Biopsy skin incisional single lesion at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$524.30
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.
?
What you pay up front if you don't use insurance.
$1,498.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$87.55 with CHC vs $3,635.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $87.55 | ↓ -83% |
| TCHP | Medicaid|All Other Plans | $103.97 | ↓ -80% |
| UNITED | Medicaid|All Other Plans | $103.97 | ↓ -80% |
| Wellpoint | Medicaid|All Other Plans | $103.97 | ↓ -80% |
| CHC | Medicaid|All Other Plans | $109.17 | ↓ -79% |
| BCBS | Medicaid|All Plans | $109.17 | ↓ -79% |
| SUPERIOR | Medicaid|All Plans | $109.17 | ↓ -79% |
| BCBS-TX | Commercial|Blue Advantage HMO | $123.18 | ↓ -77% |
| TCHP | Medicaid|STAR | $139.32 | ↓ -73% |
| Wellpoint | Medicaid|STAR | $139.32 | ↓ -73% |
| UNITED | Medicaid|STAR | $139.32 | ↓ -73% |
| CHC | Medicaid|STAR | $146.60 | ↓ -72% |
| BCBS-TX | Commercial|Blue Options | $153.54 | ↓ -71% |
| BCBS-TX | Commercial|Traditional | $158.02 | ↓ -70% |
| BCBS-TX | Commercial|PPO-POS | $167.34 | ↓ -68% |
| BCBS-TX | Commercial|HMO | $187.10 | ↓ -64% |
| BCBS-TX | Commercial|PPO | $198.72 | ↓ -62% |
| Aetna | Medicare|All Plans | $224.70 | ↓ -57% |
| UNITED | Medicaid|STARPLUS | $318.15 | ↓ -39% |
| United | Commercial|All Other Plans | $501.00 | ↓ -4% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $613.12 | ↑ +17% |
| BCBS | Medicare|All Plans | $613.12 | ↑ +17% |
| KELSEY | Medicare|All Plans | $613.12 | ↑ +17% |
| HUMANA | Medicare|All Plans | $613.12 | ↑ +17% |
| UNITED | Medicare|All Plans | $613.12 | ↑ +17% |
| WellcareTP | Medicare|All Plans | $631.51 | ↑ +20% |
| Wellpoint | Medicare|All Plans | $631.51 | ↑ +20% |
| SELECTCARE | Medicare|All Plans | $631.51 | ↑ +20% |
| Community Health Choice | Commercial|Exchange | $643.78 | ↑ +23% |
| Devoted | Medicare|All Plans | $656.04 | ↑ +25% |
| SCANHealth | Medicare|All Plans | $656.04 | ↑ +25% |
| Health First | Commercial|All Plans | $749.00 | ↑ +43% |
| Bright Health | Commercial|All Plans | $875.84 | ↑ +67% |
| Ambetter | Commercial|All Plans | $889.02 | ↑ +70% |
| Wellpoint | Commercial|Exchange | $919.68 | ↑ +75% |
| Aetna | Commercial|Exchange | $944.20 | ↑ +80% |
| United | Commercial|Exchange | $950.34 | ↑ +81% |
| Humana | Commercial|All Plans | $1,327.03 | ↑ +153% |
| Entrust | Commercial|All Plans | $1,380.11 | ↑ +163% |
| Cigna | Commercial|All Plans | $1,803.00 | ↑ +244% |
| Aetna | Commercial|All Other Plans | $3,635.00 | ↑ +593% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $645.67 | $98.83 – $1,596.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $634.09 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $789.90 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $645.67 | $98.83 – $1,596.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $634.09 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $634.09 | $98.83 – $1,555.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $789.90 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $645.67 | $98.83 – $1,596.25 |