Athrectomy tib/pero/unilat/ini ves 37229 at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$14,634.20
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.
$41,812.00
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.
$1,177.54 with CHC vs $42,321.03 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 |
|---|---|---|---|
| CHC | Medicaid|CHIP | $1,177.54 | ↓ -92% |
| Wellpoint | Medicaid|All Other Plans | $1,600.00 | ↓ -89% |
| Wellpoint | Medicaid|STAR | $2,144.00 | ↓ -85% |
| Cigna | Commercial|All Plans | $3,723.00 | ↓ -75% |
| Aetna | Commercial|All Other Plans | $4,866.00 | ↓ -67% |
| Aetna | Medicare|All Plans | $6,271.80 | ↓ -57% |
| United | Commercial|All Other Plans | $6,958.00 | ↓ -52% |
| UNITED | Medicaid|All Other Plans | $9,066.53 | ↓ -38% |
| TCHP | Medicaid|All Other Plans | $9,066.53 | ↓ -38% |
| CHC | Medicaid|All Other Plans | $9,519.86 | ↓ -35% |
| SUPERIOR | Medicaid|All Plans | $9,519.86 | ↓ -35% |
| BCBS | Medicaid|All Plans | $9,519.86 | ↓ -35% |
| UNITED | Medicaid|STAR | $12,149.15 | ↓ -17% |
| TCHP | Medicaid|STAR | $12,149.15 | ↓ -17% |
| CHC | Medicaid|STAR | $12,783.81 | ↓ -13% |
| BCBS-TX | Commercial|Blue Advantage HMO | $16,896.37 | ↑ +15% |
| HUMANA | Medicare|All Plans | $17,985.81 | ↑ +23% |
| UNITED | Medicare|All Plans | $17,985.81 | ↑ +23% |
| BCBS | Medicare|All Plans | $17,985.81 | ↑ +23% |
| KELSEY | Medicare|All Plans | $17,985.81 | ↑ +23% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $17,985.81 | ↑ +23% |
| WellcareTP | Medicare|All Plans | $18,525.38 | ↑ +27% |
| SELECTCARE | Medicare|All Plans | $18,525.38 | ↑ +27% |
| Wellpoint | Medicare|All Plans | $18,525.38 | ↑ +27% |
| Community Health Choice | Commercial|Exchange | $18,885.10 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $19,244.82 | ↑ +32% |
| Devoted | Medicare|All Plans | $19,244.82 | ↑ +32% |
| Health First | Commercial|All Plans | $20,906.00 | ↑ +43% |
| BCBS-TX | Commercial|Blue Options | $21,947.93 | ↑ +50% |
| BCBS-TX | Commercial|Traditional | $22,588.75 | ↑ +54% |
| BCBS-TX | Commercial|PPO-POS | $22,953.56 | ↑ +57% |
| BCBS-TX | Commercial|HMO | $25,663.35 | ↑ +75% |
| Ambetter | Commercial|All Plans | $26,079.42 | ↑ +78% |
| Bright Health | Commercial|All Plans | $26,857.58 | ↑ +84% |
| Wellpoint | Commercial|Exchange | $26,978.72 | ↑ +84% |
| BCBS-TX | Commercial|PPO | $27,257.35 | ↑ +86% |
| Aetna | Commercial|Exchange | $27,698.15 | ↑ +89% |
| UNITED | Medicaid|STARPLUS | $27,743.58 | ↑ +90% |
| United | Commercial|Exchange | $27,878.01 | ↑ +90% |
| Humana | Commercial|All Plans | $40,693.30 | ↑ +178% |
| Entrust | Commercial|All Plans | $42,321.03 | ↑ +189% |
Visitor-reported prices
Comments
Athrectomy tib/pero/unilat/ini ves 37229 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,924.41 | $6,299.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,582.58 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $19,960.27 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,924.41 | $7,038.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27,582.58 | $85.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27,582.58 | $14,096.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $19,960.27 | $71.00 – $43,439.01 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $27,924.41 | $7,038.00 – $43,439.01 |