Fragmenting of kidney stone at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$7,302.75
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.
$20,865.00
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.
$1,177.54 with CHC vs $10,432.50 with Health First — 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 | $1,177.54 | ↓ -84% |
| UNITED | Medicaid|All Other Plans | $1,202.33 | ↓ -84% |
| Wellpoint | Medicaid|All Other Plans | $1,202.33 | ↓ -84% |
| TCHP | Medicaid|All Other Plans | $1,202.33 | ↓ -84% |
| CHC | Medicaid|All Other Plans | $1,262.45 | ↓ -83% |
| SUPERIOR | Medicaid|All Plans | $1,262.45 | ↓ -83% |
| BCBS | Medicaid|All Plans | $1,262.45 | ↓ -83% |
| TCHP | Medicaid|STAR | $1,611.12 | ↓ -78% |
| UNITED | Medicaid|STAR | $1,611.12 | ↓ -78% |
| Wellpoint | Medicaid|STAR | $1,611.12 | ↓ -78% |
| CHC | Medicaid|STAR | $1,695.29 | ↓ -77% |
| Aetna | Medicare|All Plans | $3,129.75 | ↓ -57% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,199.65 | ↓ -56% |
| HUMANA | Medicare|All Plans | $3,454.56 | ↓ -53% |
| BCBS | Medicare|All Plans | $3,454.56 | ↓ -53% |
| UNITED | Medicare|All Plans | $3,454.56 | ↓ -53% |
| KELSEY | Medicare|All Plans | $3,454.56 | ↓ -53% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $3,454.56 | ↓ -53% |
| SELECTCARE | Medicare|All Plans | $3,558.20 | ↓ -51% |
| Wellpoint | Medicare|All Plans | $3,558.20 | ↓ -51% |
| WellcareTP | Medicare|All Plans | $3,558.20 | ↓ -51% |
| Community Health Choice | Commercial|Exchange | $3,627.29 | ↓ -50% |
| UNITED | Medicaid|STARPLUS | $3,679.13 | ↓ -50% |
| SCANHealth | Medicare|All Plans | $3,696.38 | ↓ -49% |
| Devoted | Medicare|All Plans | $3,696.38 | ↓ -49% |
| United | Commercial|All Other Plans | $4,257.00 | ↓ -42% |
| BCBS-TX | Commercial|PPO-POS | $4,346.70 | ↓ -40% |
| BCBS-TX | Commercial|HMO | $4,859.85 | ↓ -33% |
| Ambetter | Commercial|All Plans | $5,009.11 | ↓ -31% |
| BCBS-TX | Commercial|Blue Options | $5,077.26 | ↓ -30% |
| Bright Health | Commercial|All Plans | $5,141.58 | ↓ -30% |
| BCBS-TX | Commercial|PPO | $5,161.70 | ↓ -29% |
| Wellpoint | Commercial|Exchange | $5,181.84 | ↓ -29% |
| BCBS-TX | Commercial|Traditional | $5,225.50 | ↓ -28% |
| Aetna | Commercial|Exchange | $5,320.02 | ↓ -27% |
| United | Commercial|Exchange | $5,354.57 | ↓ -27% |
| Aetna | Commercial|All Other Plans | $7,590.00 | ↑ +4% |
| Humana | Commercial|All Plans | $7,790.27 | ↑ +7% |
| Entrust | Commercial|All Plans | $8,101.89 | ↑ +11% |
| Health First | Commercial|All Plans | $10,432.50 | ↑ +43% |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $13,091.90 | $1,142.90 – $10,982.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $12,835.46 | $71.00 – $12,407.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,092.17 | $71.00 – $10,982.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $13,091.90 | $1,142.90 – $12,306.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $12,835.46 | $85.00 – $12,407.61 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $12,835.46 | $1,142.90 – $10,696.22 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,092.17 | $71.00 – $10,982.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $13,091.90 | $1,142.90 – $12,306.00 |