Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at St. Luke's Health - Brazosport Hospital

100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$505.05

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.

$1,443.00

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.

$216.45 with Aetna vs $4,513.42 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 →

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
Aetna Medicare|All Plans $216.45 ↓ -57%
CHC Medicaid|CHIP $571.37 ↑ +13%
Health First Commercial|All Plans $721.50 ↑ +43%
UNITED Medicaid|All Other Plans $745.88 ↑ +48%
Wellpoint Medicaid|All Other Plans $745.88 ↑ +48%
TCHP Medicaid|All Other Plans $745.88 ↑ +48%
CHC Medicaid|All Other Plans $783.17 ↑ +55%
SUPERIOR Medicaid|All Plans $783.17 ↑ +55%
BCBS Medicaid|All Plans $783.17 ↑ +55%
United Commercial|All Other Plans $868.00 ↑ +72%
Wellpoint Medicaid|STAR $999.48 ↑ +98%
TCHP Medicaid|STAR $999.48 ↑ +98%
UNITED Medicaid|STAR $999.48 ↑ +98%
CHC Medicaid|STAR $1,051.69 ↑ +108%
BCBS-TX Commercial|Blue Advantage HMO $1,720.10 ↑ +241%
Cigna Commercial|All Plans $1,803.00 ↑ +257%
KELSEY Medicare|All Plans $1,832.19 ↑ +263%
HUMANA Medicare|All Plans $1,832.19 ↑ +263%
UNITED Medicare|All Plans $1,832.19 ↑ +263%
BCBS Medicare|All Plans $1,832.19 ↑ +263%
CIGNA-HEALTHSPRING Medicare|All Plans $1,832.19 ↑ +263%
WellcareTP Medicare|All Plans $1,887.16 ↑ +274%
Wellpoint Medicare|All Plans $1,887.16 ↑ +274%
SELECTCARE Medicare|All Plans $1,887.16 ↑ +274%
Community Health Choice Commercial|Exchange $1,923.80 ↑ +281%
SCANHealth Medicare|All Plans $1,960.44 ↑ +288%
Devoted Medicare|All Plans $1,960.44 ↑ +288%
BCBS-TX Commercial|Blue Options $2,148.75 ↑ +325%
BCBS-TX Commercial|Traditional $2,211.49 ↑ +338%
UNITED Medicaid|STARPLUS $2,282.39 ↑ +352%
BCBS-TX Commercial|PPO-POS $2,336.75 ↑ +363%
BCBS-TX Commercial|HMO $2,612.61 ↑ +417%
Aetna Commercial|All Other Plans $2,640.00 ↑ +423%
Ambetter Commercial|All Plans $2,656.68 ↑ +426%
Wellpoint Commercial|Exchange $2,748.29 ↑ +444%
BCBS-TX Commercial|PPO $2,774.89 ↑ +449%
Aetna Commercial|Exchange $2,821.57 ↑ +459%
United Commercial|Exchange $2,839.89 ↑ +462%
Bright Health Commercial|All Plans $2,864.28 ↑ +467%
Humana Commercial|All Plans $4,339.82 ↑ +759%
Entrust Commercial|All Plans $4,513.42 ↑ +794%

Visitor-reported prices

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Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $2,873.35 $2,028.43 – $4,827.98
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $2,413.96 $705.32 – $4,517.58
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $2,749.81 $71.00 – $4,517.58
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,976.22 $71.00 – $4,517.58
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $2,413.96 $705.32 – $4,517.58
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $2,749.81 $85.00 – $4,517.58
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $2,749.81 $784.87 – $4,517.58
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $1,976.22 $71.00 – $4,517.58

All Texas hospitals for this procedure →