Ivp w/wo kub w/wo tomography 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

$382.03

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.

$1,091.50

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.

$65.49 with TCHP vs $877.57 with Wellpoint — 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
TCHP Medicaid|All Other Plans $65.49 ↓ -83%
TCHP Medicaid|STAR $87.76 ↓ -77%
CHC Medicaid|CHIP $108.76 ↓ -72%
UNITED Medicaid|All Other Plans $137.00 ↓ -64%
BCBS Medicaid|All Plans $142.10 ↓ -63%
SUPERIOR Medicaid|All Plans $142.10 ↓ -63%
CHC Medicaid|All Other Plans $142.10 ↓ -63%
Aetna Medicare|All Plans $163.73 ↓ -57%
CIGNA-HEALTHSPRING Medicare|All Plans $178.31 ↓ -53%
UNITED Medicare|All Plans $178.31 ↓ -53%
BCBS Medicare|All Plans $178.31 ↓ -53%
HUMANA Medicare|All Plans $178.31 ↓ -53%
KELSEY Medicare|All Plans $178.31 ↓ -53%
BCBS-TX Commercial|Blue Advantage HMO $183.09 ↓ -52%
UNITED Medicaid|STAR $183.58 ↓ -52%
WellcareTP Medicare|All Plans $183.66 ↓ -52%
Wellpoint Medicare|All Plans $183.66 ↓ -52%
SELECTCARE Medicare|All Plans $183.66 ↓ -52%
Community Health Choice Commercial|Exchange $187.23 ↓ -51%
Devoted Medicare|All Plans $190.79 ↓ -50%
SCANHealth Medicare|All Plans $190.79 ↓ -50%
CHC Medicaid|STAR $190.82 ↓ -50%
BCBS-TX Commercial|Blue Options $207.57 ↓ -46%
BCBS-TX Commercial|Traditional $230.83 ↓ -40%
BCBS-TX Commercial|PPO-POS $243.48 ↓ -36%
Ambetter Commercial|All Plans $258.55 ↓ -32%
BCBS-TX Commercial|HMO $261.70 ↓ -31%
Wellpoint Commercial|Exchange $267.47 ↓ -30%
Aetna Commercial|Exchange $274.60 ↓ -28%
United Commercial|Exchange $276.38 ↓ -28%
BCBS-TX Commercial|PPO $292.37 ↓ -23%
Bright Health Commercial|All Plans $298.72 ↓ -22%
United Commercial|All Other Plans $349.28 ↓ -9%
Aetna Commercial|All Other Plans $371.11 ↓ -3%
UNITED Medicaid|STARPLUS $419.22 ↑ +10%
Humana Commercial|All Plans $452.60 ↑ +18%
Entrust Commercial|All Plans $470.70 ↑ +23%
Cigna Commercial|All Plans $501.06 ↑ +31%
Health First Commercial|All Plans $545.75 ↑ +43%
Wellpoint Medicaid|All Other Plans $654.90 ↑ +71%
Wellpoint Medicaid|STAR $877.57 ↑ +130%

Visitor-reported prices

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Ivp w/wo kub w/wo tomography at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $687.80 $135.33 – $859.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $823.10 $169.42 – $1,234.66
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $683.08 $135.33 – $853.85
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $687.80 $135.33 – $859.75
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $823.10 $144.80 – $1,234.66
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $823.10 $135.33 – $1,234.66
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $683.08 $135.33 – $1,024.62
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $687.80 $135.33 – $859.75

All Texas hospitals for this procedure →