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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 planNegotiated 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 planNegotiated 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