County Commercial|All Plans $386.84 ↓ -98%
Brookshire Brothers Commercial|All Plans $425.10 ↓ -98%
United Commercial|Exchange $25,144.02 ↑ +11%
United Commercial|All Other Plans $32,128.47 ↑ +42%
Aetna Commercial|All Plans $34,922.25 ↑ +55%
Entrust Commercial|All Plans $55,875.60 ↑ +148%
PHCS Commercial|All Plans $94,988.52 ↑ +321%
Multiplan Commercial|All Plans $97,782.30 ↑ +334%
Humana Commercial|All Plans $97,782.30 ↑ +334%
Galaxy Commercial|All Plans $125,720.10 ↑ +457%

Visitor-reported prices

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Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $14,951.87 $187.57 – $14,013.43
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $14,951.87 $217.19 – $16,816.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $14,951.87 $187.57 – $14,013.43
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $14,951.87 $187.57 – $14,013.43
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $14,951.87 $187.57 – $16,816.12
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $14,951.87 $217.19 – $16,816.12
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $14,951.87 $187.57 – $16,816.12
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $14,951.87 $187.57 – $14,013.43

All Texas hospitals for this procedure →