Chest X-ray, 2 views at St. Luke's Health Memorial San Augustine. CPT 71046.

What St. Luke's Health Memorial San Augustine publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$200cash price (self-pay)

$1,333list price

$80.13–$1,386range insurers pay

Insurance plan	Negotiated rate
AETNA \| Medicare\|All Plans	$80.13
HUMANA \| Medicare\|All Plans	$80.13
Wellpoint \| Medicare\|All Plans	$82.53
CIGNA HEALTHSPRING \| Medicare\|All Other Plans	$84.14
CIGNA HEALTHSPRING \| Medicare\|PPO	$84.94
BCBS \| Medicare\|All Plans	$87.39
UNITED \| Medicare\|All Plans	$87.39
SCANHealth \| Medicare\|All Plans	$89.06
MD Save \| Commercial\|All Plans	$100
Cigna \| Commercial\|All Plans	$103
SUPERIOR \| Medicaid\|All Other Plans	$109
SUPERIOR \| Medicaid\|STARPLUS	$109
UNITED \| Medicaid\|All Other Plans	$109
UNITED \| Medicaid\|STAR	$109
Wellpoint \| Medicaid\|All Other Plans	$109
TCHP \| Medicaid\|All Plans	$109
CIGNA HEALTHSPRING \| Medicaid\|STARPLUS	$111
Wellpoint \| Medicaid\|STARPLUS	$112
BCBS \| Medicaid\|All Plans	$115
Wellpoint \| Commercial\|Exchange	$131
BCBS-TX \| Commercial\|Blue Advantage HMO	$150
SUPERIOR \| Medicaid\|STAR	$171
Wellpoint \| Medicaid\|STAR	$171
UNITED \| Medicaid\|STARPLUS	$195
BCBS-TX \| Commercial\|Blue Premier	$207
BCBS-TX \| Commercial\|HMO	$215
Angelina County \| Commercial\|All Plans	$219
BCBS-TX \| Commercial\|PPO	$239
United \| Commercial\|Exchange	$240
Brookshire Brothers \| Commercial\|All Plans	$240

$200cash price (self-pay)

$1,333list price

$333–$1,333range insurers pay

Insurance plan	Negotiated rate
Aetna \| Commercial\|All Plans	$333
Humana \| Commercial\|All Plans	$933
Multiplan \| Commercial\|All Plans	$933
PHCS \| Commercial\|All Plans	$1,066
Galaxy \| Commercial\|All Plans	$1,200
United \| Commercial\|Exchange	$1,333

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