Vaccine influenza quadrivalent (iiv4) 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

$136.04

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.

$906.94

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.

$24.97 with Cigna vs $408.24 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 $24.97 ↓ -82%
BCBS-TX Commercial|Blue Premier $35.99 ↓ -74%
BCBS-TX Commercial|Blue Advantage HMO $37.17 ↓ -73%
BCBS-TX Commercial|HMO $37.85 ↓ -72%
BCBS-TX Commercial|PPO $43.56 ↓ -68%
AETNA Medicare|All Plans $63.51 ↓ -53%
HUMANA Medicare|All Plans $63.51 ↓ -53%
Wellpoint Medicare|All Plans $65.41 ↓ -52%
CIGNA HEALTHSPRING Medicare|All Other Plans $66.68 ↓ -51%
UNITED Medicare|All Plans $66.68 ↓ -51%
BCBS Medicare|All Plans $66.68 ↓ -51%
CIGNA HEALTHSPRING Medicare|PPO $67.32 ↓ -51%
SCANHealth Medicare|All Plans $67.95 ↓ -50%
MD Save Commercial|All Plans $79.38 ↓ -42%
United Commercial|Exchange $81.65 ↓ -40%
Wellpoint Commercial|Exchange $100.02 ↓ -26%
United Commercial|All Other Plans $104.33 ↓ -23%
Aetna Commercial|All Plans $113.40 ↓ -17%
Angelina County Commercial|All Plans $173.36 ↑ +27%
Entrust Commercial|All Plans $181.44 ↑ +33%
Brookshire Brothers Commercial|All Plans $190.51 ↑ +40%
PHCS Commercial|All Plans $308.45 ↑ +127%
Multiplan Commercial|All Plans $317.52 ↑ +133%
Humana Commercial|All Plans $317.52 ↑ +133%
Galaxy Commercial|All Plans $408.24 ↑ +200%

Visitor-reported prices

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

Hospital City Cash price Negotiated range
Covenant Children's Hospital Lubbock $29.40 $62.91 – $84.93
Baylor St Luke's Medical Center Houston $37.52 $9.83 – $85.26
St. Joseph Health Madison Hospital Madisonville $25.55 $3.70 – $26.10
St. Luke's Health Memorial Lufkin Lufkin $136.04 $24.97 – $408.24
St. Luke's Health - Springwoods Village Hospital Spring $37.52 $6.76 – $85.26
St. Luke's Health - Sugar Land Hospital Sugar Land $37.52 $13.65 – $94.22
St. Joseph Health College Station Hospital College Station $25.55 $2.85 – $24.65
St. Luke's Health - Lakeside Hospital The Woodlands $37.52 $6.76 – $85.26

All Texas hospitals for this procedure →