Ghs intermed repair over 30 cm - 12037 at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$158.20
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.
$452.00
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.
$67.80 with Aetna vs $4,513.42 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 |
|---|---|---|---|
| Aetna | Medicare|All Plans | $67.80 | ↓ -57% |
| Health First | Commercial|All Plans | $226.00 | ↑ +43% |
| CHC | Medicaid|CHIP | $404.46 | ↑ +156% |
| UNITED | Medicaid|All Other Plans | $745.88 | ↑ +371% |
| Wellpoint | Medicaid|All Other Plans | $745.88 | ↑ +371% |
| TCHP | Medicaid|All Other Plans | $745.88 | ↑ +371% |
| CHC | Medicaid|All Other Plans | $783.17 | ↑ +395% |
| SUPERIOR | Medicaid|All Plans | $783.17 | ↑ +395% |
| BCBS | Medicaid|All Plans | $783.17 | ↑ +395% |
| United | Commercial|All Other Plans | $868.00 | ↑ +449% |
| Wellpoint | Medicaid|STAR | $999.48 | ↑ +532% |
| UNITED | Medicaid|STAR | $999.48 | ↑ +532% |
| TCHP | Medicaid|STAR | $999.48 | ↑ +532% |
| CHC | Medicaid|STAR | $1,051.69 | ↑ +565% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,720.10 | ↑ +987% |
| BCBS | Medicare|All Plans | $1,832.19 | ↑ +1058% |
| HUMANA | Medicare|All Plans | $1,832.19 | ↑ +1058% |
| UNITED | Medicare|All Plans | $1,832.19 | ↑ +1058% |
| KELSEY | Medicare|All Plans | $1,832.19 | ↑ +1058% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $1,832.19 | ↑ +1058% |
| SELECTCARE | Medicare|All Plans | $1,887.16 | ↑ +1093% |
| Wellpoint | Medicare|All Plans | $1,887.16 | ↑ +1093% |
| WellcareTP | Medicare|All Plans | $1,887.16 | ↑ +1093% |
| Community Health Choice | Commercial|Exchange | $1,923.80 | ↑ +1116% |
| Devoted | Medicare|All Plans | $1,960.44 | ↑ +1139% |
| SCANHealth | Medicare|All Plans | $1,960.44 | ↑ +1139% |
| BCBS-TX | Commercial|Blue Options | $2,148.75 | ↑ +1258% |
| BCBS-TX | Commercial|Traditional | $2,211.49 | ↑ +1298% |
| UNITED | Medicaid|STARPLUS | $2,282.39 | ↑ +1343% |
| BCBS-TX | Commercial|PPO-POS | $2,336.75 | ↑ +1377% |
| BCBS-TX | Commercial|HMO | $2,612.61 | ↑ +1551% |
| Aetna | Commercial|All Other Plans | $2,640.00 | ↑ +1569% |
| Ambetter | Commercial|All Plans | $2,656.68 | ↑ +1579% |
| Wellpoint | Commercial|Exchange | $2,748.29 | ↑ +1637% |
| BCBS-TX | Commercial|PPO | $2,774.89 | ↑ +1654% |
| Aetna | Commercial|Exchange | $2,821.57 | ↑ +1684% |
| Cigna | Commercial|All Plans | $2,831.00 | ↑ +1690% |
| United | Commercial|Exchange | $2,839.89 | ↑ +1695% |
| Bright Health | Commercial|All Plans | $2,864.28 | ↑ +1711% |
| Humana | Commercial|All Plans | $4,339.82 | ↑ +2643% |
| Entrust | Commercial|All Plans | $4,513.42 | ↑ +2753% |
Visitor-reported prices
Comments
Ghs intermed repair over 30 cm - 12037 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,123.36 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,524.85 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,646.85 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,123.36 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,524.85 | $85.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,524.85 | $709.01 – $4,517.58 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,646.85 | $71.00 – $4,517.58 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,123.36 | $709.01 – $4,517.58 |