X-ray exam of mastoids at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$147.74
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.
$422.10
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.
$25.33 with TCHP vs $341.84 with BCBS-TX — 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 | $25.33 | ↓ -83% |
| CHC | Medicaid|CHIP | $32.98 | ↓ -78% |
| TCHP | Medicaid|STAR | $33.94 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $38.76 | ↓ -74% |
| CHC | Medicaid|All Other Plans | $40.35 | ↓ -73% |
| SUPERIOR | Medicaid|All Plans | $40.35 | ↓ -73% |
| BCBS | Medicaid|All Plans | $40.35 | ↓ -73% |
| UNITED | Medicaid|STAR | $51.94 | ↓ -65% |
| CHC | Medicaid|STAR | $54.19 | ↓ -63% |
| Aetna | Medicare|All Plans | $63.32 | ↓ -57% |
| KELSEY | Medicare|All Plans | $106.51 | ↓ -28% |
| HUMANA | Medicare|All Plans | $106.51 | ↓ -28% |
| BCBS | Medicare|All Plans | $106.51 | ↓ -28% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $106.51 | ↓ -28% |
| UNITED | Medicare|All Plans | $106.51 | ↓ -28% |
| Wellpoint | Medicare|All Plans | $109.71 | ↓ -26% |
| WellcareTP | Medicare|All Plans | $109.71 | ↓ -26% |
| SELECTCARE | Medicare|All Plans | $109.71 | ↓ -26% |
| Community Health Choice | Commercial|Exchange | $111.84 | ↓ -24% |
| SCANHealth | Medicare|All Plans | $113.97 | ↓ -23% |
| Devoted | Medicare|All Plans | $113.97 | ↓ -23% |
| UNITED | Medicaid|STARPLUS | $118.61 | ↓ -20% |
| Cigna | Commercial|All Plans | $130.56 | ↓ -12% |
| United | Commercial|All Other Plans | $135.08 | ↓ -9% |
| Aetna | Commercial|All Other Plans | $143.52 | ↓ -3% |
| Ambetter | Commercial|All Plans | $154.44 | ↑ +5% |
| Wellpoint | Commercial|Exchange | $159.77 | ↑ +8% |
| Aetna | Commercial|Exchange | $164.03 | ↑ +11% |
| United | Commercial|Exchange | $165.09 | ↑ +12% |
| Bright Health | Commercial|All Plans | $182.06 | ↑ +23% |
| Health First | Commercial|All Plans | $211.05 | ↑ +43% |
| BCBS-TX | Commercial|Blue Advantage HMO | $214.07 | ↑ +45% |
| Wellpoint | Medicaid|All Other Plans | $253.26 | ↑ +71% |
| Humana | Commercial|All Plans | $275.85 | ↑ +87% |
| BCBS-TX | Commercial|Blue Options | $275.85 | ↑ +87% |
| BCBS-TX | Commercial|PPO-POS | $284.68 | ↑ +93% |
| Entrust | Commercial|All Plans | $286.88 | ↑ +94% |
| BCBS-TX | Commercial|HMO | $305.98 | ↑ +107% |
| BCBS-TX | Commercial|Traditional | $306.75 | ↑ +108% |
| Wellpoint | Medicaid|STAR | $339.37 | ↑ +130% |
| BCBS-TX | Commercial|PPO | $341.84 | ↑ +131% |
Visitor-reported prices
Comments
X-ray exam of mastoids at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $193.41 | $38.43 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $279.82 | $57.60 – $419.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $293.81 | $38.43 – $367.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $193.41 | $38.43 – $272.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $279.82 | $41.12 – $419.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $279.82 | $38.43 – $419.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $293.81 | $38.43 – $440.72 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $193.41 | $38.43 – $272.35 |