Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$680.40
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.
$1,944.00
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.
$55.73 with CHC vs $3,635.00 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 |
|---|---|---|---|
| CHC | Medicaid|CHIP | $55.73 | ↓ -92% |
| BCBS-TX | Commercial|Blue Advantage HMO | $79.57 | ↓ -88% |
| BCBS-TX | Commercial|Blue Options | $97.75 | ↓ -86% |
| BCBS-TX | Commercial|Traditional | $100.60 | ↓ -85% |
| BCBS-TX | Commercial|PPO-POS | $108.10 | ↓ -84% |
| BCBS-TX | Commercial|HMO | $120.86 | ↓ -82% |
| BCBS-TX | Commercial|PPO | $128.37 | ↓ -81% |
| Wellpoint | Medicaid|All Other Plans | $271.00 | ↓ -60% |
| TCHP | Medicaid|All Other Plans | $271.00 | ↓ -60% |
| UNITED | Medicaid|All Other Plans | $271.00 | ↓ -60% |
| CHC | Medicaid|All Other Plans | $284.55 | ↓ -58% |
| SUPERIOR | Medicaid|All Plans | $284.55 | ↓ -58% |
| BCBS | Medicaid|All Plans | $284.55 | ↓ -58% |
| Aetna | Medicare|All Plans | $291.60 | ↓ -57% |
| Wellpoint | Medicaid|STAR | $363.14 | ↓ -47% |
| UNITED | Medicaid|STAR | $363.14 | ↓ -47% |
| TCHP | Medicaid|STAR | $363.14 | ↓ -47% |
| CHC | Medicaid|STAR | $382.11 | ↓ -44% |
| United | Commercial|All Other Plans | $501.00 | ↓ -26% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $704.73 | ↑ +4% |
| KELSEY | Medicare|All Plans | $704.73 | ↑ +4% |
| BCBS | Medicare|All Plans | $704.73 | ↑ +4% |
| UNITED | Medicare|All Plans | $704.73 | ↑ +4% |
| HUMANA | Medicare|All Plans | $704.73 | ↑ +4% |
| WellcareTP | Medicare|All Plans | $725.87 | ↑ +7% |
| Wellpoint | Medicare|All Plans | $725.87 | ↑ +7% |
| SELECTCARE | Medicare|All Plans | $725.87 | ↑ +7% |
| Community Health Choice | Commercial|Exchange | $739.97 | ↑ +9% |
| Devoted | Medicare|All Plans | $754.06 | ↑ +11% |
| SCANHealth | Medicare|All Plans | $754.06 | ↑ +11% |
| UNITED | Medicaid|STARPLUS | $829.26 | ↑ +22% |
| Health First | Commercial|All Plans | $972.00 | ↑ +43% |
| Ambetter | Commercial|All Plans | $1,021.86 | ↑ +50% |
| Bright Health | Commercial|All Plans | $1,040.66 | ↑ +53% |
| Wellpoint | Commercial|Exchange | $1,057.10 | ↑ +55% |
| Aetna | Commercial|Exchange | $1,085.28 | ↑ +60% |
| United | Commercial|Exchange | $1,092.33 | ↑ +61% |
| Humana | Commercial|All Plans | $1,576.75 | ↑ +132% |
| Entrust | Commercial|All Plans | $1,639.82 | ↑ +141% |
| Cigna | Commercial|All Plans | $1,803.00 | ↑ +165% |
| Aetna | Commercial|All Other Plans | $3,635.00 | ↑ +434% |
Visitor-reported prices
Comments
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,526.97 | $126.87 – $1,908.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,158.23 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,273.63 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,526.97 | $257.60 – $1,908.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,158.23 | $85.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,158.23 | $257.60 – $1,742.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,273.63 | $71.00 – $1,910.45 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,526.97 | $126.87 – $1,908.71 |