Incision of toe tendons 28011 at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$727.65
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.
$2,079.00
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.
$311.85 with Aetna vs $4,778.00 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 |
|---|---|---|---|
| Aetna | Medicare|All Plans | $311.85 | ↓ -57% |
| CHC | Medicaid|CHIP | $404.46 | ↓ -44% |
| UNITED | Medicaid|All Other Plans | $623.88 | ↓ -14% |
| Wellpoint | Medicaid|All Other Plans | $623.88 | ↓ -14% |
| TCHP | Medicaid|All Other Plans | $623.88 | ↓ -14% |
| CHC | Medicaid|All Other Plans | $655.07 | ↓ -10% |
| SUPERIOR | Medicaid|All Plans | $655.07 | ↓ -10% |
| BCBS | Medicaid|All Plans | $655.07 | ↓ -10% |
| TCHP | Medicaid|STAR | $836.00 | ↑ +15% |
| UNITED | Medicaid|STAR | $836.00 | ↑ +15% |
| Wellpoint | Medicaid|STAR | $836.00 | ↑ +15% |
| CHC | Medicaid|STAR | $879.67 | ↑ +21% |
| Health First | Commercial|All Plans | $1,039.50 | ↑ +43% |
| United | Commercial|All Other Plans | $1,304.00 | ↑ +79% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,436.71 | ↑ +97% |
| UNITED | Medicare|All Plans | $1,603.00 | ↑ +120% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $1,603.00 | ↑ +120% |
| HUMANA | Medicare|All Plans | $1,603.00 | ↑ +120% |
| KELSEY | Medicare|All Plans | $1,603.00 | ↑ +120% |
| BCBS | Medicare|All Plans | $1,603.00 | ↑ +120% |
| WellcareTP | Medicare|All Plans | $1,651.09 | ↑ +127% |
| SELECTCARE | Medicare|All Plans | $1,651.09 | ↑ +127% |
| Wellpoint | Medicare|All Plans | $1,651.09 | ↑ +127% |
| Community Health Choice | Commercial|Exchange | $1,683.15 | ↑ +131% |
| SCANHealth | Medicare|All Plans | $1,715.21 | ↑ +136% |
| Devoted | Medicare|All Plans | $1,715.21 | ↑ +136% |
| BCBS-TX | Commercial|Blue Options | $1,849.42 | ↑ +154% |
| BCBS-TX | Commercial|Traditional | $1,903.42 | ↑ +162% |
| UNITED | Medicaid|STARPLUS | $1,909.07 | ↑ +162% |
| BCBS-TX | Commercial|PPO-POS | $1,951.76 | ↑ +168% |
| BCBS-TX | Commercial|HMO | $2,182.18 | ↑ +200% |
| BCBS-TX | Commercial|PPO | $2,317.72 | ↑ +219% |
| Ambetter | Commercial|All Plans | $2,324.35 | ↑ +219% |
| Bright Health | Commercial|All Plans | $2,329.26 | ↑ +220% |
| Wellpoint | Commercial|Exchange | $2,404.50 | ↑ +230% |
| Aetna | Commercial|Exchange | $2,468.62 | ↑ +239% |
| United | Commercial|Exchange | $2,484.65 | ↑ +241% |
| Cigna | Commercial|All Plans | $3,417.00 | ↑ +370% |
| Humana | Commercial|All Plans | $3,529.18 | ↑ +385% |
| Entrust | Commercial|All Plans | $3,670.34 | ↑ +404% |
| Aetna | Commercial|All Other Plans | $4,778.00 | ↑ +557% |
Visitor-reported prices
Comments
Incision of toe tendons 28011 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,119.12 | $71.00 – $4,463.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,459.09 | $71.00 – $4,463.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,119.12 | $85.00 – $4,463.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,119.12 | $593.04 – $3,981.46 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,459.09 | $71.00 – $4,463.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $2,119.12 | $71.00 – $4,463.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $2,119.12 | $71.00 – $4,463.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $2,459.09 | $71.00 – $4,463.00 |