X-ray acromioclavicular joints without or w/weighted distraction bilateral 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

$146.79

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.

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

$419.40

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.

$25.17 with TCHP vs $337.20 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 →

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
TCHP Medicaid|All Other Plans $25.17 ↓ -83%
UNITED Medicaid|All Other Plans $28.74 ↓ -80%
CHC Medicaid|All Other Plans $30.53 ↓ -79%
BCBS Medicaid|All Plans $30.53 ↓ -79%
SUPERIOR Medicaid|All Plans $30.53 ↓ -79%
TCHP Medicaid|STAR $33.72 ↓ -77%
CHC Medicaid|CHIP $35.44 ↓ -76%
UNITED Medicaid|STAR $38.51 ↓ -74%
CHC Medicaid|STAR $41.00 ↓ -72%
Aetna Medicare|All Plans $62.91 ↓ -57%
Cigna Commercial|All Plans $84.09 ↓ -43%
UNITED Medicaid|STARPLUS $87.94 ↓ -40%
UNITED Medicare|All Plans $88.19 ↓ -40%
HUMANA Medicare|All Plans $88.19 ↓ -40%
KELSEY Medicare|All Plans $88.19 ↓ -40%
CIGNA-HEALTHSPRING Medicare|All Plans $88.19 ↓ -40%
BCBS Medicare|All Plans $88.19 ↓ -40%
Wellpoint Medicare|All Plans $90.84 ↓ -38%
WellcareTP Medicare|All Plans $90.84 ↓ -38%
SELECTCARE Medicare|All Plans $90.84 ↓ -38%
Community Health Choice Commercial|Exchange $92.60 ↓ -37%
Devoted Medicare|All Plans $94.36 ↓ -36%
SCANHealth Medicare|All Plans $94.36 ↓ -36%
Ambetter Commercial|All Plans $127.88 ↓ -13%
Wellpoint Commercial|Exchange $132.29 ↓ -10%
United Commercial|All Other Plans $134.21 ↓ -9%
Bright Health Commercial|All Plans $135.27 ↓ -8%
Aetna Commercial|Exchange $135.81 ↓ -7%
United Commercial|Exchange $136.69 ↓ -7%
Aetna Commercial|All Other Plans $142.60 ↓ -3%
BCBS-TX Commercial|Blue Options $149.71 ↑ +2%
BCBS-TX Commercial|Blue Advantage HMO $152.44 ↑ +4%
BCBS-TX Commercial|Traditional $166.48 ↑ +13%
BCBS-TX Commercial|PPO-POS $202.72 ↑ +38%
Humana Commercial|All Plans $204.95 ↑ +40%
Health First Commercial|All Plans $209.70 ↑ +43%
Entrust Commercial|All Plans $213.15 ↑ +45%
BCBS-TX Commercial|HMO $217.88 ↑ +48%
BCBS-TX Commercial|PPO $243.42 ↑ +66%
Wellpoint Medicaid|All Other Plans $251.64 ↑ +71%
Wellpoint Medicaid|STAR $337.20 ↑ +130%

Visitor-reported prices

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X-ray acromioclavicular joints without or w/weighted distraction bilateral at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $199.75 $29.08 – $249.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $293.30 $60.37 – $439.96
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $299.18 $29.08 – $373.97
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $199.75 $29.08 – $249.69
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $293.30 $31.12 – $439.96
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $293.30 $29.08 – $439.96
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $299.18 $29.08 – $448.77
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $199.75 $29.08 – $249.69

All Texas hospitals for this procedure →