St. Luke's Health Memorial San Augustine prices. From its own published file.

St. Luke's Health Memorial San Augustine in San Augustine, TX publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

8,518prices published

Feb 2026file last updated

$2,042cash price for ct abdomen and pelvis with contrast (list $13,616)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$40.95	$344	$49.14–$2,128
Emergency visit, high (level 4) `99284`	$481	$3,209	$391–$5,170
Emergency visit, highest (level 5) `99285`	$698	$4,650	$566–$7,491
Comprehensive metabolic panel `80053`	$1.76	$31.00	$2.11–$1,196
Basic metabolic panel `80048`	$4.35	$300	$5.22–$512
Complete blood count (CBC) `85025`	$3.45	$359	$4.14–$396
Blood draw (venipuncture) `36415`	$2.55	$71.00	$3.06–$114
Urinalysis `81001`	$2.55	$201	$2.66–$347
Troponin (heart test) `84484`	$50.34	$336	$10.47–$459
EKG tracing `93005`	$115	$973	$53.94–$1,226
Chest X-ray, 2 views `71046`	$200	$1,333	$80.13–$1,386
CT head without contrast `70450`	$815	$5,436	$96.94–$5,653
CT abdomen and pelvis with contrast `74177`	$2,042	$13,616	$339–$14,161
MRI lower back without contrast `72148`	$1,177	$7,848	$216–$8,162
Ultrasound, abdomen `76700`	$521	$3,470	$96.94–$3,609
IV push, single drug `96374`	$114	$762	$84.83–$792
IV fluids, first hour `96360`	$179	$1,196	$82.52–$1,244
Ketorolac injection, 15 mg `J1885`	$5.85	$97.37	$0.39–$868
Ondansetron injection `J2405`	$5.85	$125	$0.90–$1,043
Colonoscopy, diagnostic `45378`	—	—	$329–$2,957
Upper GI endoscopy with biopsy `43239`	—	—	$335–$2,957
Knee arthroscopy `29881`	—	—	$1,088–$8,563
Vaginal delivery, routine care `59400`	—	—	$1,437–$3,593
Cesarean delivery, routine care `59510`	—	—	$1,594–$3,984

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: St. Luke's Health Memorial San Augustine price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.