Ghs layered repair 12.6 - 20.0 cm -12055 at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$272.65
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.
$779.00
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.
$116.85 with Aetna vs $2,831.00 with Cigna — 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 | $116.85 | ↓ -57% |
| UNITED | Medicaid|All Other Plans | $150.52 | ↓ -45% |
| Wellpoint | Medicaid|All Other Plans | $150.52 | ↓ -45% |
| TCHP | Medicaid|All Other Plans | $150.52 | ↓ -45% |
| BCBS | Medicaid|All Plans | $158.05 | ↓ -42% |
| CHC | Medicaid|All Other Plans | $158.05 | ↓ -42% |
| SUPERIOR | Medicaid|All Plans | $158.05 | ↓ -42% |
| Wellpoint | Medicaid|STAR | $201.70 | ↓ -26% |
| UNITED | Medicaid|STAR | $201.70 | ↓ -26% |
| TCHP | Medicaid|STAR | $201.70 | ↓ -26% |
| United | Commercial|All Other Plans | $210.00 | ↓ -23% |
| CHC | Medicaid|STAR | $212.23 | ↓ -22% |
| BCBS-TX | Commercial|Blue Advantage HMO | $338.68 | ↑ +24% |
| Health First | Commercial|All Plans | $389.50 | ↑ +43% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $400.18 | ↑ +47% |
| KELSEY | Medicare|All Plans | $400.18 | ↑ +47% |
| HUMANA | Medicare|All Plans | $400.18 | ↑ +47% |
| UNITED | Medicare|All Plans | $400.18 | ↑ +47% |
| BCBS | Medicare|All Plans | $400.18 | ↑ +47% |
| CHC | Medicaid|CHIP | $404.46 | ↑ +48% |
| WellcareTP | Medicare|All Plans | $412.19 | ↑ +51% |
| Wellpoint | Medicare|All Plans | $412.19 | ↑ +51% |
| SELECTCARE | Medicare|All Plans | $412.19 | ↑ +51% |
| Community Health Choice | Commercial|Exchange | $420.19 | ↑ +54% |
| BCBS-TX | Commercial|Blue Options | $425.80 | ↑ +56% |
| Devoted | Medicare|All Plans | $428.19 | ↑ +57% |
| SCANHealth | Medicare|All Plans | $428.19 | ↑ +57% |
| BCBS-TX | Commercial|Traditional | $438.23 | ↑ +61% |
| BCBS-TX | Commercial|PPO-POS | $460.09 | ↑ +69% |
| UNITED | Medicaid|STARPLUS | $460.59 | ↑ +69% |
| BCBS-TX | Commercial|HMO | $514.41 | ↑ +89% |
| BCBS-TX | Commercial|PPO | $546.36 | ↑ +100% |
| Bright Health | Commercial|All Plans | $578.01 | ↑ +112% |
| Ambetter | Commercial|All Plans | $580.26 | ↑ +113% |
| Wellpoint | Commercial|Exchange | $600.27 | ↑ +120% |
| Aetna | Commercial|Exchange | $616.28 | ↑ +126% |
| United | Commercial|Exchange | $620.28 | ↑ +128% |
| Humana | Commercial|All Plans | $875.77 | ↑ +221% |
| Entrust | Commercial|All Plans | $910.81 | ↑ +234% |
| Aetna | Commercial|All Other Plans | $2,640.00 | ↑ +868% |
| Cigna | Commercial|All Plans | $2,831.00 | ↑ +938% |
Visitor-reported prices
Comments
Ghs layered repair 12.6 - 20.0 cm -12055 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,061.92 | $143.08 – $1,327.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $766.36 | $71.00 – $1,149.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $849.30 | $71.00 – $1,061.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,061.92 | $143.08 – $1,327.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $766.36 | $85.00 – $1,149.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $766.36 | $143.08 – $1,149.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $849.30 | $71.00 – $1,273.95 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,061.92 | $143.08 – $1,327.40 |