Bone biopsy open superficial at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$1,400.70
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.
$4,002.00
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.
$404.46 with CHC vs $6,248.06 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 | $404.46 | ↓ -71% |
| Aetna | Medicare|All Plans | $600.30 | ↓ -57% |
| UNITED | Medicaid|All Other Plans | $857.59 | ↓ -39% |
| Wellpoint | Medicaid|All Other Plans | $857.59 | ↓ -39% |
| TCHP | Medicaid|All Other Plans | $857.59 | ↓ -39% |
| CHC | Medicaid|All Other Plans | $900.47 | ↓ -36% |
| SUPERIOR | Medicaid|All Plans | $900.47 | ↓ -36% |
| BCBS | Medicaid|All Plans | $900.47 | ↓ -36% |
| TCHP | Medicaid|STAR | $1,149.17 | ↓ -18% |
| UNITED | Medicaid|STAR | $1,149.17 | ↓ -18% |
| Wellpoint | Medicaid|STAR | $1,149.17 | ↓ -18% |
| CHC | Medicaid|STAR | $1,209.20 | ↓ -14% |
| United | Commercial|All Other Plans | $1,304.00 | ↓ -7% |
| Health First | Commercial|All Plans | $2,001.00 | ↑ +43% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,458.02 | ↑ +75% |
| UNITED | Medicaid|STARPLUS | $2,624.23 | ↑ +87% |
| Aetna | Commercial|All Other Plans | $2,640.00 | ↑ +88% |
| Cigna | Commercial|All Plans | $2,831.00 | ↑ +102% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $2,866.69 | ↑ +105% |
| HUMANA | Medicare|All Plans | $2,866.69 | ↑ +105% |
| UNITED | Medicare|All Plans | $2,866.69 | ↑ +105% |
| BCBS | Medicare|All Plans | $2,866.69 | ↑ +105% |
| KELSEY | Medicare|All Plans | $2,866.69 | ↑ +105% |
| WellcareTP | Medicare|All Plans | $2,952.69 | ↑ +111% |
| Wellpoint | Medicare|All Plans | $2,952.69 | ↑ +111% |
| SELECTCARE | Medicare|All Plans | $2,952.69 | ↑ +111% |
| Community Health Choice | Commercial|Exchange | $3,010.02 | ↑ +115% |
| SCANHealth | Medicare|All Plans | $3,067.36 | ↑ +119% |
| Devoted | Medicare|All Plans | $3,067.36 | ↑ +119% |
| BCBS-TX | Commercial|Blue Options | $3,185.07 | ↑ +127% |
| BCBS-TX | Commercial|Traditional | $3,278.07 | ↑ +134% |
| BCBS-TX | Commercial|PPO-POS | $3,339.20 | ↑ +138% |
| BCBS-TX | Commercial|HMO | $3,733.41 | ↑ +167% |
| Bright Health | Commercial|All Plans | $3,965.11 | ↑ +183% |
| BCBS-TX | Commercial|PPO | $3,965.30 | ↑ +183% |
| Ambetter | Commercial|All Plans | $4,156.70 | ↑ +197% |
| Wellpoint | Commercial|Exchange | $4,300.04 | ↑ +207% |
| Aetna | Commercial|Exchange | $4,414.70 | ↑ +215% |
| United | Commercial|Exchange | $4,443.37 | ↑ +217% |
| Humana | Commercial|All Plans | $6,007.75 | ↑ +329% |
| Entrust | Commercial|All Plans | $6,248.06 | ↑ +346% |
Visitor-reported prices
Comments
Bone biopsy open superficial at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,225.20 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,714.89 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,965.54 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,225.20 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,714.89 | $85.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,714.89 | $815.20 – $7,039.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,965.54 | $71.00 – $7,039.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,225.20 | $815.20 – $7,039.11 |