Cystogram >= 3 views supervision & interpretation at St. Luke's Health - Brazosport Hospital

100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$477.40

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,364.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$37.89 with CHC vs $1,164.64 with BCBS-TX — 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 →

Payer
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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
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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 $37.89 ↓ -92%
UNITED Medicaid|All Other Plans $41.44 ↓ -91%
CHC Medicaid|All Other Plans $43.51 ↓ -91%
SUPERIOR Medicaid|All Plans $43.51 ↓ -91%
BCBS Medicaid|All Plans $43.51 ↓ -91%
UNITED Medicaid|STAR $55.53 ↓ -88%
CHC Medicaid|STAR $58.43 ↓ -88%
TCHP Medicaid|All Other Plans $81.84 ↓ -83%
TCHP Medicaid|STAR $109.67 ↓ -77%
Cigna Commercial|All Plans $111.67 ↓ -77%
UNITED Medicaid|STARPLUS $126.81 ↓ -73%
Aetna Medicare|All Plans $204.60 ↓ -57%
CIGNA-HEALTHSPRING Medicare|All Plans $357.71 ↓ -25%
HUMANA Medicare|All Plans $357.71 ↓ -25%
UNITED Medicare|All Plans $357.71 ↓ -25%
KELSEY Medicare|All Plans $357.71 ↓ -25%
BCBS Medicare|All Plans $357.71 ↓ -25%
WellcareTP Medicare|All Plans $368.44 ↓ -23%
Wellpoint Medicare|All Plans $368.44 ↓ -23%
SELECTCARE Medicare|All Plans $368.44 ↓ -23%
Community Health Choice Commercial|Exchange $375.60 ↓ -21%
SCANHealth Medicare|All Plans $382.75 ↓ -20%
Devoted Medicare|All Plans $382.75 ↓ -20%
United Commercial|All Other Plans $436.48 ↓ -9%
Aetna Commercial|All Other Plans $463.76 ↓ -3%
Ambetter Commercial|All Plans $518.68 ↑ +9%
Wellpoint Commercial|Exchange $536.57 ↑ +12%
Aetna Commercial|Exchange $550.87 ↑ +15%
United Commercial|Exchange $554.45 ↑ +16%
BCBS-TX Commercial|Blue Options $609.10 ↑ +28%
Bright Health Commercial|All Plans $615.81 ↑ +29%
BCBS-TX Commercial|Traditional $677.34 ↑ +42%
Health First Commercial|All Plans $682.00 ↑ +43%
BCBS-TX Commercial|Blue Advantage HMO $729.33 ↑ +53%
Wellpoint Medicaid|All Other Plans $818.40 ↑ +71%
Humana Commercial|All Plans $933.05 ↑ +95%
BCBS-TX Commercial|PPO-POS $969.90 ↑ +103%
Entrust Commercial|All Plans $970.37 ↑ +103%
BCBS-TX Commercial|HMO $1,042.45 ↑ +118%
Wellpoint Medicaid|STAR $1,096.66 ↑ +130%
BCBS-TX Commercial|PPO $1,164.64 ↑ +144%

Visitor-reported prices

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Cystogram >= 3 views supervision & interpretation at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $326.08 $41.44 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $728.84 $150.02 – $1,093.27
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $803.25 $41.44 – $1,004.06
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $326.08 $41.44 – $952.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $728.84 $44.34 – $1,093.27
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $728.84 $41.44 – $1,093.27
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $803.25 $41.44 – $1,204.88
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $326.08 $41.44 – $952.69

All Texas hospitals for this procedure →