Factor ix at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$168.21
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.
$480.60
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.
$15.99 with TCHP vs $386.41 with Wellpoint — 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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $15.99 | ↓ -90% |
| UNITED | Medicaid|All Other Plans | $15.99 | ↓ -90% |
| United | Commercial|All Other Plans | $16.08 | ↓ -90% |
| BCBS | Medicaid|All Plans | $16.79 | ↓ -90% |
| CHC | Medicaid|All Other Plans | $16.79 | ↓ -90% |
| SUPERIOR | Medicaid|All Plans | $16.79 | ↓ -90% |
| CHC | Medicaid|CHIP | $18.66 | ↓ -89% |
| BCBS | Medicare|All Plans | $19.04 | ↓ -89% |
| UNITED | Medicare|All Plans | $19.04 | ↓ -89% |
| KELSEY | Medicare|All Plans | $19.04 | ↓ -89% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $19.04 | ↓ -89% |
| HUMANA | Medicare|All Plans | $19.04 | ↓ -89% |
| SELECTCARE | Medicare|All Plans | $19.61 | ↓ -88% |
| Wellpoint | Medicare|All Plans | $19.61 | ↓ -88% |
| WellcareTP | Medicare|All Plans | $19.61 | ↓ -88% |
| Community Health Choice | Commercial|Exchange | $19.99 | ↓ -88% |
| SCANHealth | Medicare|All Plans | $20.37 | ↓ -88% |
| Devoted | Medicare|All Plans | $20.37 | ↓ -88% |
| UNITED | Medicaid|STAR | $21.43 | ↓ -87% |
| TCHP | Medicaid|STAR | $21.43 | ↓ -87% |
| CHC | Medicaid|STAR | $22.55 | ↓ -87% |
| Ambetter | Commercial|All Plans | $27.61 | ↓ -84% |
| Wellpoint | Commercial|Exchange | $28.56 | ↓ -83% |
| Aetna | Commercial|Exchange | $29.32 | ↓ -83% |
| United | Commercial|Exchange | $29.51 | ↓ -82% |
| Bright Health | Commercial|All Plans | $31.42 | ↓ -81% |
| BCBS-TX | Commercial|Blue Advantage HMO | $45.89 | ↓ -73% |
| Humana | Commercial|All Plans | $47.60 | ↓ -72% |
| UNITED | Medicaid|STARPLUS | $48.93 | ↓ -71% |
| Entrust | Commercial|All Plans | $49.50 | ↓ -71% |
| BCBS-TX | Commercial|PPO-POS | $66.64 | ↓ -60% |
| BCBS-TX | Commercial|HMO | $67.97 | ↓ -60% |
| BCBS-TX | Commercial|Blue Options | $71.94 | ↓ -57% |
| Aetna | Medicare|All Plans | $72.09 | ↓ -57% |
| BCBS-TX | Commercial|PPO | $79.78 | ↓ -53% |
| BCBS-TX | Commercial|Traditional | $79.93 | ↓ -52% |
| Cigna | Commercial|All Plans | $79.93 | ↓ -52% |
| Health First | Commercial|All Plans | $240.30 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $288.36 | ↑ +71% |
| Wellpoint | Medicaid|STAR | $386.41 | ↑ +130% |
Visitor-reported prices
Comments
Factor ix at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $251.47 | $10.00 – $70.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $267.03 | $11.55 – $84.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $259.25 | $12.00 – $70.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $251.47 | $10.00 – $70.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $267.03 | $12.00 – $84.15 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $267.03 | $8.00 – $84.15 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $259.25 | $12.00 – $84.15 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $251.47 | $10.00 – $70.12 |