Ghs simple repair 5.1 - 7.5 cm - 12014 at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$340.55
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.
$973.00
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.
$0.40 with Cigna vs $3,635.00 with Aetna — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.40 | ↓ -100% |
| TCHP | Medicaid|All Other Plans | $58.38 | ↓ -83% |
| UNITED | Medicaid|All Other Plans | $58.38 | ↓ -83% |
| BCBS | Medicaid|All Plans | $61.30 | ↓ -82% |
| SUPERIOR | Medicaid|All Plans | $61.30 | ↓ -82% |
| TCHP | Medicaid|STAR | $78.23 | ↓ -77% |
| UNITED | Medicaid|STAR | $78.23 | ↓ -77% |
| Aetna | Medicare|All Plans | $145.95 | ↓ -57% |
| UNITED | Medicaid|STARPLUS | $178.65 | ↓ -48% |
| BCBS-TX | Commercial|Blue Advantage HMO | $185.21 | ↓ -46% |
| HUMANA | Medicare|All Plans | $199.02 | ↓ -42% |
| BCBS | Medicare|All Plans | $199.02 | ↓ -42% |
| KELSEY | Medicare|All Plans | $199.02 | ↓ -42% |
| UNITED | Medicare|All Plans | $199.02 | ↓ -42% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $199.02 | ↓ -42% |
| SELECTCARE | Medicare|All Plans | $204.99 | ↓ -40% |
| WellcareTP | Medicare|All Plans | $204.99 | ↓ -40% |
| Wellpoint | Medicare|All Plans | $204.99 | ↓ -40% |
| Community Health Choice | Commercial|Exchange | $208.97 | ↓ -39% |
| United | Commercial|All Other Plans | $210.00 | ↓ -38% |
| Devoted | Medicare|All Plans | $212.95 | ↓ -37% |
| SCANHealth | Medicare|All Plans | $212.95 | ↓ -37% |
| BCBS-TX | Commercial|Blue Options | $231.46 | ↓ -32% |
| BCBS-TX | Commercial|Traditional | $238.22 | ↓ -30% |
| BCBS-TX | Commercial|PPO-POS | $251.61 | ↓ -26% |
| BCBS-TX | Commercial|HMO | $281.32 | ↓ -17% |
| Ambetter | Commercial|All Plans | $288.58 | ↓ -15% |
| Wellpoint | Commercial|Exchange | $298.53 | ↓ -12% |
| BCBS-TX | Commercial|PPO | $298.79 | ↓ -12% |
| Bright Health | Commercial|All Plans | $300.30 | ↓ -12% |
| Aetna | Commercial|Exchange | $306.49 | ↓ -10% |
| United | Commercial|Exchange | $308.48 | ↓ -9% |
| CHC | Medicaid|CHIP | $389.20 | ↑ +14% |
| CHC | Medicaid|All Other Plans | $389.20 | ↑ +14% |
| Humana | Commercial|All Plans | $455.00 | ↑ +34% |
| Entrust | Commercial|All Plans | $473.20 | ↑ +39% |
| Health First | Commercial|All Plans | $486.50 | ↑ +43% |
| CHC | Medicaid|STAR | $521.53 | ↑ +53% |
| Aetna | Commercial|All Other Plans | $3,635.00 | ↑ +967% |
Visitor-reported prices
Comments
Ghs simple repair 5.1 - 7.5 cm - 12014 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $644.19 | $182.52 – $805.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $538.64 | $71.00 – $807.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $624.34 | $71.00 – $780.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $644.19 | $171.78 – $805.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $538.64 | $85.00 – $807.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $538.64 | $278.30 – $807.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $624.34 | $71.00 – $936.51 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $644.19 | $171.78 – $805.24 |