Revsc opn/prq tib/pero stent at St. Luke's Health - Brazosport Hospital

100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$4,782.05

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$13,663.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$819.78 with UNITED vs $12,750.00 with Cigna — 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 →

Payer
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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
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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
UNITED Medicaid|All Other Plans $819.78 ↓ -83%
TCHP Medicaid|All Other Plans $819.78 ↓ -83%
TCHP Medicaid|STAR $1,098.51 ↓ -77%
UNITED Medicaid|STAR $1,098.51 ↓ -77%
Wellpoint Medicaid|All Other Plans $1,600.00 ↓ -67%
Aetna Medicare|All Plans $2,049.45 ↓ -57%
Wellpoint Medicaid|STAR $2,144.00 ↓ -55%
UNITED Medicaid|STARPLUS $2,508.53 ↓ -48%
Aetna Commercial|All Other Plans $3,635.00 ↓ -24%
United Commercial|All Other Plans $4,257.00 ↓ -11%
Health First Commercial|All Plans $6,831.50 ↑ +43%
Cigna Commercial|All Plans $12,750.00 ↑ +167%

Visitor-reported prices

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Revsc opn/prq tib/pero stent at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $11,094.73 $3,143.51 – $15,717.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $11,094.73 $71.00 – $16,642.10
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $13,210.50 $71.00 – $16,513.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $11,094.73 $2,958.60 – $15,717.54
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $11,094.73 $85.00 – $16,642.10
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $11,094.73 $5,732.28 – $16,642.10
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $13,210.50 $71.00 – $19,815.75
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $11,094.73 $2,958.60 – $15,717.54

All Texas hospitals for this procedure →