Biopsy abdominal mass at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$595.98
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.
$1,702.80
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.
$255.42 with Aetna vs $3,707.70 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 | $255.42 | ↓ -57% |
| CHC | Medicaid|CHIP | $302.06 | ↓ -49% |
| Wellpoint | Medicaid|All Other Plans | $511.75 | ↓ -14% |
| UNITED | Medicaid|All Other Plans | $511.75 | ↓ -14% |
| TCHP | Medicaid|All Other Plans | $511.75 | ↓ -14% |
| CHC | Medicaid|All Other Plans | $537.34 | ↓ -10% |
| SUPERIOR | Medicaid|All Plans | $537.34 | ↓ -10% |
| BCBS | Medicaid|All Plans | $537.34 | ↓ -10% |
| UNITED | Medicaid|STAR | $685.75 | ↑ +15% |
| TCHP | Medicaid|STAR | $685.75 | ↑ +15% |
| Wellpoint | Medicaid|STAR | $685.75 | ↑ +15% |
| CHC | Medicaid|STAR | $721.57 | ↑ +21% |
| Health First | Commercial|All Plans | $851.40 | ↑ +43% |
| United | Commercial|All Other Plans | $868.00 | ↑ +46% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,454.96 | ↑ +144% |
| UNITED | Medicaid|STARPLUS | $1,565.95 | ↑ +163% |
| BCBS | Medicare|All Plans | $1,622.86 | ↑ +172% |
| UNITED | Medicare|All Plans | $1,622.86 | ↑ +172% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $1,622.86 | ↑ +172% |
| HUMANA | Medicare|All Plans | $1,622.86 | ↑ +172% |
| KELSEY | Medicare|All Plans | $1,622.86 | ↑ +172% |
| WellcareTP | Medicare|All Plans | $1,671.55 | ↑ +180% |
| Wellpoint | Medicare|All Plans | $1,671.55 | ↑ +180% |
| SELECTCARE | Medicare|All Plans | $1,671.55 | ↑ +180% |
| Community Health Choice | Commercial|Exchange | $1,704.00 | ↑ +186% |
| SCANHealth | Medicare|All Plans | $1,736.46 | ↑ +191% |
| Devoted | Medicare|All Plans | $1,736.46 | ↑ +191% |
| Cigna | Commercial|All Plans | $1,803.00 | ↑ +203% |
| BCBS-TX | Commercial|Blue Options | $1,846.80 | ↑ +210% |
| BCBS-TX | Commercial|Traditional | $1,900.72 | ↑ +219% |
| BCBS-TX | Commercial|PPO-POS | $1,976.54 | ↑ +232% |
| BCBS-TX | Commercial|HMO | $2,209.89 | ↑ +271% |
| BCBS-TX | Commercial|PPO | $2,347.15 | ↑ +294% |
| Bright Health | Commercial|All Plans | $2,352.97 | ↑ +295% |
| Ambetter | Commercial|All Plans | $2,353.15 | ↑ +295% |
| Wellpoint | Commercial|Exchange | $2,434.29 | ↑ +308% |
| Aetna | Commercial|Exchange | $2,499.20 | ↑ +319% |
| United | Commercial|Exchange | $2,515.43 | ↑ +322% |
| Humana | Commercial|All Plans | $3,565.10 | ↑ +498% |
| Aetna | Commercial|All Other Plans | $3,635.00 | ↑ +510% |
| Entrust | Commercial|All Plans | $3,707.70 | ↑ +522% |
Visitor-reported prices
Comments
Biopsy abdominal mass at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,921.61 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,722.60 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,665.74 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,921.61 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,722.60 | $85.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,722.60 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,665.74 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,921.61 | $486.45 – $4,016.35 |