Removal/replacement ppm generator dual lead system at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$5,054.81
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.
$14,442.30
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.
$1,177.54 with CHC vs $27,399.84 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 |
|---|---|---|---|
| CHC | Medicaid|CHIP | $1,177.54 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $1,600.00 | ↓ -68% |
| Wellpoint | Medicaid|STAR | $2,144.00 | ↓ -58% |
| Aetna | Medicare|All Plans | $2,166.35 | ↓ -57% |
| Cigna | Commercial|All Plans | $3,723.00 | ↓ -26% |
| Aetna | Commercial|All Other Plans | $4,778.00 | ↓ -5% |
| UNITED | Medicaid|All Other Plans | $6,616.72 | ↑ +31% |
| TCHP | Medicaid|All Other Plans | $6,616.72 | ↑ +31% |
| CHC | Medicaid|All Other Plans | $6,947.56 | ↑ +37% |
| SUPERIOR | Medicaid|All Plans | $6,947.56 | ↑ +37% |
| BCBS | Medicaid|All Plans | $6,947.56 | ↑ +37% |
| United | Commercial|All Other Plans | $6,958.00 | ↑ +38% |
| Health First | Commercial|All Plans | $7,221.15 | ↑ +43% |
| UNITED | Medicaid|STAR | $8,866.40 | ↑ +75% |
| TCHP | Medicaid|STAR | $8,866.40 | ↑ +75% |
| CHC | Medicaid|STAR | $9,329.58 | ↑ +85% |
| HUMANA | Medicare|All Plans | $10,482.28 | ↑ +107% |
| UNITED | Medicare|All Plans | $10,482.28 | ↑ +107% |
| BCBS | Medicare|All Plans | $10,482.28 | ↑ +107% |
| KELSEY | Medicare|All Plans | $10,482.28 | ↑ +107% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $10,482.28 | ↑ +107% |
| WellcareTP | Medicare|All Plans | $10,796.75 | ↑ +114% |
| Wellpoint | Medicare|All Plans | $10,796.75 | ↑ +114% |
| SELECTCARE | Medicare|All Plans | $10,796.75 | ↑ +114% |
| BCBS-TX | Commercial|Blue Advantage HMO | $10,867.06 | ↑ +115% |
| Community Health Choice | Commercial|Exchange | $11,006.39 | ↑ +118% |
| SCANHealth | Medicare|All Plans | $11,216.04 | ↑ +122% |
| Devoted | Medicare|All Plans | $11,216.04 | ↑ +122% |
| BCBS-TX | Commercial|Blue Options | $13,354.75 | ↑ +164% |
| BCBS-TX | Commercial|Traditional | $13,744.67 | ↑ +172% |
| BCBS-TX | Commercial|PPO-POS | $14,762.79 | ↑ +192% |
| Ambetter | Commercial|All Plans | $15,199.31 | ↑ +201% |
| Wellpoint | Commercial|Exchange | $15,723.42 | ↑ +211% |
| Aetna | Commercial|Exchange | $16,142.71 | ↑ +219% |
| United | Commercial|Exchange | $16,247.53 | ↑ +221% |
| BCBS-TX | Commercial|HMO | $16,505.62 | ↑ +227% |
| Bright Health | Commercial|All Plans | $17,388.36 | ↑ +244% |
| BCBS-TX | Commercial|PPO | $17,530.82 | ↑ +247% |
| UNITED | Medicaid|STARPLUS | $20,247.16 | ↑ +301% |
| Humana | Commercial|All Plans | $26,346.00 | ↑ +421% |
| Entrust | Commercial|All Plans | $27,399.84 | ↑ +442% |
Visitor-reported prices
Comments
Removal/replacement ppm generator dual lead system at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18,707.76 | $6,289.66 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $22,305.73 | $4,591.26 – $33,458.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $12,059.87 | $6,289.66 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $18,707.76 | $6,289.66 – $26,452.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $22,305.73 | $6,729.94 – $33,458.59 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $22,305.73 | $6,289.66 – $33,458.59 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $12,059.87 | $6,289.66 – $26,452.82 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $18,707.76 | $6,289.66 – $26,452.82 |