Biopsy vestibule of mouth 40808 at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
not published by hospital
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.
not published by hospital
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.
$0.40 with Cigna 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.40 | — |
| UNITED | Medicaid|All Other Plans | $113.30 | — |
| TCHP | Medicaid|All Other Plans | $113.30 | — |
| Wellpoint | Medicaid|All Other Plans | $113.30 | — |
| CHC | Medicaid|CHIP | $118.31 | — |
| BCBS | Medicaid|All Plans | $118.97 | — |
| SUPERIOR | Medicaid|All Plans | $118.97 | — |
| CHC | Medicaid|All Other Plans | $118.97 | — |
| BCBS-TX | Commercial|Blue Advantage HMO | $129.30 | — |
| UNITED | Medicaid|STAR | $151.82 | — |
| Wellpoint | Medicaid|STAR | $151.82 | — |
| TCHP | Medicaid|STAR | $151.82 | — |
| CHC | Medicaid|STAR | $159.75 | — |
| BCBS-TX | Commercial|PPO-POS | $175.65 | — |
| BCBS-TX | Commercial|HMO | $196.39 | — |
| BCBS-TX | Commercial|Blue Options | $206.16 | — |
| BCBS-TX | Commercial|PPO | $208.59 | — |
| United | Commercial|All Other Plans | $210.00 | — |
| BCBS-TX | Commercial|Traditional | $212.18 | — |
| UNITED | Medicaid|STARPLUS | $346.70 | — |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $510.07 | — |
| UNITED | Medicare|All Plans | $510.07 | — |
| KELSEY | Medicare|All Plans | $510.07 | — |
| BCBS | Medicare|All Plans | $510.07 | — |
| HUMANA | Medicare|All Plans | $510.07 | — |
| WellcareTP | Medicare|All Plans | $525.37 | — |
| Wellpoint | Medicare|All Plans | $525.37 | — |
| SELECTCARE | Medicare|All Plans | $525.37 | — |
| Community Health Choice | Commercial|Exchange | $535.57 | — |
| Devoted | Medicare|All Plans | $545.77 | — |
| SCANHealth | Medicare|All Plans | $545.77 | — |
| Ambetter | Commercial|All Plans | $739.60 | — |
| Bright Health | Commercial|All Plans | $756.33 | — |
| Wellpoint | Commercial|Exchange | $765.11 | — |
| Aetna | Commercial|Exchange | $785.51 | — |
| United | Commercial|Exchange | $790.61 | — |
| Humana | Commercial|All Plans | $1,145.95 | — |
| Entrust | Commercial|All Plans | $1,191.79 | — |
| Aetna | Commercial|All Other Plans | $3,635.00 | — |
| Health First | Commercial|All Plans | not published by hospital | — |
| Aetna | Medicare|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy vestibule of mouth 40808 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $962.09 | $71.00 – $1,443.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $902.61 | $71.00 – $1,363.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $962.09 | $85.00 – $1,443.13 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $962.09 | $107.70 – $1,443.13 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $902.61 | $71.00 – $1,363.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $962.09 | $71.00 – $1,363.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $962.09 | $71.00 – $1,443.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $902.61 | $71.00 – $1,363.00 |