Insertion subcutaneous cardiac rhythm monitor at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$6,420.02
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.
$18,342.90
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.
$1,177.54 with CHC vs $21,499.09 with Entrust — 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 |
|---|---|---|---|
| CHC | Medicaid|CHIP | $1,177.54 | ↓ -82% |
| Wellpoint | Medicaid|All Other Plans | $1,600.00 | ↓ -75% |
| Wellpoint | Medicaid|STAR | $2,144.00 | ↓ -67% |
| Aetna | Medicare|All Plans | $2,751.44 | ↓ -57% |
| Aetna | Commercial|All Other Plans | $3,635.00 | ↓ -43% |
| Cigna | Commercial|All Plans | $3,723.00 | ↓ -42% |
| UNITED | Medicaid|All Other Plans | $6,059.74 | ↓ -6% |
| TCHP | Medicaid|All Other Plans | $6,059.74 | ↓ -6% |
| CHC | Medicaid|All Other Plans | $6,362.73 | ↓ -1% |
| SUPERIOR | Medicaid|All Plans | $6,362.73 | ↓ -1% |
| BCBS | Medicaid|All Plans | $6,362.73 | ↓ -1% |
| United | Commercial|All Other Plans | $6,958.00 | ↑ +8% |
| BCBS-TX | Commercial|Blue Advantage HMO | $8,100.36 | ↑ +26% |
| UNITED | Medicaid|STAR | $8,120.05 | ↑ +26% |
| TCHP | Medicaid|STAR | $8,120.05 | ↑ +26% |
| HUMANA | Medicare|All Plans | $8,289.39 | ↑ +29% |
| UNITED | Medicare|All Plans | $8,289.39 | ↑ +29% |
| BCBS | Medicare|All Plans | $8,289.39 | ↑ +29% |
| KELSEY | Medicare|All Plans | $8,289.39 | ↑ +29% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $8,289.39 | ↑ +29% |
| Wellpoint | Medicare|All Plans | $8,538.07 | ↑ +33% |
| WellcareTP | Medicare|All Plans | $8,538.07 | ↑ +33% |
| SELECTCARE | Medicare|All Plans | $8,538.07 | ↑ +33% |
| CHC | Medicaid|STAR | $8,544.23 | ↑ +33% |
| Community Health Choice | Commercial|Exchange | $8,703.86 | ↑ +36% |
| SCANHealth | Medicare|All Plans | $8,869.65 | ↑ +38% |
| Devoted | Medicare|All Plans | $8,869.65 | ↑ +38% |
| Health First | Commercial|All Plans | $9,171.45 | ↑ +43% |
| BCBS-TX | Commercial|Blue Options | $10,143.63 | ↑ +58% |
| BCBS-TX | Commercial|Traditional | $10,439.80 | ↑ +63% |
| BCBS-TX | Commercial|PPO-POS | $11,004.26 | ↑ +71% |
| Ambetter | Commercial|All Plans | $12,019.62 | ↑ +87% |
| BCBS-TX | Commercial|HMO | $12,303.38 | ↑ +92% |
| Wellpoint | Commercial|Exchange | $12,434.09 | ↑ +94% |
| Aetna | Commercial|Exchange | $12,765.66 | ↑ +99% |
| United | Commercial|Exchange | $12,848.55 | ↑ +100% |
| BCBS-TX | Commercial|PPO | $13,067.56 | ↑ +104% |
| Bright Health | Commercial|All Plans | $13,643.65 | ↑ +113% |
| UNITED | Medicaid|STARPLUS | $18,542.80 | ↑ +189% |
| Humana | Commercial|All Plans | $20,672.20 | ↑ +222% |
| Entrust | Commercial|All Plans | $21,499.09 | ↑ +235% |
Visitor-reported prices
Comments
Insertion subcutaneous cardiac rhythm monitor at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,520.42 | $5,112.25 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $14,985.87 | $71.00 – $22,478.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $14,760.60 | $71.00 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,520.42 | $5,254.26 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $14,985.87 | $85.00 – $22,478.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $14,985.87 | $5,760.21 – $22,478.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $14,760.60 | $71.00 – $22,140.90 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,520.42 | $5,254.26 – $21,045.99 |