Oth resp proc, indiv at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$124.60
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.
$356.00
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.
$5.27 with Aetna vs $65.10 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 |
|---|---|---|---|
| Aetna | Medicare|All Plans | $5.27 | ↓ -96% |
| United | Commercial|All Other Plans | $11.24 | ↓ -91% |
| Health First | Commercial|All Plans | $17.55 | ↓ -86% |
| BCBS-TX | Commercial|Blue Options | $20.61 | ↓ -83% |
| BCBS-TX | Commercial|Traditional | $22.90 | ↓ -82% |
| BCBS-TX | Commercial|PPO-POS | $23.81 | ↓ -81% |
| HUMANA | Medicare|All Plans | $24.53 | ↓ -80% |
| UNITED | Medicare|All Plans | $24.53 | ↓ -80% |
| KELSEY | Medicare|All Plans | $24.53 | ↓ -80% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $24.53 | ↓ -80% |
| BCBS | Medicare|All Plans | $24.53 | ↓ -80% |
| BCBS-TX | Commercial|HMO | $25.23 | ↓ -80% |
| WellcareTP | Medicare|All Plans | $25.27 | ↓ -80% |
| Wellpoint | Medicare|All Plans | $25.27 | ↓ -80% |
| SELECTCARE | Medicare|All Plans | $25.27 | ↓ -80% |
| Community Health Choice | Commercial|Exchange | $25.76 | ↓ -79% |
| Devoted | Medicare|All Plans | $26.25 | ↓ -79% |
| SCANHealth | Medicare|All Plans | $26.25 | ↓ -79% |
| BCBS-TX | Commercial|PPO | $28.66 | ↓ -77% |
| BCBS-TX | Commercial|Blue Advantage HMO | $31.88 | ↓ -74% |
| Ambetter | Commercial|All Plans | $35.57 | ↓ -71% |
| Wellpoint | Commercial|Exchange | $36.80 | ↓ -70% |
| Aetna | Commercial|Exchange | $37.78 | ↓ -70% |
| United | Commercial|Exchange | $38.02 | ↓ -69% |
| Bright Health | Commercial|All Plans | $41.32 | ↓ -67% |
| Humana | Commercial|All Plans | $62.60 | ↓ -50% |
| Entrust | Commercial|All Plans | $65.10 | ↓ -48% |
Visitor-reported prices
Comments
Oth resp proc, indiv at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $487.56 | $23.61 – $94.87 |
| Covenant Children's Hospital | Lubbock | $67.20 | $34.41 – $34.41 |
| HCA HOUSTON KINGWOOD | HUMBLE | $86.91 | $23.61 – $94.87 |
| HCA HOUSTON NORTHWEST | SPRING | $339.63 | $23.61 – $94.87 |
| St. Luke's Health - Patients Medical Center | Pasadena | $132.30 | $14.73 – $978.00 |
| Baylor St Luke's Medical Center | Houston | $105.35 | $11.91 – $301.00 |
| St. Joseph Health Madison Hospital | Madisonville | $35.53 | $20.08 – $670.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $105.35 | $14.73 – $301.00 |