Anl sp inf pmp w/mdreprg&fil at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
not published by hospital
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.
not published by hospital
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.
$0.40 with Cigna vs $2,640.00 with Aetna — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.40 | — |
| BCBS-TX | Commercial|Blue Advantage HMO | $70.38 | — |
| BCBS-TX | Commercial|Blue Options | $95.22 | — |
| BCBS-TX | Commercial|PPO-POS | $95.62 | — |
| BCBS-TX | Commercial|Traditional | $105.80 | — |
| BCBS-TX | Commercial|HMO | $106.90 | — |
| BCBS-TX | Commercial|PPO | $113.54 | — |
| United | Commercial|All Other Plans | $210.00 | — |
| HUMANA | Medicare|All Plans | $300.40 | — |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $300.40 | — |
| KELSEY | Medicare|All Plans | $300.40 | — |
| UNITED | Medicare|All Plans | $300.40 | — |
| BCBS | Medicare|All Plans | $300.40 | — |
| WellcareTP | Medicare|All Plans | $309.41 | — |
| Wellpoint | Medicare|All Plans | $309.41 | — |
| SELECTCARE | Medicare|All Plans | $309.41 | — |
| Community Health Choice | Commercial|Exchange | $315.42 | — |
| SCANHealth | Medicare|All Plans | $321.43 | — |
| Devoted | Medicare|All Plans | $321.43 | — |
| Ambetter | Commercial|All Plans | $435.58 | — |
| Wellpoint | Commercial|Exchange | $450.60 | — |
| Bright Health | Commercial|All Plans | $456.62 | — |
| Aetna | Commercial|Exchange | $462.62 | — |
| United | Commercial|Exchange | $465.62 | — |
| Humana | Commercial|All Plans | $691.85 | — |
| Entrust | Commercial|All Plans | $719.52 | — |
| Aetna | Commercial|All Other Plans | $2,640.00 | — |
| Aetna | Medicare|All Plans | not published by hospital | — |
| Health First | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Anl sp inf pmp w/mdreprg&fil at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $792.60 | $224.57 – $990.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $627.94 | $71.00 – $941.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $420.84 | $71.00 – $739.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $792.60 | $211.36 – $990.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $627.94 | $85.00 – $941.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $627.94 | $324.44 – $941.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $420.84 | $71.00 – $739.93 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $792.60 | $211.36 – $990.75 |