MRI tmj at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$1,185.03
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.
$3,385.80
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.
$203.15 with TCHP vs $1,692.90 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 →
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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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $203.15 | ↓ -83% |
| UNITED | Medicaid|All Other Plans | $233.52 | ↓ -80% |
| BCBS | Medicare|All Plans | $242.11 | ↓ -80% |
| KELSEY | Medicare|All Plans | $242.11 | ↓ -80% |
| UNITED | Medicare|All Plans | $242.11 | ↓ -80% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $242.11 | ↓ -80% |
| HUMANA | Medicare|All Plans | $242.11 | ↓ -80% |
| CHC | Medicaid|CHIP | $243.93 | ↓ -79% |
| SUPERIOR | Medicaid|All Plans | $245.14 | ↓ -79% |
| BCBS | Medicaid|All Plans | $245.14 | ↓ -79% |
| CHC | Medicaid|All Other Plans | $245.14 | ↓ -79% |
| SELECTCARE | Medicare|All Plans | $249.37 | ↓ -79% |
| Wellpoint | Medicare|All Plans | $249.37 | ↓ -79% |
| WellcareTP | Medicare|All Plans | $249.37 | ↓ -79% |
| Community Health Choice | Commercial|Exchange | $254.22 | ↓ -79% |
| SCANHealth | Medicare|All Plans | $259.06 | ↓ -78% |
| Devoted | Medicare|All Plans | $259.06 | ↓ -78% |
| TCHP | Medicaid|STAR | $272.22 | ↓ -77% |
| UNITED | Medicaid|STAR | $312.92 | ↓ -74% |
| CHC | Medicaid|STAR | $329.19 | ↓ -72% |
| Ambetter | Commercial|All Plans | $351.06 | ↓ -70% |
| Wellpoint | Commercial|Exchange | $363.17 | ↓ -69% |
| Aetna | Commercial|Exchange | $372.85 | ↓ -69% |
| United | Commercial|Exchange | $375.27 | ↓ -68% |
| Bright Health | Commercial|All Plans | $384.80 | ↓ -68% |
| BCBS-TX | Commercial|Blue Advantage HMO | $403.16 | ↓ -66% |
| Aetna | Medicare|All Plans | $507.87 | ↓ -57% |
| Humana | Commercial|All Plans | $583.02 | ↓ -51% |
| Entrust | Commercial|All Plans | $606.35 | ↓ -49% |
| BCBS-TX | Commercial|Blue Options | $678.35 | ↓ -43% |
| UNITED | Medicaid|STARPLUS | $714.57 | ↓ -40% |
| BCBS-TX | Commercial|PPO-POS | $717.76 | ↓ -39% |
| BCBS-TX | Commercial|Traditional | $752.68 | ↓ -36% |
| BCBS-TX | Commercial|HMO | $769.03 | ↓ -35% |
| United | Commercial|All Other Plans | $846.00 | ↓ -29% |
| BCBS-TX | Commercial|PPO | $859.92 | ↓ -27% |
| Wellpoint | Medicaid|All Other Plans | $1,000.00 | ↓ -16% |
| Aetna | Commercial|All Other Plans | $1,151.18 | ↓ -3% |
| Wellpoint | Medicaid|STAR | $1,340.00 | ↑ +13% |
| Cigna | Commercial|All Plans | $1,354.32 | ↑ +14% |
| Health First | Commercial|All Plans | $1,692.90 | ↑ +43% |
Visitor-reported prices
Comments
MRI tmj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,658.77 | $227.71 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,564.62 | $314.76 – $3,846.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,374.65 | $227.71 – $2,968.31 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,658.77 | $227.71 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,564.62 | $227.71 – $3,846.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,564.62 | $233.47 – $3,846.93 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,374.65 | $227.71 – $3,561.97 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,658.77 | $227.71 – $2,149.00 |