Contrast x-ray of knee joint at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$613.31
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.
$1,752.30
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.
$105.14 with TCHP vs $1,340.00 with Wellpoint — 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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $105.14 | ↓ -83% |
| CHC | Medicaid|CHIP | $116.13 | ↓ -81% |
| CHC | Medicaid|All Other Plans | $116.49 | ↓ -81% |
| SUPERIOR | Medicaid|All Plans | $116.49 | ↓ -81% |
| BCBS | Medicaid|All Plans | $116.49 | ↓ -81% |
| UNITED | Medicaid|All Other Plans | $128.31 | ↓ -79% |
| TCHP | Medicaid|STAR | $140.89 | ↓ -77% |
| CHC | Medicaid|STAR | $156.43 | ↓ -74% |
| UNITED | Medicaid|STAR | $171.94 | ↓ -72% |
| Aetna | Medicare|All Plans | $262.85 | ↓ -57% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $357.71 | ↓ -42% |
| BCBS | Medicare|All Plans | $357.71 | ↓ -42% |
| UNITED | Medicare|All Plans | $357.71 | ↓ -42% |
| HUMANA | Medicare|All Plans | $357.71 | ↓ -42% |
| KELSEY | Medicare|All Plans | $357.71 | ↓ -42% |
| WellcareTP | Medicare|All Plans | $368.44 | ↓ -40% |
| Wellpoint | Medicare|All Plans | $368.44 | ↓ -40% |
| SELECTCARE | Medicare|All Plans | $368.44 | ↓ -40% |
| Community Health Choice | Commercial|Exchange | $375.60 | ↓ -39% |
| SCANHealth | Medicare|All Plans | $382.75 | ↓ -38% |
| Devoted | Medicare|All Plans | $382.75 | ↓ -38% |
| UNITED | Medicaid|STARPLUS | $392.63 | ↓ -36% |
| Ambetter | Commercial|All Plans | $518.68 | ↓ -15% |
| Cigna | Commercial|All Plans | $527.22 | ↓ -14% |
| Wellpoint | Commercial|Exchange | $536.57 | ↓ -13% |
| Aetna | Commercial|Exchange | $550.87 | ↓ -10% |
| United | Commercial|Exchange | $554.45 | ↓ -10% |
| United | Commercial|All Other Plans | $560.74 | ↓ -9% |
| Aetna | Commercial|All Other Plans | $595.79 | ↓ -3% |
| Bright Health | Commercial|All Plans | $615.81 | ↑ +0% |
| BCBS-TX | Commercial|Blue Advantage HMO | $729.33 | ↑ +19% |
| Health First | Commercial|All Plans | $876.15 | ↑ +43% |
| Humana | Commercial|All Plans | $933.05 | ↑ +52% |
| BCBS-TX | Commercial|PPO-POS | $969.90 | ↑ +58% |
| Entrust | Commercial|All Plans | $970.37 | ↑ +58% |
| Wellpoint | Medicaid|All Other Plans | $1,000.00 | ↑ +63% |
| BCBS-TX | Commercial|HMO | $1,042.45 | ↑ +70% |
| BCBS-TX | Commercial|Blue Options | $1,099.85 | ↑ +79% |
| BCBS-TX | Commercial|PPO | $1,164.64 | ↑ +90% |
| BCBS-TX | Commercial|Traditional | $1,223.07 | ↑ +99% |
| Wellpoint | Medicaid|STAR | $1,340.00 | ↑ +118% |
Visitor-reported prices
Comments
Contrast x-ray of knee joint at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $495.60 | $110.94 – $952.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $923.65 | $190.12 – $1,385.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $942.13 | $110.94 – $1,177.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $495.60 | $110.94 – $952.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $923.65 | $118.71 – $1,385.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $923.65 | $110.94 – $1,385.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $942.13 | $110.94 – $1,413.19 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $495.60 | $110.94 – $952.69 |