Surgical pathology level 4 gross & microscopic examination at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$253.75
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.
$725.00
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.
$21.89 with United vs $336.84 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 |
|---|---|---|---|
| United | Commercial|All Other Plans | $21.89 | ↓ -91% |
| UNITED | Medicare|All Plans | $53.52 | ↓ -79% |
| KELSEY | Medicare|All Plans | $53.52 | ↓ -79% |
| HUMANA | Medicare|All Plans | $53.52 | ↓ -79% |
| BCBS | Medicare|All Plans | $53.52 | ↓ -79% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $53.52 | ↓ -79% |
| CHC | Medicaid|CHIP | $54.73 | ↓ -78% |
| WellcareTP | Medicare|All Plans | $55.13 | ↓ -78% |
| Wellpoint | Medicare|All Plans | $55.13 | ↓ -78% |
| SELECTCARE | Medicare|All Plans | $55.13 | ↓ -78% |
| Community Health Choice | Commercial|Exchange | $56.20 | ↓ -78% |
| Devoted | Medicare|All Plans | $57.27 | ↓ -77% |
| SCANHealth | Medicare|All Plans | $57.27 | ↓ -77% |
| Aetna | Medicare|All Plans | $62.85 | ↓ -75% |
| Ambetter | Commercial|All Plans | $77.60 | ↓ -69% |
| Wellpoint | Commercial|Exchange | $80.28 | ↓ -68% |
| Aetna | Commercial|Exchange | $82.42 | ↓ -68% |
| United | Commercial|Exchange | $82.96 | ↓ -67% |
| Bright Health | Commercial|All Plans | $83.09 | ↓ -67% |
| BCBS-TX | Commercial|Blue Advantage HMO | $119.22 | ↓ -53% |
| Humana | Commercial|All Plans | $125.90 | ↓ -50% |
| Entrust | Commercial|All Plans | $130.94 | ↓ -48% |
| BCBS-TX | Commercial|Blue Options | $136.78 | ↓ -46% |
| Aetna | Commercial|All Other Plans | $142.45 | ↓ -44% |
| Cigna | Commercial|All Plans | $145.13 | ↓ -43% |
| BCBS-TX | Commercial|Traditional | $151.98 | ↓ -40% |
| BCBS-TX | Commercial|PPO-POS | $173.15 | ↓ -32% |
| BCBS-TX | Commercial|HMO | $176.61 | ↓ -30% |
| BCBS-TX | Commercial|PPO | $207.28 | ↓ -18% |
| Health First | Commercial|All Plans | $209.48 | ↓ -17% |
| Wellpoint | Medicaid|All Other Plans | $251.37 | ↓ -1% |
| Wellpoint | Medicaid|STAR | $336.84 | ↑ +33% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,149.92 | $190.46 – $190.46 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $474.00 | $36.00 – $272.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $474.00 | $35.00 – $371.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $474.00 | $36.00 – $473.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $474.00 | $26.00 – $473.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $474.00 | $36.00 – $326.83 |