Warde cadmium blood 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

$21.60

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.

$144.00

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.

$19.86 with TCHP vs $129.60 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 $19.86 ↓ -8%
AETNA Medicare|All Plans $23.64 ↑ +9%
HUMANA Medicare|All Plans $23.64 ↑ +9%
Wellpoint Medicare|All Plans $24.35 ↑ +13%
CIGNA HEALTHSPRING Medicare|All Other Plans $24.82 ↑ +15%
UNITED Medicare|All Plans $24.82 ↑ +15%
BCBS Medicare|All Plans $24.82 ↑ +15%
CIGNA HEALTHSPRING Medicare|PPO $25.06 ↑ +16%
SCANHealth Medicare|All Plans $25.29 ↑ +17%
United Commercial|Exchange $25.92 ↑ +20%
MD Save Commercial|All Plans $29.55 ↑ +37%
UNITED Medicaid|All Other Plans $32.39 ↑ +50%
SUPERIOR Medicaid|STARPLUS $32.39 ↑ +50%
SUPERIOR Medicaid|All Other Plans $32.39 ↑ +50%
Wellpoint Medicaid|All Other Plans $32.39 ↑ +50%
UNITED Medicaid|STARKIDS $32.39 ↑ +50%
UNITED Medicaid|STAR $32.39 ↑ +50%
UNITED Medicaid|CHIP $32.39 ↑ +50%
CIGNA HEALTHSPRING Medicaid|STARPLUS $33.04 ↑ +53%
United Commercial|All Other Plans $33.12 ↑ +53%
Wellpoint Medicaid|STARPLUS $33.36 ↑ +54%
BCBS Medicaid|All Plans $34.01 ↑ +57%
Aetna Commercial|All Plans $36.00 ↑ +67%
Wellpoint Commercial|Exchange $37.23 ↑ +72%
BCBS-TX Commercial|Blue Advantage HMO $44.92 ↑ +108%
SUPERIOR Medicaid|STAR $50.85 ↑ +135%
Wellpoint Medicaid|STAR $50.85 ↑ +135%
UNITED Medicaid|STARPLUS $57.98 ↑ +168%
Entrust Commercial|All Plans $61.46 ↑ +185%
Angelina County Commercial|All Plans $64.54 ↑ +199%
Brookshire Brothers Commercial|All Plans $70.92 ↑ +228%
BCBS-TX Commercial|Blue Premier $78.01 ↑ +261%
BCBS-TX Commercial|HMO $82.74 ↑ +283%
BCBS-TX Commercial|PPO $95.51 ↑ +342%
PHCS Commercial|All Plans $97.92 ↑ +353%
Multiplan Commercial|All Plans $100.80 ↑ +367%
Humana Commercial|All Plans $100.80 ↑ +367%
Cigna Commercial|All Plans $101.68 ↑ +371%
Galaxy Commercial|All Plans $129.60 ↑ +500%

Visitor-reported prices

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Warde cadmium blood at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $87.88 $10.00 – $56.74
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $105.44 $3.80 – $56.74
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $94.15 $12.00 – $56.74
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $87.88 $10.00 – $56.74
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $105.44 $12.00 – $56.74
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $105.44 $8.00 – $56.74
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $94.15 $12.00 – $56.74
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $87.88 $10.00 – $56.74

All Texas hospitals for this procedure →