Diphtheria-tetanus toxoids 0.5 ml (peds) 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

$133.96

Cash price

?

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.

Full explanation →

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

$893.05

Gross charge

?

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.

$80.38 with BCBS-TX vs $803.75 with Galaxy — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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
BCBS-TX Commercial|Blue Premier $80.38 ↓ -40%
BCBS-TX Commercial|Blue Advantage HMO $83.01 ↓ -38%
Cigna Commercial|All Plans $83.64 ↓ -38%
BCBS-TX Commercial|HMO $84.51 ↓ -37%
BCBS-TX Commercial|PPO $97.28 ↓ -27%
United Commercial|Exchange $160.75 ↑ +20%
United Commercial|All Other Plans $205.41 ↑ +53%
Aetna Commercial|All Plans $223.27 ↑ +67%
Entrust Commercial|All Plans $357.22 ↑ +167%
Angelina County Commercial|All Plans $357.22 ↑ +167%
PHCS Commercial|All Plans $607.28 ↑ +353%
Humana Commercial|All Plans $625.14 ↑ +367%
Multiplan Commercial|All Plans $625.14 ↑ +367%
Galaxy Commercial|All Plans $803.75 ↑ +500%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Diphtheria-tetanus toxoids 0.5 ml (peds) at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CONROE CONROE $145.63 $30.31 – $575.34
HCA HOUSTON KINGWOOD HUMBLE $1,011.19 $30.31 – $575.34
St. Luke's Health Memorial Lufkin Lufkin $133.96 $80.38 – $803.75
HCA HOUSTON SOUTHEAST PASADENA $521.18 $30.31 – $575.34
St. Luke's Health Memorial Livingston Livingston $133.96 $80.38 – $803.75
Covenant Hospital Plainview Plainview $5.88 $139.35 – $139.35
Ascension Seton Cedar Park Hospital Cedar Park $67.32 $126.20 – $157.38
Adventhealth Rollins Brook Lampasas not published $144.61 – $144.61

All Texas hospitals for this procedure →