Pregabalin - sendout at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$0.63
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.
$1.80
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.
$0.27 with Aetna vs $21.21 with UNITED — 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 | $0.27 | ↓ -57% |
| Health First | Commercial|All Plans | $0.90 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $1.08 | ↑ +71% |
| Wellpoint | Medicaid|STAR | $1.45 | ↑ +130% |
| TCHP | Medicaid|All Other Plans | $6.93 | ↑ +1000% |
| UNITED | Medicaid|All Other Plans | $6.93 | ↑ +1000% |
| BCBS | Medicaid|All Plans | $7.28 | ↑ +1056% |
| CHC | Medicaid|All Other Plans | $7.28 | ↑ +1056% |
| CHC | Medicaid|CHIP | $7.28 | ↑ +1056% |
| SUPERIOR | Medicaid|All Plans | $7.28 | ↑ +1056% |
| TCHP | Medicaid|STAR | $9.29 | ↑ +1375% |
| UNITED | Medicaid|STAR | $9.29 | ↑ +1375% |
| CHC | Medicaid|STAR | $9.77 | ↑ +1451% |
| United | Commercial|All Other Plans | $12.94 | ↑ +1954% |
| UNITED | Medicaid|STARPLUS | $21.21 | ↑ +3267% |
Visitor-reported prices
Comments
Pregabalin - sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5.00 | $3.00 – $7.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $152.00 | $1.03 – $7.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $144.77 | $3.03 – $7.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5.00 | $3.92 – $7.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $152.00 | $3.03 – $7.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $152.00 | $4.58 – $8.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $144.77 | $3.03 – $7.50 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $5.00 | $3.92 – $7.42 |