Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$9,795.72
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.
?
What you pay up front if you don't use insurance.
$27,987.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$157.50 with Cigna vs $6,229.36 with Wellpoint — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $157.50 | ↓ -98% |
| Aetna | Medicare|All Plans | $357.95 | ↓ -96% |
| Bright Health | Commercial|All Plans | $787.49 | ↓ -92% |
| BCBS-TX | Commercial|Blue Advantage HMO | $929.76 | ↓ -91% |
| Entrust | Commercial|All Plans | $954.53 | ↓ -90% |
| Health First | Commercial|All Plans | $1,193.16 | ↓ -88% |
| BCBS-TX | Commercial|PPO-POS | $1,239.68 | ↓ -87% |
| BCBS-TX | Commercial|HMO | $1,317.16 | ↓ -87% |
| BCBS-TX | Commercial|PPO | $1,472.12 | ↓ -85% |
| CHC | Medicaid|All Other Plans | $1,551.11 | ↓ -84% |
| CHC | Medicaid|CHIP | $1,551.11 | ↓ -84% |
| Aetna | Commercial|All Other Plans | $1,718.15 | ↓ -82% |
| BCBS-TX | Commercial|Blue Options | $2,169.43 | ↓ -78% |
| BCBS-TX | Commercial|Traditional | $2,401.87 | ↓ -75% |
| CHC | Medicaid|STAR | $3,722.65 | ↓ -62% |
| Wellpoint | Medicaid|All Other Plans | $4,648.77 | ↓ -53% |
| Wellpoint | Medicaid|STAR | $6,229.36 | ↓ -36% |
Visitor-reported prices
Comments
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $820.00 | $136.37 – $1,283.63 |
| HCA HOUSTON MEDICAL CENTER | Houston | $6,023.00 | $136.37 – $1,283.63 |
| Covenant Children's Hospital | Lubbock | $17,161.20 | $476.62 – $518.02 |
| HCA HOUSTON KINGWOOD | HUMBLE | $6,031.00 | $209.78 – $1,283.63 |
| St. Luke's Health - Patients Medical Center | Pasadena | $4,325.48 | $87.98 – $314.22 |
| St. Joseph Health Madison Hospital | Madisonville | $2,177.70 | $138.75 – $3,321.90 |
| St. Joseph Health College Station Hospital | College Station | $2,177.70 | $138.75 – $5,587.40 |
| St. Joseph Health Grimes Hospital | Navasota | $2,177.70 | $138.75 – $5,587.40 |