CMS Price Transparency Data

Typhoid vaccine

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 90675 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90675
Insurance Median: $326
Cash Discount Price: $650
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Typhoid vaccine at CHI St Lukes Health Memorial San Augustine is $326. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $650. Compared to the federal Medicare reimbursement reference rate of $315.22, this hospital’s rate is 1.03x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.

Cash / Self-Pay

$650

Average discount available for prompt cash payment at this facility.

Insurance Median

$326

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$315.22

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $315.22 (100%)

Cash / Self-Pay: $650 (206%)

Insurance Median: $326 (103%)

Cash: $650 (206% of Medicare)

Ins. Median: $326 (103% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $315.22 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Galaxy	$35 - $7,767	11%
Blue Cross Blue Shield	$39 - $767	12%
Cigna	$39 - $1,208	12%
United	$39 - $8,630	12%
Aetna	$313 - $2,157	99%
Humana	$313 - $6,041	99%
Scanhealth	$321	102%
Wellpoint	$323 - $465	102%
Md Save	$392	124%
Angelina County	$815	259%
Brookshire Brothers	$902	286%
Entrust	$3,452	1095%
PHCS	$5,868 - $6,904	1862%
Multiplan	$6,041	1916%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $650.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90675.

Insurance In-Network Protection Plan

Contact your insurance company to confirm CHI St Lukes Health Memorial San Augustine is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90675.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.