ER Visit (level 4) at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$1,269.45
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.
$3,627.00
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.
$175.00 with Wellpoint vs $5,687.00 with Cigna — 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 |
|---|---|---|---|
| Wellpoint | Medicaid|All Other Plans | $175.00 | ↓ -86% |
| UNITED | Medicaid|All Other Plans | $217.62 | ↓ -83% |
| TCHP | Medicaid|All Other Plans | $217.62 | ↓ -83% |
| BCBS | Medicaid|All Plans | $228.51 | ↓ -82% |
| SUPERIOR | Medicaid|All Plans | $228.51 | ↓ -82% |
| Wellpoint | Medicaid|STAR | $234.50 | ↓ -82% |
| UNITED | Medicaid|STAR | $291.62 | ↓ -77% |
| TCHP | Medicaid|STAR | $291.62 | ↓ -77% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $426.51 | ↓ -66% |
| UNITED | Medicare|All Plans | $426.51 | ↓ -66% |
| HUMANA | Medicare|All Plans | $426.51 | ↓ -66% |
| KELSEY | Medicare|All Plans | $426.51 | ↓ -66% |
| BCBS | Medicare|All Plans | $426.51 | ↓ -66% |
| SELECTCARE | Medicare|All Plans | $439.31 | ↓ -65% |
| Wellpoint | Medicare|All Plans | $439.31 | ↓ -65% |
| WellcareTP | Medicare|All Plans | $439.31 | ↓ -65% |
| Community Health Choice | Commercial|Exchange | $447.84 | ↓ -65% |
| Devoted | Medicare|All Plans | $456.37 | ↓ -64% |
| SCANHealth | Medicare|All Plans | $456.37 | ↓ -64% |
| Aetna | Medicare|All Plans | $544.05 | ↓ -57% |
| Bright Health | Commercial|All Plans | $608.34 | ↓ -52% |
| Ambetter | Commercial|All Plans | $618.44 | ↓ -51% |
| Wellpoint | Commercial|Exchange | $639.77 | ↓ -50% |
| Aetna | Commercial|Exchange | $656.83 | ↓ -48% |
| United | Commercial|Exchange | $661.09 | ↓ -48% |
| UNITED | Medicaid|STARPLUS | $665.92 | ↓ -48% |
| BCBS-TX | Commercial|Blue Options | $703.95 | ↓ -45% |
| BCBS-TX | Commercial|Traditional | $782.17 | ↓ -38% |
| BCBS-TX | Commercial|PPO-POS | $830.22 | ↓ -35% |
| BCBS-TX | Commercial|HMO | $879.48 | ↓ -31% |
| Humana | Commercial|All Plans | $921.73 | ↓ -27% |
| Entrust | Commercial|All Plans | $958.59 | ↓ -24% |
| BCBS-TX | Commercial|PPO | $999.08 | ↓ -21% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,111.66 | ↓ -12% |
| Aetna | Commercial|All Other Plans | $1,233.18 | ↓ -3% |
| CHC | Medicaid|CHIP | $1,450.80 | ↑ +14% |
| CHC | Medicaid|All Other Plans | $1,450.80 | ↑ +14% |
| Health First | Commercial|All Plans | $1,813.50 | ↑ +43% |
| CHC | Medicaid|STAR | $1,944.08 | ↑ +53% |
| United | Commercial|All Other Plans | $3,279.00 | ↑ +158% |
| Cigna | Commercial|All Plans | $5,687.00 | ↑ +348% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $2,386.19 | $1,354.39 – $1,354.39 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,273.68 | $360.88 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,601.69 | $329.68 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,676.36 | $335.27 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,273.68 | $339.65 – $3,894.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,601.69 | $398.20 – $4,008.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,601.69 | $827.54 – $3,780.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,676.36 | $398.20 – $3,780.00 |