Dihydroergotamine 0.05 mg/ml IV syringe - cnr at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$156.12
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.
$446.03
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.
$55.29 with Cigna vs $695.81 with CHC — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $55.29 | ↓ -65% |
| Aetna | Medicare|All Plans | $66.91 | ↓ -57% |
| Bright Health | Commercial|All Plans | $147.19 | ↓ -6% |
| Entrust | Commercial|All Plans | $178.42 | ↑ +14% |
| Health First | Commercial|All Plans | $223.02 | ↑ +43% |
| CHC | Medicaid|All Other Plans | $289.92 | ↑ +86% |
| CHC | Medicaid|CHIP | $289.92 | ↑ +86% |
| Aetna | Commercial|All Other Plans | $298.85 | ↑ +91% |
| BCBS-TX | Commercial|Blue Options | $341.55 | ↑ +119% |
| BCBS-TX | Commercial|Traditional | $379.50 | ↑ +143% |
| BCBS-TX | Commercial|PPO-POS | $434.83 | ↑ +179% |
| BCBS-TX | Commercial|Blue Advantage HMO | $446.03 | ↑ +186% |
| BCBS-TX | Commercial|PPO | $446.03 | ↑ +186% |
| BCBS-TX | Commercial|HMO | $446.03 | ↑ +186% |
| CHC | Medicaid|STAR | $695.81 | ↑ +346% |
Visitor-reported prices
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Dihydroergotamine 0.05 mg/ml IV syringe - cnr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $862.97 | $85.75 – $715.60 |
| HCA HOUSTON MEDICAL CENTER | Houston | $3,138.50 | $85.75 – $715.60 |
| HCA HOUSTON CONROE | CONROE | $367.38 | $57.08 – $715.60 |
| HCA HOUSTON KINGWOOD | HUMBLE | $3,045.90 | $57.08 – $715.60 |
| HCA HOUSTON NORTHWEST | SPRING | $3,026.04 | $85.75 – $715.60 |
| St. Luke's Health - Patients Medical Center | Pasadena | $191.10 | $58.61 – $409.50 |
| Baylor St Luke's Medical Center | Houston | $812.39 | $34.36 – $156.16 |
| St. Luke's Health Memorial Lufkin | Lufkin | $576.48 | $5.46 – $139.64 |