Injection for tear sac x-ray at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$201.29
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.
$575.10
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.
$34.51 with UNITED 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 |
|---|---|---|---|
| UNITED | Medicaid|All Other Plans | $34.51 | ↓ -83% |
| TCHP | Medicaid|All Other Plans | $34.51 | ↓ -83% |
| TCHP | Medicaid|STAR | $46.24 | ↓ -77% |
| UNITED | Medicaid|STAR | $46.24 | ↓ -77% |
| Aetna | Medicare|All Plans | $86.27 | ↓ -57% |
| UNITED | Medicaid|STARPLUS | $105.59 | ↓ -48% |
| United | Commercial|All Other Plans | $210.00 | ↑ +4% |
| Health First | Commercial|All Plans | $287.55 | ↑ +43% |
| Aetna | Commercial|All Other Plans | $3,635.00 | ↑ +1706% |
Visitor-reported prices
Comments
Injection for tear sac x-ray at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Mansfield | Mansfield | $101.43 | $1,187.00 – $1,187.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $4,826.69 – $4,826.69 |
| Covenant Children's Hospital | Lubbock | not published | $2,444.00 – $2,444.00 |
| Baylor St Luke's Medical Center | Houston | not published | $0.02 – $0.02 |
| Covenant Medical Center | Lubbock | not published | $341.74 – $2,688.00 |
| Covenant Hospital Plainview | Plainview | not published | $2,613.00 – $2,613.00 |
| Ascension Seton Cedar Park Hospital | Cedar Park | not published | $55.18 – $1,000.00 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | not published | $55.18 – $1,000.00 |