Emergency visit, highest (level 5) at St. Luke's Health Memorial San Augustine. CPT 99285.
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
$698cash price (self-pay)
$4,650list price
$566–$7,491range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA | Medicare|All Plans | $566 |
| HUMANA | Medicare|All Plans | $566 |
| Wellpoint | Medicare|All Plans | $583 |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $595 |
| CIGNA HEALTHSPRING | Medicare|PPO | $600 |
| BCBS | Medicare|All Plans | $608 |
| UNITED | Medicare|All Plans | $608 |
| SCANHealth | Medicare|All Plans | $620 |
| MD Save | Commercial|All Plans | $708 |
| United | Commercial|Exchange | $837 |
| Wellpoint | Commercial|Exchange | $913 |
| United | Commercial|All Other Plans | $1,070 |
| BCBS-TX | Commercial|Blue Premier | $1,080 |
| Aetna | Commercial|All Plans | $1,163 |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,231 |
| BCBS-TX | Commercial|HMO | $1,236 |
| BCBS-TX | Commercial|PPO | $1,342 |
| Angelina County | Commercial|All Plans | $1,546 |
| Brookshire Brothers | Commercial|All Plans | $1,699 |
| PHCS | Commercial|All Plans | $3,162 |
| Humana | Commercial|All Plans | $3,255 |
| Multiplan | Commercial|All Plans | $3,255 |
| Galaxy | Commercial|All Plans | $4,185 |
| SUPERIOR | Medicaid|All Other Plans | $4,185 |
| SUPERIOR | Medicaid|STARPLUS | $4,185 |
| TCHP | Medicaid|All Plans | $4,185 |
| UNITED | Medicaid|All Other Plans | $4,185 |
| UNITED | Medicaid|CHIP | $4,185 |
| UNITED | Medicaid|STAR | $4,185 |
| UNITED | Medicaid|STARKIDS | $4,185 |
Inpatient
$698cash price (self-pay)
$4,650list price
$1,163–$4,650range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial|All Plans | $1,163 |
| Humana | Commercial|All Plans | $3,255 |
| Multiplan | Commercial|All Plans | $3,255 |
| PHCS | Commercial|All Plans | $3,720 |
| Galaxy | Commercial|All Plans | $4,185 |
| United | Commercial|Exchange | $4,650 |
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All common services at St. Luke's Health Memorial San Augustine