App high cost ss t/a/l >100sq cm 1st 100sq cm at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$498.40
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.
$1,424.00
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.
$213.60 with Aetna vs $9,278.93 with Entrust — 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 | $213.60 | ↓ -57% |
| Health First | Commercial|All Plans | $712.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $952.95 | ↑ +91% |
| United | Commercial|All Other Plans | $1,517.00 | ↑ +204% |
| UNITED | Medicaid|All Other Plans | $1,533.42 | ↑ +208% |
| Wellpoint | Medicaid|All Other Plans | $1,533.42 | ↑ +208% |
| TCHP | Medicaid|All Other Plans | $1,533.42 | ↑ +208% |
| SUPERIOR | Medicaid|All Plans | $1,610.09 | ↑ +223% |
| BCBS | Medicaid|All Plans | $1,610.09 | ↑ +223% |
| CHC | Medicaid|All Other Plans | $1,610.09 | ↑ +223% |
| Cigna | Commercial|All Plans | $1,803.00 | ↑ +262% |
| TCHP | Medicaid|STAR | $2,054.78 | ↑ +312% |
| UNITED | Medicaid|STAR | $2,054.78 | ↑ +312% |
| Wellpoint | Medicaid|STAR | $2,054.78 | ↑ +312% |
| CHC | Medicaid|STAR | $2,162.12 | ↑ +334% |
| Aetna | Commercial|All Other Plans | $2,640.00 | ↑ +430% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,155.93 | ↑ +533% |
| HUMANA | Medicare|All Plans | $3,666.90 | ↑ +636% |
| KELSEY | Medicare|All Plans | $3,666.90 | ↑ +636% |
| UNITED | Medicare|All Plans | $3,666.90 | ↑ +636% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $3,666.90 | ↑ +636% |
| BCBS | Medicare|All Plans | $3,666.90 | ↑ +636% |
| BCBS-TX | Commercial|Blue Options | $3,713.36 | ↑ +645% |
| WellcareTP | Medicare|All Plans | $3,776.91 | ↑ +658% |
| Wellpoint | Medicare|All Plans | $3,776.91 | ↑ +658% |
| SELECTCARE | Medicare|All Plans | $3,776.91 | ↑ +658% |
| BCBS-TX | Commercial|Traditional | $3,821.78 | ↑ +667% |
| Community Health Choice | Commercial|Exchange | $3,850.24 | ↑ +673% |
| SCANHealth | Medicare|All Plans | $3,923.58 | ↑ +687% |
| Devoted | Medicare|All Plans | $3,923.58 | ↑ +687% |
| BCBS-TX | Commercial|PPO-POS | $4,287.30 | ↑ +760% |
| UNITED | Medicaid|STARPLUS | $4,692.27 | ↑ +841% |
| BCBS-TX | Commercial|HMO | $4,793.44 | ↑ +862% |
| BCBS-TX | Commercial|PPO | $5,091.17 | ↑ +922% |
| Ambetter | Commercial|All Plans | $5,317.01 | ↑ +967% |
| Wellpoint | Commercial|Exchange | $5,500.35 | ↑ +1004% |
| Aetna | Commercial|Exchange | $5,647.03 | ↑ +1033% |
| United | Commercial|Exchange | $5,683.69 | ↑ +1040% |
| Bright Health | Commercial|All Plans | $5,888.55 | ↑ +1081% |
| Humana | Commercial|All Plans | $8,922.05 | ↑ +1690% |
| Entrust | Commercial|All Plans | $9,278.93 | ↑ +1762% |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,033.56 | $1,220.13 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,108.85 | $71.00 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,168.39 | $71.00 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,033.56 | $1,254.03 – $8,887.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,108.85 | $85.00 – $8,887.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,108.85 | $1,565.86 – $8,887.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,168.39 | $71.00 – $8,887.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,033.56 | $1,254.03 – $8,887.48 |