Bilateral n block inj trigeminal 64400 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

not published by hospital

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.

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What you pay up front if you don't use insurance.

not published by hospital

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.

$64.21 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 →

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
CHC Medicaid|CHIP $64.21
UNITED Medicaid|All Other Plans $71.06
Wellpoint Medicaid|All Other Plans $71.06
TCHP Medicaid|All Other Plans $71.06
BCBS Medicaid|All Plans $74.61
SUPERIOR Medicaid|All Plans $74.61
CHC Medicaid|All Other Plans $74.61
BCBS-TX Commercial|Blue Advantage HMO $81.10
TCHP Medicaid|STAR $95.22
Wellpoint Medicaid|STAR $95.22
UNITED Medicaid|STAR $95.22
CHC Medicaid|STAR $100.19
BCBS-TX Commercial|PPO-POS $110.17
BCBS-TX Commercial|Blue Options $117.87
BCBS-TX Commercial|Traditional $121.32
BCBS-TX Commercial|HMO $123.18
BCBS-TX Commercial|PPO $130.83
United Commercial|All Other Plans $210.00
UNITED Medicaid|STARPLUS $217.44
CIGNA-HEALTHSPRING Medicare|All Plans $295.67
KELSEY Medicare|All Plans $295.67
HUMANA Medicare|All Plans $295.67
UNITED Medicare|All Plans $295.67
BCBS Medicare|All Plans $295.67
WellcareTP Medicare|All Plans $304.54
Wellpoint Medicare|All Plans $304.54
SELECTCARE Medicare|All Plans $304.54
Community Health Choice Commercial|Exchange $310.45
Devoted Medicare|All Plans $316.37
SCANHealth Medicare|All Plans $316.37
Ambetter Commercial|All Plans $428.72
Bright Health Commercial|All Plans $436.92
Wellpoint Commercial|Exchange $443.51
Aetna Commercial|Exchange $455.33
United Commercial|Exchange $458.29
Humana Commercial|All Plans $662.00
Entrust Commercial|All Plans $688.48
Cigna Commercial|All Plans $1,803.00
Aetna Commercial|All Other Plans $3,635.00
Aetna Medicare|All Plans not published by hospital
Health First Commercial|All Plans not published by hospital

Visitor-reported prices

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Bilateral n block inj trigeminal 64400 at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $1,426.83 $95.64 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $788.11 $67.55 – $985.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $795.31 $71.00 – $1,192.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $807.04 $67.55 – $1,008.79
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $788.11 $67.55 – $985.14
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $795.31 $72.28 – $1,192.97
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $795.31 $67.55 – $1,192.97
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $807.04 $67.55 – $1,210.55

All Texas hospitals for this procedure →