Pr biopsy skin punch single lesion at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$332.85
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.
$951.00
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.
$0.40 with Cigna vs $3,635.00 with Aetna — 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 |
|---|---|---|---|
| Cigna | Commercial|All Plans | $0.40 | ↓ -100% |
| CHC | Medicaid|CHIP | $70.97 | ↓ -79% |
| TCHP | Medicaid|All Other Plans | $83.59 | ↓ -75% |
| UNITED | Medicaid|All Other Plans | $83.59 | ↓ -75% |
| Wellpoint | Medicaid|All Other Plans | $83.59 | ↓ -75% |
| BCBS | Medicaid|All Plans | $87.77 | ↓ -74% |
| CHC | Medicaid|All Other Plans | $87.77 | ↓ -74% |
| SUPERIOR | Medicaid|All Plans | $87.77 | ↓ -74% |
| BCBS-TX | Commercial|Blue Advantage HMO | $93.59 | ↓ -72% |
| UNITED | Medicaid|STAR | $112.01 | ↓ -66% |
| Wellpoint | Medicaid|STAR | $112.01 | ↓ -66% |
| TCHP | Medicaid|STAR | $112.01 | ↓ -66% |
| CHC | Medicaid|STAR | $117.86 | ↓ -65% |
| BCBS-TX | Commercial|Blue Options | $124.46 | ↓ -63% |
| BCBS-TX | Commercial|PPO-POS | $127.14 | ↓ -62% |
| BCBS-TX | Commercial|Traditional | $128.10 | ↓ -62% |
| BCBS-TX | Commercial|HMO | $142.15 | ↓ -57% |
| Aetna | Medicare|All Plans | $142.65 | ↓ -57% |
| BCBS-TX | Commercial|PPO | $150.98 | ↓ -55% |
| United | Commercial|All Other Plans | $210.00 | ↓ -37% |
| UNITED | Medicaid|STARPLUS | $255.79 | ↓ -23% |
| BCBS | Medicare|All Plans | $400.18 | ↑ +20% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $400.18 | ↑ +20% |
| HUMANA | Medicare|All Plans | $400.18 | ↑ +20% |
| KELSEY | Medicare|All Plans | $400.18 | ↑ +20% |
| UNITED | Medicare|All Plans | $400.18 | ↑ +20% |
| WellcareTP | Medicare|All Plans | $412.19 | ↑ +24% |
| Wellpoint | Medicare|All Plans | $412.19 | ↑ +24% |
| SELECTCARE | Medicare|All Plans | $412.19 | ↑ +24% |
| Community Health Choice | Commercial|Exchange | $420.19 | ↑ +26% |
| SCANHealth | Medicare|All Plans | $428.19 | ↑ +29% |
| Devoted | Medicare|All Plans | $428.19 | ↑ +29% |
| Health First | Commercial|All Plans | $475.50 | ↑ +43% |
| Bright Health | Commercial|All Plans | $578.01 | ↑ +74% |
| Ambetter | Commercial|All Plans | $580.26 | ↑ +74% |
| Wellpoint | Commercial|Exchange | $600.27 | ↑ +80% |
| Aetna | Commercial|Exchange | $616.28 | ↑ +85% |
| United | Commercial|Exchange | $620.28 | ↑ +86% |
| Humana | Commercial|All Plans | $875.77 | ↑ +163% |
| Entrust | Commercial|All Plans | $910.81 | ↑ +174% |
| Aetna | Commercial|All Other Plans | $3,635.00 | ↑ +992% |
Visitor-reported prices
Comments
Pr biopsy skin punch single lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $942.01 | $110.36 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $505.18 | $79.46 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $366.37 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $520.85 | $71.00 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $505.18 | $79.46 – $987.79 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $366.37 | $85.00 – $987.79 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $366.37 | $79.46 – $987.79 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $520.85 | $71.00 – $987.79 |