Ortho elbow without jnt cstm w/fit&adj at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$199.92
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.
$571.20
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.
$68.55 with BCBS-TX vs $891.08 with CHC — 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $68.55 | ↓ -66% |
| Aetna | Medicare|All Plans | $85.68 | ↓ -57% |
| BCBS-TX | Commercial|PPO-POS | $91.40 | ↓ -54% |
| BCBS-TX | Commercial|HMO | $97.11 | ↓ -51% |
| BCBS-TX | Commercial|PPO | $108.53 | ↓ -46% |
| Cigna | Commercial|All Plans | $142.80 | ↓ -29% |
| BCBS-TX | Commercial|Blue Options | $159.94 | ↓ -20% |
| BCBS-TX | Commercial|Traditional | $177.08 | ↓ -11% |
| Entrust | Commercial|All Plans | $228.48 | ↑ +14% |
| Health First | Commercial|All Plans | $285.60 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $342.72 | ↑ +71% |
| CHC | Medicaid|CHIP | $371.28 | ↑ +86% |
| CHC | Medicaid|All Other Plans | $371.28 | ↑ +86% |
| Wellpoint | Medicaid|STAR | $459.25 | ↑ +130% |
| CHC | Medicaid|STAR | $891.08 | ↑ +346% |
Visitor-reported prices
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Ortho elbow without jnt cstm w/fit&adj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $129.73 | $77.84 – $277.99 |
| St. Luke's Health Memorial Lufkin | Lufkin | $203.65 | $203.65 – $1,221.89 |
| St. Luke's Health Memorial Livingston | Livingston | $203.65 | $203.65 – $1,221.89 |
| St. Luke's Health Memorial San Augustine | San Augustine | $203.65 | $203.65 – $1,221.89 |
| HCA HOUSTON TOMBALL | HOUSTON | $496.00 | $318.22 – $698.13 |
| Texas Health Hospital Mansfield | Mansfield | $1,616.58 | not published |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $284.85 | $251.88 – $251.88 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $284.85 | $251.88 – $251.88 |