X-ray exam of middle ear at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$190.26
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.
$543.60
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.
$32.62 with TCHP vs $1,273.27 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 |
|---|---|---|---|
| TCHP | Medicaid|All Other Plans | $32.62 | ↓ -83% |
| TCHP | Medicaid|STAR | $43.71 | ↓ -77% |
| CHC | Medicaid|CHIP | $49.47 | ↓ -74% |
| UNITED | Medicaid|All Other Plans | $61.81 | ↓ -68% |
| BCBS | Medicaid|All Plans | $65.26 | ↓ -66% |
| SUPERIOR | Medicaid|All Plans | $65.26 | ↓ -66% |
| CHC | Medicaid|All Other Plans | $65.26 | ↓ -66% |
| Aetna | Medicare|All Plans | $81.54 | ↓ -57% |
| UNITED | Medicaid|STAR | $82.83 | ↓ -56% |
| CHC | Medicaid|STAR | $87.63 | ↓ -54% |
| United | Commercial|All Other Plans | $173.96 | ↓ -9% |
| Aetna | Commercial|All Other Plans | $184.83 | ↓ -3% |
| UNITED | Medicaid|STARPLUS | $189.14 | ↓ -1% |
| Cigna | Commercial|All Plans | $193.07 | ↑ +1% |
| Health First | Commercial|All Plans | $271.80 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $326.16 | ↑ +71% |
| Wellpoint | Medicaid|STAR | $437.06 | ↑ +130% |
| BCBS-TX | Commercial|Traditional | $543.60 | ↑ +186% |
| BCBS-TX | Commercial|PPO | $543.60 | ↑ +186% |
| BCBS-TX | Commercial|HMO | $543.60 | ↑ +186% |
| BCBS-TX | Commercial|Blue Advantage HMO | $543.60 | ↑ +186% |
| BCBS-TX | Commercial|Blue Options | $543.60 | ↑ +186% |
| BCBS-TX | Commercial|PPO-POS | $543.60 | ↑ +186% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $549.19 | ↑ +189% |
| UNITED | Medicare|All Plans | $549.19 | ↑ +189% |
| BCBS | Medicare|All Plans | $549.19 | ↑ +189% |
| KELSEY | Medicare|All Plans | $549.19 | ↑ +189% |
| HUMANA | Medicare|All Plans | $549.19 | ↑ +189% |
| WellcareTP | Medicare|All Plans | $565.67 | ↑ +197% |
| Wellpoint | Medicare|All Plans | $565.67 | ↑ +197% |
| SELECTCARE | Medicare|All Plans | $565.67 | ↑ +197% |
| Community Health Choice | Commercial|Exchange | $576.65 | ↑ +203% |
| SCANHealth | Medicare|All Plans | $587.63 | ↑ +209% |
| Devoted | Medicare|All Plans | $587.63 | ↑ +209% |
| Ambetter | Commercial|All Plans | $796.33 | ↑ +319% |
| Bright Health | Commercial|All Plans | $808.04 | ↑ +325% |
| Wellpoint | Commercial|Exchange | $823.79 | ↑ +333% |
| Aetna | Commercial|Exchange | $845.75 | ↑ +345% |
| United | Commercial|Exchange | $851.24 | ↑ +347% |
| Humana | Commercial|All Plans | $1,224.30 | ↑ +543% |
| Entrust | Commercial|All Plans | $1,273.27 | ↑ +569% |
Visitor-reported prices
Comments
X-ray exam of middle ear at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $322.45 | $66.37 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $338.57 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $322.45 | $66.50 – $1,366.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $322.45 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $338.57 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $322.45 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $322.45 | $62.15 – $1,366.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $338.57 | $62.15 – $1,618.11 |