Exc les/mucos/sub/ves mouth/no rpr 40810 at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
not published by hospital
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.
not published by hospital
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.
$123.36 with CHC vs $7,208.99 with Entrust — 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 |
|---|---|---|---|
| CHC | Medicaid|CHIP | $123.36 | — |
| UNITED | Medicaid|All Other Plans | $144.74 | — |
| Wellpoint | Medicaid|All Other Plans | $144.74 | — |
| TCHP | Medicaid|All Other Plans | $144.74 | — |
| BCBS | Medicaid|All Plans | $151.98 | — |
| SUPERIOR | Medicaid|All Plans | $151.98 | — |
| CHC | Medicaid|All Other Plans | $151.98 | — |
| BCBS-TX | Commercial|Blue Advantage HMO | $171.76 | — |
| TCHP | Medicaid|STAR | $193.95 | — |
| Wellpoint | Medicaid|STAR | $193.95 | — |
| UNITED | Medicaid|STAR | $193.95 | — |
| CHC | Medicaid|STAR | $204.08 | — |
| BCBS-TX | Commercial|Blue Options | $215.04 | — |
| BCBS-TX | Commercial|Traditional | $221.31 | — |
| BCBS-TX | Commercial|PPO-POS | $233.34 | — |
| BCBS-TX | Commercial|HMO | $260.88 | — |
| BCBS-TX | Commercial|PPO | $277.09 | — |
| UNITED | Medicaid|STARPLUS | $442.90 | — |
| United | Commercial|All Other Plans | $868.00 | — |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $3,248.32 | — |
| KELSEY | Medicare|All Plans | $3,248.32 | — |
| HUMANA | Medicare|All Plans | $3,248.32 | — |
| UNITED | Medicare|All Plans | $3,248.32 | — |
| BCBS | Medicare|All Plans | $3,248.32 | — |
| WellcareTP | Medicare|All Plans | $3,345.77 | — |
| Wellpoint | Medicare|All Plans | $3,345.77 | — |
| SELECTCARE | Medicare|All Plans | $3,345.77 | — |
| Community Health Choice | Commercial|Exchange | $3,410.74 | — |
| Devoted | Medicare|All Plans | $3,475.70 | — |
| SCANHealth | Medicare|All Plans | $3,475.70 | — |
| Aetna | Commercial|All Other Plans | $3,635.00 | — |
| Cigna | Commercial|All Plans | $3,723.00 | — |
| Bright Health | Commercial|All Plans | $4,574.94 | — |
| Ambetter | Commercial|All Plans | $4,710.06 | — |
| Wellpoint | Commercial|Exchange | $4,872.48 | — |
| Aetna | Commercial|Exchange | $5,002.41 | — |
| United | Commercial|Exchange | $5,034.90 | — |
| Humana | Commercial|All Plans | $6,931.73 | — |
| Entrust | Commercial|All Plans | $7,208.99 | — |
| Health First | Commercial|All Plans | not published by hospital | — |
| Aetna | Medicare|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Exc les/mucos/sub/ves mouth/no rpr 40810 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,104.42 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,591.37 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,104.42 | $85.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,104.42 | $137.59 – $7,975.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,591.37 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $3,104.42 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $3,104.42 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $2,591.37 | $71.00 – $7,975.81 |