Caffeine citrate 20 mg/ml inj for po at St. Luke's Health Memorial San Augustine

511 E. Hospital Street, San Augustine, TX · CommonSpirit Health · · NPI 1578547345

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

$36.02

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.

$240.11

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.

$1.72 with Cigna vs $56.52 with Galaxy — 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
Cigna Commercial|All Plans $1.72 ↓ -95%
BCBS-TX Commercial|Blue Premier $2.95 ↓ -92%
BCBS-TX Commercial|Blue Advantage HMO $3.05 ↓ -92%
BCBS-TX Commercial|HMO $3.11 ↓ -91%
BCBS-TX Commercial|PPO $3.57 ↓ -90%
United Commercial|Exchange $11.31 ↓ -69%
United Commercial|All Other Plans $14.45 ↓ -60%
Aetna Commercial|All Plans $15.70 ↓ -56%
Entrust Commercial|All Plans $25.12 ↓ -30%
Angelina County Commercial|All Plans $25.12 ↓ -30%
PHCS Commercial|All Plans $42.70 ↑ +19%
Humana Commercial|All Plans $43.96 ↑ +22%
Multiplan Commercial|All Plans $43.96 ↑ +22%
Galaxy Commercial|All Plans $56.52 ↑ +57%

Visitor-reported prices

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Caffeine citrate 20 mg/ml inj for po at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $335.66 $2.70 – $14.90
HCA HOUSTON MEDICAL CENTER Houston $429.49 $2.70 – $14.90
Covenant Children's Hospital Lubbock $60.50 $5.16 – $8.51
HCA HOUSTON NORTHWEST SPRING $17.86 $2.70 – $14.90
Baylor St Luke's Medical Center Houston $35.31 $1.24 – $5.80
St. Joseph Health Madison Hospital Madisonville $3.71 $0.60 – $4.23
St. Luke's Health Memorial Lufkin Lufkin $36.02 $1.72 – $56.52
HCA HOUSTON PEARLAND Pearland $110.87 $2.70 – $14.90

All Texas hospitals for this procedure →