Adh-sendout at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$62.65
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.
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What you pay up front if you don't use insurance.
$179.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$26.85 with Aetna vs $143.92 with Wellpoint — 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 →
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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 ?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 |
|---|---|---|---|
| Aetna | Medicare|All Plans | $26.85 | ↓ -57% |
| TCHP | Medicaid|All Other Plans | $28.51 | ↓ -54% |
| UNITED | Medicaid|All Other Plans | $28.51 | ↓ -54% |
| United | Commercial|All Other Plans | $28.66 | ↓ -54% |
| BCBS | Medicaid|All Plans | $29.94 | ↓ -52% |
| SUPERIOR | Medicaid|All Plans | $29.94 | ↓ -52% |
| CHC | Medicaid|All Other Plans | $29.94 | ↓ -52% |
| CHC | Medicaid|CHIP | $33.26 | ↓ -47% |
| UNITED | Medicare|All Plans | $33.94 | ↓ -46% |
| KELSEY | Medicare|All Plans | $33.94 | ↓ -46% |
| HUMANA | Medicare|All Plans | $33.94 | ↓ -46% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $33.94 | ↓ -46% |
| BCBS | Medicare|All Plans | $33.94 | ↓ -46% |
| Wellpoint | Medicare|All Plans | $34.96 | ↓ -44% |
| WellcareTP | Medicare|All Plans | $34.96 | ↓ -44% |
| SELECTCARE | Medicare|All Plans | $34.96 | ↓ -44% |
| Community Health Choice | Commercial|Exchange | $35.64 | ↓ -43% |
| Devoted | Medicare|All Plans | $36.32 | ↓ -42% |
| SCANHealth | Medicare|All Plans | $36.32 | ↓ -42% |
| UNITED | Medicaid|STAR | $38.20 | ↓ -39% |
| TCHP | Medicaid|STAR | $38.20 | ↓ -39% |
| CHC | Medicaid|STAR | $40.20 | ↓ -36% |
| Ambetter | Commercial|All Plans | $49.21 | ↓ -21% |
| Wellpoint | Commercial|Exchange | $50.91 | ↓ -19% |
| Aetna | Commercial|Exchange | $52.27 | ↓ -17% |
| United | Commercial|Exchange | $52.61 | ↓ -16% |
| Bright Health | Commercial|All Plans | $56.00 | ↓ -11% |
| BCBS-TX | Commercial|Blue Advantage HMO | $81.80 | ↑ +31% |
| Humana | Commercial|All Plans | $84.85 | ↑ +35% |
| UNITED | Medicaid|STARPLUS | $87.24 | ↑ +39% |
| Entrust | Commercial|All Plans | $88.24 | ↑ +41% |
| Health First | Commercial|All Plans | $89.50 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $107.40 | ↑ +71% |
| BCBS-TX | Commercial|PPO-POS | $118.79 | ↑ +90% |
| BCBS-TX | Commercial|HMO | $121.17 | ↑ +93% |
| BCBS-TX | Commercial|Blue Options | $128.21 | ↑ +105% |
| BCBS-TX | Commercial|PPO | $142.21 | ↑ +127% |
| Cigna | Commercial|All Plans | $142.39 | ↑ +127% |
| BCBS-TX | Commercial|Traditional | $142.46 | ↑ +127% |
| Wellpoint | Medicaid|STAR | $143.92 | ↑ +130% |
Visitor-reported prices
Comments
Adh-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $433.43 | $30.55 – $130.67 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $435.33 | $10.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $414.60 | $12.00 – $101.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $414.60 | $12.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $435.33 | $10.00 – $84.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $414.60 | $12.00 – $101.25 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $414.60 | $8.00 – $101.25 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $414.60 | $12.00 – $101.25 |