In-111 pentetate dtpa / 0.5 mci at St. Luke's Health - Brazosport Hospital

100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$3,237.57

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$9,250.20

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$716.45 with HUMANA vs $4,625.10 with Health First — 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 →

Payer
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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
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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
HUMANA Medicare|All Plans $716.45 ↓ -78%
UNITED Medicare|All Plans $716.45 ↓ -78%
KELSEY Medicare|All Plans $716.45 ↓ -78%
CIGNA-HEALTHSPRING Medicare|All Plans $716.45 ↓ -78%
BCBS Medicare|All Plans $716.45 ↓ -78%
WellcareTP Medicare|All Plans $737.94 ↓ -77%
Wellpoint Medicare|All Plans $737.94 ↓ -77%
SELECTCARE Medicare|All Plans $737.94 ↓ -77%
Community Health Choice Commercial|Exchange $752.27 ↓ -77%
Devoted Medicare|All Plans $766.60 ↓ -76%
SCANHealth Medicare|All Plans $766.60 ↓ -76%
BCBS-TX Commercial|Blue Options $814.85 ↓ -75%
BCBS-TX Commercial|Traditional $905.39 ↓ -72%
BCBS-TX Commercial|PPO-POS $921.85 ↓ -72%
BCBS-TX Commercial|HMO $950.66 ↓ -71%
Ambetter Commercial|All Plans $1,038.85 ↓ -68%
Wellpoint Commercial|Exchange $1,074.68 ↓ -67%
Aetna Commercial|Exchange $1,103.33 ↓ -66%
BCBS-TX Commercial|PPO $1,107.04 ↓ -66%
United Commercial|Exchange $1,110.50 ↓ -66%
BCBS-TX Commercial|Blue Advantage HMO $1,362.20 ↓ -58%
Aetna Medicare|All Plans $1,387.53 ↓ -57%
Health First Commercial|All Plans $4,625.10 ↑ +43%

Visitor-reported prices

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In-111 pentetate dtpa / 0.5 mci at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $13,574.48 $806.62 – $4,829.38
HCA HOUSTON MEDICAL CENTER Houston $3,122.79 $806.62 – $4,829.38
HCA HOUSTON KINGWOOD HUMBLE $3,333.49 $806.62 – $4,829.38
HCA HOUSTON NORTHWEST SPRING $1,376.99 $806.62 – $4,829.38
St. Luke's Health - Patients Medical Center Pasadena $1,541.61 $100.00 – $3,303.45
Baylor St Luke's Medical Center Houston $1,541.75 $100.00 – $4,405.00
St. Joseph Health Madison Hospital Madisonville $192.50 $140.14 – $990.00
St. Luke's Health Memorial Lufkin Lufkin $552.64 $100.00 – $3,250.80

All Texas hospitals for this procedure →