St. Luke's Health Memorial San Augustine — price list

← Hospital overviewVerified from St. Luke's Health Memorial San Augustine’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

371 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Acne surgery Outpatient	10040 CPT	—	—	$115 – $530	—
Allogeneic bone marrow transplant Inpatient	0071 APR-DRG	—	—	$118,935 – $124,882	—
Allogeneic bone marrow transplant Inpatient	0072 APR-DRG	—	—	$181,128 – $190,184	—
Allogeneic bone marrow transplant Inpatient	0073 APR-DRG	—	—	$269,580 – $283,059	—
Allogeneic bone marrow transplant Inpatient	0074 APR-DRG	—	—	$763,983 – $802,182	—
Allogeneic bone marrow transplant Inpatient	014 MS-DRG	—	—	$89,092 – $147,264	—
Alteration in consciousness Inpatient	0521 APR-DRG	—	—	$7,782 – $8,171	—
Alteration in consciousness Inpatient	0522 APR-DRG	—	—	$9,996 – $10,496	—
Alteration in consciousness Inpatient	0523 APR-DRG	—	—	$12,715 – $13,351	—
Alteration in consciousness Inpatient	0524 APR-DRG	—	—	$34,413 – $36,134	—
Anesthesia MRI or CT cc line Inpatient	01922 CPT	$1,523	$228	$381 – $1,523	—
Anesthesia MRI or CT cc line Outpatient	01922 CPT	$1,523	$228	$100 – $1,584	—
Anoxic and other severe brain damage Inpatient	0591 APR-DRG	—	—	$17,738 – $18,625	—
Anoxic and other severe brain damage Inpatient	0592 APR-DRG	—	—	$21,984 – $23,083	—
Anoxic and other severe brain damage Inpatient	0593 APR-DRG	—	—	$33,060 – $34,713	—
Anoxic and other severe brain damage Inpatient	0594 APR-DRG	—	—	$57,236 – $60,098	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0081 APR-DRG	—	—	$67,261 – $70,624	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0082 APR-DRG	—	—	$80,307 – $84,322	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0083 APR-DRG	—	—	$154,271 – $161,985	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0084 APR-DRG	—	—	$228,237 – $239,649	—
Autologous bone marrow transplant with cc/mcc Inpatient	016 MS-DRG	—	—	$41,044 – $67,844	—
Autologous bone marrow transplant without cc/mcc Inpatient	017 MS-DRG	—	—	$41,044 – $67,844	—
Bacterial and tuberculous infections of nervous system Inpatient	0491 APR-DRG	—	—	$15,103 – $15,858	—
Bacterial and tuberculous infections of nervous system Inpatient	0492 APR-DRG	—	—	$30,317 – $31,833	—
Bacterial and tuberculous infections of nervous system Inpatient	0493 APR-DRG	—	—	$32,052 – $33,655	—
Bacterial and tuberculous infections of nervous system Inpatient	0494 APR-DRG	—	—	$65,430 – $68,702	—
Bacterial and tuberculous infections of nervous system with cc Inpatient	095 MS-DRG	—	—	$16,301 – $26,945	—
Bacterial and tuberculous infections of nervous system with mcc Inpatient	094 MS-DRG	—	—	$24,811 – $41,011	—
Bacterial and tuberculous infections of nervous system without cc/mcc Inpatient	096 MS-DRG	—	—	$16,301 – $26,945	—
Bcr abl1 gene major bp Inpatient	0040U CPT	$1,699	$255	$425 – $1,699	—