X-ray skull < 4 views 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

$110.25

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.

$735.00

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.

$96.94 with AETNA vs $764.40 with Entrust — 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 $96.94 ↓ -12%
HUMANA Medicare|All Plans $96.94 ↓ -12%
Wellpoint Medicare|All Plans $99.85 ↓ -9%
CIGNA HEALTHSPRING Medicare|All Other Plans $101.79 ↓ -8%
CIGNA HEALTHSPRING Medicare|PPO $102.76 ↓ -7%
BCBS Medicare|All Plans $105.54 ↓ -4%
UNITED Medicare|All Plans $105.54 ↓ -4%
SCANHealth Medicare|All Plans $107.55 ↓ -2%
Cigna Commercial|All Plans $120.96 ↑ +10%
MD Save Commercial|All Plans $121.17 ↑ +10%
SUPERIOR Medicaid|STARPLUS $131.99 ↑ +20%
SUPERIOR Medicaid|All Other Plans $131.99 ↑ +20%
UNITED Medicaid|All Other Plans $131.99 ↑ +20%
UNITED Medicaid|STAR $131.99 ↑ +20%
Wellpoint Medicaid|All Other Plans $131.99 ↑ +20%
United Commercial|Exchange $132.30 ↑ +20%
CIGNA HEALTHSPRING Medicaid|STARPLUS $134.63 ↑ +22%
TCHP Medicaid|All Plans $134.67 ↑ +22%
Wellpoint Medicaid|STARPLUS $135.95 ↑ +23%
BCBS Medicaid|All Plans $138.59 ↑ +26%
Wellpoint Commercial|Exchange $158.31 ↑ +44%
United Commercial|All Other Plans $169.05 ↑ +53%
Aetna Commercial|All Plans $183.75 ↑ +67%
SUPERIOR Medicaid|STAR $207.22 ↑ +88%
Wellpoint Medicaid|STAR $207.22 ↑ +88%
BCBS-TX Commercial|Blue Advantage HMO $210.71 ↑ +91%
UNITED Medicaid|STARPLUS $236.26 ↑ +114%
Angelina County Commercial|All Plans $264.65 ↑ +140%
BCBS-TX Commercial|Blue Premier $290.29 ↑ +163%
Brookshire Brothers Commercial|All Plans $290.82 ↑ +164%
BCBS-TX Commercial|HMO $301.50 ↑ +173%
BCBS-TX Commercial|PPO $335.12 ↑ +204%
PHCS Commercial|All Plans $499.80 ↑ +353%
Multiplan Commercial|All Plans $514.50 ↑ +367%
Humana Commercial|All Plans $514.50 ↑ +367%
Galaxy Commercial|All Plans $661.50 ↑ +500%
Entrust Commercial|All Plans $764.40 ↑ +593%

Visitor-reported prices

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X-ray skull < 4 views at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $615.53 $431.51 – $431.51
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $277.54 $36.09 – $346.92
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $309.63 $63.73 – $464.44
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $312.96 $36.09 – $391.20
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $277.54 $36.09 – $346.92
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $309.63 $38.62 – $464.44
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $309.63 $36.09 – $464.44
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $312.96 $36.09 – $469.44

All Texas hospitals for this procedure →