Ghs simple repair 7.6 - 12.5 cm - 12004 at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$424.55
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.
$1,213.00
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 | $72.78 | ↓ -83% |
| UNITED | Medicaid|All Other Plans | $72.78 | ↓ -83% |
| BCBS | Medicaid|All Plans | $76.42 | ↓ -82% |
| SUPERIOR | Medicaid|All Plans | $76.42 | ↓ -82% |
| UNITED | Medicaid|STAR | $97.53 | ↓ -77% |
| TCHP | Medicaid|STAR | $97.53 | ↓ -77% |
| Aetna | Medicare|All Plans | $181.95 | ↓ -57% |
| BCBS-TX | Commercial|Blue Advantage HMO | $185.21 | ↓ -56% |
| UNITED | Medicare|All Plans | $199.02 | ↓ -53% |
| HUMANA | Medicare|All Plans | $199.02 | ↓ -53% |
| BCBS | Medicare|All Plans | $199.02 | ↓ -53% |
| KELSEY | Medicare|All Plans | $199.02 | ↓ -53% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $199.02 | ↓ -53% |
| Wellpoint | Medicare|All Plans | $204.99 | ↓ -52% |
| SELECTCARE | Medicare|All Plans | $204.99 | ↓ -52% |
| WellcareTP | Medicare|All Plans | $204.99 | ↓ -52% |
| Community Health Choice | Commercial|Exchange | $208.97 | ↓ -51% |
| United | Commercial|All Other Plans | $210.00 | ↓ -51% |
| Devoted | Medicare|All Plans | $212.95 | ↓ -50% |
| SCANHealth | Medicare|All Plans | $212.95 | ↓ -50% |
| UNITED | Medicaid|STARPLUS | $222.71 | ↓ -48% |
| BCBS-TX | Commercial|Blue Options | $231.46 | ↓ -45% |
| BCBS-TX | Commercial|Traditional | $238.22 | ↓ -44% |
| BCBS-TX | Commercial|PPO-POS | $251.61 | ↓ -41% |
| BCBS-TX | Commercial|HMO | $281.32 | ↓ -34% |
| Ambetter | Commercial|All Plans | $288.58 | ↓ -32% |
| Wellpoint | Commercial|Exchange | $298.53 | ↓ -30% |
| BCBS-TX | Commercial|PPO | $298.79 | ↓ -30% |
| Bright Health | Commercial|All Plans | $300.30 | ↓ -29% |
| Aetna | Commercial|Exchange | $306.49 | ↓ -28% |
| United | Commercial|Exchange | $308.48 | ↓ -27% |
| Humana | Commercial|All Plans | $455.00 | ↑ +7% |
| Entrust | Commercial|All Plans | $473.20 | ↑ +11% |
| CHC | Medicaid|CHIP | $485.20 | ↑ +14% |
| CHC | Medicaid|All Other Plans | $485.20 | ↑ +14% |
| Health First | Commercial|All Plans | $606.50 | ↑ +43% |
| CHC | Medicaid|STAR | $650.17 | ↑ +53% |
| Aetna | Commercial|All Other Plans | $3,635.00 | ↑ +756% |
Visitor-reported prices
Comments
Ghs simple repair 7.6 - 12.5 cm - 12004 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,142.40 | $218.41 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $569.06 | $111.00 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $470.47 | $71.00 – $705.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $545.35 | $71.00 – $681.68 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $569.06 | $151.75 – $711.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $470.47 | $85.00 – $705.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $470.47 | $243.08 – $705.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $545.35 | $71.00 – $818.02 |