Dextrose 5 % in water (d5w) intravenous solution (non-pvc) 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

$23.60

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.

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

$67.41

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.

$2.09 with Cigna vs $45.17 with Aetna — 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
Cigna Commercial|All Plans $2.09 ↓ -91%
Aetna Medicare|All Plans $10.12 ↓ -57%
BCBS-TX Commercial|Blue Options $14.37 ↓ -39%
BCBS-TX Commercial|Traditional $15.97 ↓ -32%
BCBS-TX Commercial|PPO-POS $16.98 ↓ -28%
BCBS-TX Commercial|HMO $17.51 ↓ -26%
BCBS-TX Commercial|PPO $20.39 ↓ -14%
BCBS-TX Commercial|Blue Advantage HMO $25.09 ↑ +6%
Health First Commercial|All Plans $33.71 ↑ +43%
Aetna Commercial|All Other Plans $45.17 ↑ +91%

Visitor-reported prices

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Dextrose 5 % in water (d5w) intravenous solution (non-pvc) at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $39.88 $29.18 – $29.18
Covenant Children's Hospital Lubbock $51.89 $7.09 – $30.26
St. Luke's Health - Patients Medical Center Pasadena $8.09 $2.57 – $17.33
Baylor St Luke's Medical Center Houston $22.03 $0.41 – $1.86
St. Luke's Health Memorial Lufkin Lufkin $47.66 $2.06 – $285.96
St. Luke's Health - Springwoods Village Hospital Spring $22.03 $0.41 – $1.86
St. Luke's Health - Sugar Land Hospital Sugar Land $22.03 $0.41 – $1.86
St. Luke's Health - Lakeside Hospital The Woodlands $22.03 $0.41 – $1.86

All Texas hospitals for this procedure →