Coombs direct at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$56.00
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.
$160.00
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.
$4.53 with UNITED vs $146.69 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 |
|---|---|---|---|
| UNITED | Medicaid|All Other Plans | $4.53 | ↓ -92% |
| TCHP | Medicaid|All Other Plans | $4.53 | ↓ -92% |
| United | Commercial|All Other Plans | $4.54 | ↓ -92% |
| CHC | Medicaid|All Other Plans | $4.76 | ↓ -92% |
| BCBS | Medicaid|All Plans | $4.76 | ↓ -92% |
| SUPERIOR | Medicaid|All Plans | $4.76 | ↓ -92% |
| CHC | Medicaid|CHIP | $5.28 | ↓ -91% |
| UNITED | Medicaid|STAR | $6.07 | ↓ -89% |
| TCHP | Medicaid|STAR | $6.07 | ↓ -89% |
| CHC | Medicaid|STAR | $6.39 | ↓ -89% |
| UNITED | Medicaid|STARPLUS | $13.86 | ↓ -75% |
| Cigna | Commercial|All Plans | $23.26 | ↓ -58% |
| Aetna | Medicare|All Plans | $24.00 | ↓ -57% |
| UNITED | Medicare|All Plans | $59.50 | ↑ +6% |
| HUMANA | Medicare|All Plans | $59.50 | ↑ +6% |
| KELSEY | Medicare|All Plans | $59.50 | ↑ +6% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $59.50 | ↑ +6% |
| BCBS | Medicare|All Plans | $59.50 | ↑ +6% |
| Wellpoint | Medicare|All Plans | $61.28 | ↑ +9% |
| WellcareTP | Medicare|All Plans | $61.28 | ↑ +9% |
| SELECTCARE | Medicare|All Plans | $61.28 | ↑ +9% |
| Community Health Choice | Commercial|Exchange | $62.48 | ↑ +12% |
| SCANHealth | Medicare|All Plans | $63.66 | ↑ +14% |
| Devoted | Medicare|All Plans | $63.66 | ↑ +14% |
| Health First | Commercial|All Plans | $80.00 | ↑ +43% |
| BCBS-TX | Commercial|Blue Advantage HMO | $80.57 | ↑ +44% |
| Ambetter | Commercial|All Plans | $86.28 | ↑ +54% |
| Wellpoint | Commercial|Exchange | $89.25 | ↑ +59% |
| Aetna | Commercial|Exchange | $91.63 | ↑ +64% |
| United | Commercial|Exchange | $92.22 | ↑ +65% |
| Bright Health | Commercial|All Plans | $93.09 | ↑ +66% |
| Wellpoint | Medicaid|All Other Plans | $96.00 | ↑ +71% |
| BCBS-TX | Commercial|Blue Options | $97.31 | ↑ +74% |
| BCBS-TX | Commercial|Traditional | $108.12 | ↑ +93% |
| BCBS-TX | Commercial|PPO-POS | $117.01 | ↑ +109% |
| BCBS-TX | Commercial|HMO | $119.35 | ↑ +113% |
| Wellpoint | Medicaid|STAR | $128.64 | ↑ +130% |
| BCBS-TX | Commercial|PPO | $140.07 | ↑ +150% |
| Humana | Commercial|All Plans | $141.05 | ↑ +152% |
| Entrust | Commercial|All Plans | $146.69 | ↑ +162% |
Visitor-reported prices
Comments
Coombs direct at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $153.56 | $4.85 – $128.71 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $71.74 | $3.76 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $77.75 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $98.01 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $71.74 | $4.85 – $151.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $71.74 | $4.53 – $151.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $77.75 | $4.53 – $151.53 |