Breath hydrogen test 91065 at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$153.41
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.
$438.30
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.
$65.75 with Aetna vs $367.90 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 | $65.75 | ↓ -57% |
| BCBS-TX | Commercial|Blue Options | $125.06 | ↓ -18% |
| BCBS-TX | Commercial|Traditional | $138.95 | ↓ -9% |
| BCBS-TX | Commercial|PPO-POS | $156.49 | ↑ +2% |
| HUMANA | Medicare|All Plans | $156.71 | ↑ +2% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $156.71 | ↑ +2% |
| UNITED | Medicare|All Plans | $156.71 | ↑ +2% |
| KELSEY | Medicare|All Plans | $156.71 | ↑ +2% |
| BCBS | Medicare|All Plans | $156.71 | ↑ +2% |
| Wellpoint | Medicare|All Plans | $161.41 | ↑ +5% |
| SELECTCARE | Medicare|All Plans | $161.41 | ↑ +5% |
| WellcareTP | Medicare|All Plans | $161.41 | ↑ +5% |
| Community Health Choice | Commercial|Exchange | $164.55 | ↑ +7% |
| BCBS-TX | Commercial|HMO | $165.78 | ↑ +8% |
| Devoted | Medicare|All Plans | $167.68 | ↑ +9% |
| SCANHealth | Medicare|All Plans | $167.68 | ↑ +9% |
| BCBS-TX | Commercial|PPO | $188.32 | ↑ +23% |
| BCBS-TX | Commercial|Blue Advantage HMO | $209.54 | ↑ +37% |
| United | Commercial|All Other Plans | $210.00 | ↑ +37% |
| Health First | Commercial|All Plans | $219.15 | ↑ +43% |
| Ambetter | Commercial|All Plans | $227.23 | ↑ +48% |
| Bright Health | Commercial|All Plans | $233.47 | ↑ +52% |
| Wellpoint | Commercial|Exchange | $235.07 | ↑ +53% |
| Aetna | Commercial|Exchange | $241.33 | ↑ +57% |
| United | Commercial|Exchange | $242.90 | ↑ +58% |
| Humana | Commercial|All Plans | $353.75 | ↑ +131% |
| Entrust | Commercial|All Plans | $367.90 | ↑ +140% |
Visitor-reported prices
Comments
Breath hydrogen test 91065 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $548.19 | $155.32 – $685.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $675.83 | $139.11 – $1,013.74 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $626.67 | $125.33 – $783.34 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $548.19 | $146.18 – $685.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $675.83 | $206.06 – $1,013.74 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $675.83 | $349.18 – $1,667.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $626.67 | $200.26 – $940.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $548.19 | $146.18 – $685.24 |