Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at St. Luke's Health Memorial Livingston

1717 Highway 59 Bypass, Livingston, TX · CommonSpirit Health · · NPI 1689650616

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$440.51

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$2,936.73

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.90 with HUMANA vs $38.95 with BCBS-TX — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
HUMANA Medicare|All Plans $3.90 ↓ -99%
AETNA Medicare|All Plans $3.90 ↓ -99%
UNITED Medicare|All Plans $3.90 ↓ -99%
BCBS Medicare|All Plans $3.90 ↓ -99%
CIGNA HEALTHSPRING Medicare|All Other Plans $3.90 ↓ -99%
CIGNA HEALTHSPRING Medicare|PPO $3.94 ↓ -99%
Wellpoint Medicare|All Plans $4.02 ↓ -99%
SCANHealth Medicare|All Plans $4.17 ↓ -99%
MD Save Commercial|All Plans $4.87 ↓ -99%
Cigna Commercial|All Plans $5.46 ↓ -99%
Wellpoint Commercial|Exchange $5.85 ↓ -99%
Angelina County Commercial|All Plans $6.24 ↓ -99%
United Commercial|Exchange $8.57 ↓ -98%
Entrust Commercial|All Plans $10.13 ↓ -98%
Brookshire Brothers Commercial|All Plans $11.69 ↓ -97%
United Commercial|All Other Plans $14.03 ↓ -97%
Humana Commercial|All Plans $18.70 ↓ -96%
Aetna Commercial|All Plans $23.76 ↓ -95%
PHCS Commercial|All Plans $26.49 ↓ -94%
Multiplan Commercial|All Plans $27.27 ↓ -94%
Galaxy Commercial|All Plans $35.06 ↓ -92%
BCBS-TX Commercial|Blue Premier $38.95 ↓ -91%
BCBS-TX Commercial|Blue Advantage HMO $38.95 ↓ -91%
BCBS-TX Commercial|HMO $38.95 ↓ -91%
BCBS-TX Commercial|PPO $38.95 ↓ -91%

Visitor-reported prices

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Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $620.18 $451.30 – $451.30
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $804.01 $133.47 – $1,049.49
Covenant Children's Hospital Lubbock $858.60 $438.40 – $507.19
HCA HOUSTON CONROE CONROE $443.52 $133.47 – $1,049.49
HCA HOUSTON KINGWOOD HUMBLE $1,806.96 $133.47 – $1,049.49
St. Luke's Health - Patients Medical Center Pasadena $176.77 $50.51 – $378.79
Baylor St Luke's Medical Center Houston $161.19 $11.13 – $96.56
St. Luke's Health Memorial Lufkin Lufkin $440.51 $3.51 – $38.95

All Texas hospitals for this procedure →