Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im 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

$5.85

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.

Full explanation →

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

$38.95

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.

$5.46 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 $5.46 ↓ -7%
AETNA Medicare|All Plans $5.46 ↓ -7%
Cigna Commercial|All Plans $5.46 ↓ -7%
Wellpoint Medicare|All Plans $5.62 ↓ -4%
BCBS Medicare|All Plans $5.73 ↓ -2%
CIGNA HEALTHSPRING Medicare|All Other Plans $5.73 ↓ -2%
UNITED Medicare|All Plans $5.73 ↓ -2%
CIGNA HEALTHSPRING Medicare|PPO $5.79 ↓ -1%
SCANHealth Medicare|All Plans $5.84 ↓ -0%
MD Save Commercial|All Plans $6.82 ↑ +17%
United Commercial|Exchange $7.02 ↑ +20%
Wellpoint Commercial|Exchange $8.59 ↑ +47%
United Commercial|All Other Plans $8.96 ↑ +53%
Aetna Commercial|All Plans $9.74 ↑ +66%
Angelina County Commercial|All Plans $14.89 ↑ +155%
Entrust Commercial|All Plans $15.58 ↑ +166%
Brookshire Brothers Commercial|All Plans $16.36 ↑ +180%
PHCS Commercial|All Plans $26.49 ↑ +353%
Humana Commercial|All Plans $27.27 ↑ +366%
Multiplan Commercial|All Plans $27.27 ↑ +366%
Galaxy Commercial|All Plans $35.06 ↑ +499%
BCBS-TX Commercial|Blue Premier $35.99 ↑ +515%
BCBS-TX Commercial|Blue Advantage HMO $37.17 ↑ +535%
BCBS-TX Commercial|HMO $37.85 ↑ +547%
BCBS-TX Commercial|PPO $38.95 ↑ +566%

Visitor-reported prices

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Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im at other Texas hospitals

Hospital City Cash price Negotiated range
Covenant Children's Hospital Lubbock $525.18 $62.91 – $293.97
Baylor St Luke's Medical Center Houston $91.88 $15.14 – $258.62
St. Joseph Health Madison Hospital Madisonville $63.88 $23.21 – $328.50
St. Luke's Health Memorial Lufkin Lufkin $5.85 $3.51 – $35.99
St. Luke's Health - Springwoods Village Hospital Spring $91.88 $18.33 – $258.62
St. Luke's Health - Sugar Land Hospital Sugar Land $91.88 $18.33 – $285.78
St. Joseph Health College Station Hospital College Station $63.88 $23.21 – $310.25
St. Luke's Health - Lakeside Hospital The Woodlands $91.88 $18.33 – $258.62

All Texas hospitals for this procedure →