Observation direct referral from physician office for admission at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$197.05
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.
$563.00
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.
$33.78 with TCHP vs $4,468.00 with Cigna — 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 | $33.78 | ↓ -83% |
| UNITED | Medicaid|All Other Plans | $33.78 | ↓ -83% |
| BCBS | Medicaid|All Plans | $35.47 | ↓ -82% |
| SUPERIOR | Medicaid|All Plans | $35.47 | ↓ -82% |
| CHC | Medicaid|All Other Plans | $45.00 | ↓ -77% |
| CHC | Medicaid|CHIP | $45.00 | ↓ -77% |
| TCHP | Medicaid|STAR | $45.27 | ↓ -77% |
| UNITED | Medicaid|STAR | $45.27 | ↓ -77% |
| CHC | Medicaid|STAR | $60.30 | ↓ -69% |
| Aetna | Medicare|All Plans | $84.45 | ↓ -57% |
| UNITED | Medicaid|STARPLUS | $103.37 | ↓ -48% |
| Aetna | Commercial|All Other Plans | $191.42 | ↓ -3% |
| Wellpoint | Medicaid|All Other Plans | $250.00 | ↑ +27% |
| BCBS-TX | Commercial|Blue Options | $250.85 | ↑ +27% |
| BCBS-TX | Commercial|Traditional | $278.72 | ↑ +41% |
| Health First | Commercial|All Plans | $281.50 | ↑ +43% |
| BCBS-TX | Commercial|PPO-POS | $300.24 | ↑ +52% |
| BCBS-TX | Commercial|HMO | $318.05 | ↑ +61% |
| Wellpoint | Medicaid|STAR | $335.00 | ↑ +70% |
| BCBS-TX | Commercial|PPO | $361.30 | ↑ +83% |
| BCBS-TX | Commercial|Blue Advantage HMO | $402.02 | ↑ +104% |
| BCBS | Medicare|All Plans | $614.09 | ↑ +212% |
| UNITED | Medicare|All Plans | $614.09 | ↑ +212% |
| HUMANA | Medicare|All Plans | $614.09 | ↑ +212% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $614.09 | ↑ +212% |
| KELSEY | Medicare|All Plans | $614.09 | ↑ +212% |
| WellcareTP | Medicare|All Plans | $632.51 | ↑ +221% |
| Wellpoint | Medicare|All Plans | $632.51 | ↑ +221% |
| SELECTCARE | Medicare|All Plans | $632.51 | ↑ +221% |
| Community Health Choice | Commercial|Exchange | $644.79 | ↑ +227% |
| Devoted | Medicare|All Plans | $657.08 | ↑ +233% |
| SCANHealth | Medicare|All Plans | $657.08 | ↑ +233% |
| Bright Health | Commercial|All Plans | $873.20 | ↑ +343% |
| Ambetter | Commercial|All Plans | $890.43 | ↑ +352% |
| Wellpoint | Commercial|Exchange | $921.14 | ↑ +367% |
| Aetna | Commercial|Exchange | $945.70 | ↑ +380% |
| United | Commercial|Exchange | $951.84 | ↑ +383% |
| Humana | Commercial|All Plans | $1,323.03 | ↑ +571% |
| Entrust | Commercial|All Plans | $1,375.95 | ↑ +598% |
| United | Commercial|All Other Plans | $1,747.00 | ↑ +787% |
| Cigna | Commercial|All Plans | $4,468.00 | ↑ +2167% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $162.54 | $489.80 – $489.80 |
| Covenant Children's Hospital | Lubbock | $128.52 | $433.82 – $433.82 |
| St. Luke's Health - Patients Medical Center | Pasadena | $189.35 | $35.98 – $405.75 |
| Baylor St Luke's Medical Center | Houston | $545.65 | $90.90 – $1,559.00 |
| St. Joseph Health Madison Hospital | Madisonville | $272.65 | $198.49 – $1,402.20 |
| St. Luke's Health Memorial Lufkin | Lufkin | $126.00 | $114.45 – $686.70 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $545.65 | $90.00 – $1,559.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $545.65 | $90.00 – $1,559.00 |