X-ray facial bones complete > 3 views 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

$504.70

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.

$1,442.00

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.

$41.04 with CHC vs $1,159.37 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
CHC Medicaid|CHIP $41.04 ↓ -92%
UNITED Medicaid|All Other Plans $47.11 ↓ -91%
CHC Medicaid|All Other Plans $49.82 ↓ -90%
SUPERIOR Medicaid|All Plans $49.82 ↓ -90%
BCBS Medicaid|All Plans $49.82 ↓ -90%
UNITED Medicaid|STAR $63.13 ↓ -87%
CHC Medicaid|STAR $66.90 ↓ -87%
TCHP Medicaid|All Other Plans $86.52 ↓ -83%
CIGNA-HEALTHSPRING Medicare|All Plans $106.51 ↓ -79%
HUMANA Medicare|All Plans $106.51 ↓ -79%
UNITED Medicare|All Plans $106.51 ↓ -79%
KELSEY Medicare|All Plans $106.51 ↓ -79%
BCBS Medicare|All Plans $106.51 ↓ -79%
WellcareTP Medicare|All Plans $109.71 ↓ -78%
SELECTCARE Medicare|All Plans $109.71 ↓ -78%
Wellpoint Medicare|All Plans $109.71 ↓ -78%
Community Health Choice Commercial|Exchange $111.84 ↓ -78%
SCANHealth Medicare|All Plans $113.97 ↓ -77%
Devoted Medicare|All Plans $113.97 ↓ -77%
TCHP Medicaid|STAR $115.94 ↓ -77%
UNITED Medicaid|STARPLUS $144.16 ↓ -71%
Cigna Commercial|All Plans $152.39 ↓ -70%
Ambetter Commercial|All Plans $154.44 ↓ -69%
Wellpoint Commercial|Exchange $159.77 ↓ -68%
Aetna Commercial|Exchange $164.03 ↓ -67%
United Commercial|Exchange $165.09 ↓ -67%
Bright Health Commercial|All Plans $182.06 ↓ -64%
BCBS-TX Commercial|Blue Advantage HMO $214.07 ↓ -58%
Aetna Medicare|All Plans $216.30 ↓ -57%
BCBS-TX Commercial|Blue Options $275.85 ↓ -45%
Humana Commercial|All Plans $275.85 ↓ -45%
BCBS-TX Commercial|PPO-POS $284.68 ↓ -44%
Entrust Commercial|All Plans $286.88 ↓ -43%
BCBS-TX Commercial|HMO $305.98 ↓ -39%
BCBS-TX Commercial|Traditional $306.75 ↓ -39%
BCBS-TX Commercial|PPO $341.84 ↓ -32%
United Commercial|All Other Plans $461.44 ↓ -9%
Aetna Commercial|All Other Plans $490.28 ↓ -3%
Health First Commercial|All Plans $721.00 ↑ +43%
Wellpoint Medicaid|All Other Plans $865.20 ↑ +71%
Wellpoint Medicaid|STAR $1,159.37 ↑ +130%

Visitor-reported prices

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X-ray facial bones complete > 3 views at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $281.80 $47.45 – $352.25
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $392.26 $80.74 – $588.39
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $409.45 $47.45 – $511.81
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $281.80 $47.45 – $352.25
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $392.26 $50.77 – $588.39
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $392.26 $47.45 – $588.39
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $409.45 $47.45 – $614.17
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $281.80 $47.45 – $352.25

All Texas hospitals for this procedure →