Quant diff pulm perf w/imaging at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$490.77
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.
$1,402.20
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.
$84.14 with TCHP vs $1,127.37 with Wellpoint — 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 | $84.14 | ↓ -83% |
| TCHP | Medicaid|STAR | $112.74 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $188.11 | ↓ -62% |
| SUPERIOR | Medicaid|All Plans | $197.52 | ↓ -60% |
| CHC | Medicaid|All Other Plans | $197.52 | ↓ -60% |
| BCBS | Medicaid|All Plans | $197.52 | ↓ -60% |
| CHC | Medicaid|CHIP | $203.13 | ↓ -59% |
| Aetna | Medicare|All Plans | $210.33 | ↓ -57% |
| UNITED | Medicaid|STAR | $252.07 | ↓ -49% |
| CHC | Medicaid|STAR | $265.24 | ↓ -46% |
| BCBS-TX | Commercial|Blue Advantage HMO | $329.04 | ↓ -33% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $402.48 | ↓ -18% |
| UNITED | Medicare|All Plans | $402.48 | ↓ -18% |
| KELSEY | Medicare|All Plans | $402.48 | ↓ -18% |
| BCBS | Medicare|All Plans | $402.48 | ↓ -18% |
| HUMANA | Medicare|All Plans | $402.48 | ↓ -18% |
| Wellpoint | Medicare|All Plans | $414.55 | ↓ -16% |
| SELECTCARE | Medicare|All Plans | $414.55 | ↓ -16% |
| WellcareTP | Medicare|All Plans | $414.55 | ↓ -16% |
| Community Health Choice | Commercial|Exchange | $422.60 | ↓ -14% |
| BCBS-TX | Commercial|Blue Options | $427.27 | ↓ -13% |
| SCANHealth | Medicare|All Plans | $430.65 | ↓ -12% |
| Devoted | Medicare|All Plans | $430.65 | ↓ -12% |
| BCBS-TX | Commercial|PPO-POS | $437.57 | ↓ -11% |
| United | Commercial|All Other Plans | $448.71 | ↓ -9% |
| BCBS-TX | Commercial|HMO | $470.30 | ↓ -4% |
| BCBS-TX | Commercial|Traditional | $475.14 | ↓ -3% |
| Aetna | Commercial|All Other Plans | $476.75 | ↓ -3% |
| BCBS-TX | Commercial|PPO | $525.42 | ↑ +7% |
| Cigna | Commercial|All Plans | $560.88 | ↑ +14% |
| UNITED | Medicaid|STARPLUS | $575.62 | ↑ +17% |
| Ambetter | Commercial|All Plans | $583.60 | ↑ +19% |
| Wellpoint | Commercial|Exchange | $603.72 | ↑ +23% |
| Aetna | Commercial|Exchange | $619.82 | ↑ +26% |
| United | Commercial|Exchange | $623.84 | ↑ +27% |
| Bright Health | Commercial|All Plans | $630.40 | ↑ +28% |
| Health First | Commercial|All Plans | $701.10 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $841.32 | ↑ +71% |
| Humana | Commercial|All Plans | $955.15 | ↑ +95% |
| Entrust | Commercial|All Plans | $993.36 | ↑ +102% |
| Wellpoint | Medicaid|STAR | $1,127.37 | ↑ +130% |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,199.16 | $181.76 – $1,498.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,091.69 | $224.71 – $1,637.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,023.08 | $181.76 – $1,278.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,199.16 | $181.76 – $1,498.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,091.69 | $194.48 – $1,637.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,091.69 | $181.76 – $1,637.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,023.08 | $181.76 – $1,534.62 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,199.16 | $181.76 – $1,498.95 |