ER Visit (level 5, high severity) at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$1,627.50
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.
?
What you pay up front if you don't use insurance.
$4,650.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$279.00 with TCHP vs $5,687.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $279.00 | ↓ -83% |
| UNITED | Medicaid|All Other Plans | $279.00 | ↓ -83% |
| BCBS | Medicaid|All Plans | $292.95 | ↓ -82% |
| SUPERIOR | Medicaid|All Plans | $292.95 | ↓ -82% |
| TCHP | Medicaid|STAR | $373.86 | ↓ -77% |
| UNITED | Medicaid|STAR | $373.86 | ↓ -77% |
| BCBS | Medicare|All Plans | $614.09 | ↓ -62% |
| UNITED | Medicare|All Plans | $614.09 | ↓ -62% |
| HUMANA | Medicare|All Plans | $614.09 | ↓ -62% |
| KELSEY | Medicare|All Plans | $614.09 | ↓ -62% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $614.09 | ↓ -62% |
| Wellpoint | Medicare|All Plans | $632.51 | ↓ -61% |
| WellcareTP | Medicare|All Plans | $632.51 | ↓ -61% |
| SELECTCARE | Medicare|All Plans | $632.51 | ↓ -61% |
| Community Health Choice | Commercial|Exchange | $644.79 | ↓ -60% |
| Devoted | Medicare|All Plans | $657.08 | ↓ -60% |
| SCANHealth | Medicare|All Plans | $657.08 | ↓ -60% |
| Aetna | Medicare|All Plans | $697.50 | ↓ -57% |
| UNITED | Medicaid|STARPLUS | $853.74 | ↓ -48% |
| Bright Health | Commercial|All Plans | $873.20 | ↓ -46% |
| Ambetter | Commercial|All Plans | $890.43 | ↓ -45% |
| Wellpoint | Commercial|Exchange | $921.14 | ↓ -43% |
| Aetna | Commercial|Exchange | $945.70 | ↓ -42% |
| United | Commercial|Exchange | $951.84 | ↓ -42% |
| BCBS-TX | Commercial|Blue Options | $1,031.28 | ↓ -37% |
| BCBS-TX | Commercial|Traditional | $1,145.87 | ↓ -30% |
| BCBS-TX | Commercial|PPO-POS | $1,190.64 | ↓ -27% |
| BCBS-TX | Commercial|HMO | $1,261.28 | ↓ -23% |
| Humana | Commercial|All Plans | $1,323.03 | ↓ -19% |
| Entrust | Commercial|All Plans | $1,375.95 | ↓ -15% |
| BCBS-TX | Commercial|PPO | $1,432.81 | ↓ -12% |
| Aetna | Commercial|All Other Plans | $1,581.00 | ↓ -3% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,594.25 | ↓ -2% |
| CHC | Medicaid|CHIP | $1,860.00 | ↑ +14% |
| CHC | Medicaid|All Other Plans | $1,860.00 | ↑ +14% |
| Health First | Commercial|All Plans | $2,325.00 | ↑ +43% |
| CHC | Medicaid|STAR | $2,492.40 | ↑ +53% |
| Wellpoint | Medicaid|All Other Plans | $2,790.00 | ↑ +71% |
| United | Commercial|All Other Plans | $3,279.00 | ↑ +101% |
| Wellpoint | Medicaid|STAR | $3,738.60 | ↑ +130% |
| Cigna | Commercial|All Plans | $5,687.00 | ↑ +249% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $3,127.54 | $1,942.36 – $1,942.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,327.80 | $568.33 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,377.55 | $489.38 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,377.55 | $475.51 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,327.80 | $568.33 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,377.55 | $568.33 – $6,643.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,377.55 | $1,228.40 – $5,475.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,377.55 | $568.33 – $5,475.00 |