CHI St. Luke's Health · San Augustine, TX
14
In-network payers
290
Disclosed rate categories
18
Beds
Chi St. Lukes Health Memorial - San Augustine is an 18-bed voluntary non-profit - private hospital in San Augustine, TX, affiliated with CHI St. Luke's Health. Below you'll find publicly disclosed negotiated rates and facility details, including 14 in-network payers and 290 disclosed rate categories.
CCN (Medicare provider number)
451360
NPI
1578547345
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
18
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Chi St. Lukes Health Memorial - San Augustine most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$1,103 - $3,239
from 4 insurers · median $2,145
Typical for a hospital with this service line
CT imaging
CPT 74176
$264 - $2,788
from 4 insurers · median $1,677
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$331 - $1,560
from 3 insurers · median $1,435
Typical for a hospital with this service line
CT imaging
CPT 70450
$281 - $1,103
from 4 insurers · median $498
Typical for a hospital with this service line
CT imaging
CPT 71275
$630 - $2,024
from 4 insurers · median $1,340
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$99 - $307
from 4 insurers · median $237
Typical for a hospital with this service line
Mammography
CPT 77067
$181 - $268
from 4 insurers · median $211
Typical for a hospital with this service line
Gynecology
CPT 58571
$8,720 - $12,157
from 2 insurers · median $10,438
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$7,420 - $8,720
from 2 insurers · median $8,070
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$775 - $2,957
from 3 insurers · median $1,441
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$790 - $2,957
from 3 insurers · median $1,300
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$550 - $2,957
from 3 insurers · median $1,053
Typical for a hospital with this service line
MRI imaging
CPT 70553
$544 - $3,629
from 4 insurers · median $998
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$961 - $8,247
from 3 insurers · median $3,058
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$750 - $2,957
from 3 insurers · median $1,123
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$267 - $664
from 4 insurers · median $516
Typical for a hospital with this service line
Ultrasound
CPT 76705
$112 - $652
from 4 insurers · median $271
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $2,226
from 4 insurers · median $684
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$3,623 - $5,602
from 2 insurers · median $4,613
Typical for a hospital with this service line
Ultrasound
CPT 76642
$215 - $521
from 4 insurers · median $352
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,800 - $3,710
from 3 insurers · median $3,623
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$2,011 - $3,623
from 2 insurers · median $2,817
Typical for a hospital with this service line
MRI imaging
CPT 72148
$400 - $1,844
from 4 insurers · median $630
Typical for a hospital with this service line
MRI imaging
CPT 74183
$603 - $2,557
from 4 insurers · median $1,099
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 14 | 670% | 14 | 0 |
| Insurer B* | 24 | 239% | 6 | 16 |
| Insurer C* | 23 | 229% | 5 | 3 |
| Insurer D* | 20 | 209% | 7 | 7 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Chi St. Lukes Health Memorial - San Augustine.
511 East Hospital Street, San Augustine, TX 75972
(936) 275-3446
The nearest hospitals of similar type and size. Their rates are compared with Chi St. Lukes Health Memorial - San Augustine for the same insurers and services above.
Sabine County Hospital
▲ Rates typically 12% higher than Chi St. Lukes Health Memorial - San Augustine (24 services)
Christus Coushatta Health Care Center
▲ Rates typically 45% higher than Chi St. Lukes Health Memorial - San Augustine (24 services)
Christus Trinity Mother Frances Hospital - Jacksonville
▲ Rates typically 9% higher than Chi St. Lukes Health Memorial - San Augustine (24 services)
Dequincy Memorial Hospital
▼ Rates typically 36% lower than Chi St. Lukes Health Memorial - San Augustine (24 services)
North Caddo Medical Center
▼ Rates typically 10% lower than Chi St. Lukes Health Memorial - San Augustine (24 services)
Jackson Parish Hospital
Rates about the same as Chi St. Lukes Health Memorial - San Augustine (18 services)
St. Joseph Health Madison Hospital - Madisonville Tx
Chi St. Joseph Health Burleson Hospital
St. Joseph Health Grimes Hospital - Navasota Tx
Seton Edgar B. Davis Hospital
About Chi St. Lukes Health Memorial - San Augustine's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Chi St. Lukes Health Memorial - San Augustine range from $544 to $3,629 across 4 insurers. Cigna's rate is $544. The median at nearby comparable hospitals is $802. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Chi St. Lukes Health Memorial - San Augustine range from $1,103 to $3,239 across 4 insurers. Aetna's rate is $3,239. The median at nearby comparable hospitals is $789. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Chi St. Lukes Health Memorial - San Augustine range from $775 to $2,957 across 3 insurers. Blue Cross Blue Shield's rate is $1,441. The median at nearby comparable hospitals is $1,500. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Chi St. Lukes Health Memorial - San Augustine range from $181 to $268 across 4 insurers. Aetna's rate is $181. The median at nearby comparable hospitals is $183. What a patient pays depends on their plan's deductible, coinsurance and network status.
Chi St. Lukes Health Memorial - San Augustine has 18 beds. Facility type: Critical Access Hospital.
Chi St. Lukes Health Memorial - San Augustine is located at 511 East Hospital Street, San Augustine, TX 75972. Its main phone number is (936) 275-3446.
Chi St. Lukes Health Memorial - San Augustine's CMS Certification Number (CCN), also called its Medicare provider number, is 451360.
The National Provider Identifier (NPI) on file for Chi St. Lukes Health Memorial - San Augustine is 1578547345.
Chi St. Lukes Health Memorial - San Augustine is affiliated with CHI St. Luke's Health.
Chi St. Lukes Health Memorial - San Augustine lists 14 in-network payers, including Aetna, BCBS, Centene, Cigna, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
290 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers