X-ray mandible ltd <4 views at St. Luke's Health - Brazosport Hospital
100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940
$395.50
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.
$1,130.00
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.
$32.63 with CHC vs $908.52 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 |
|---|---|---|---|
| CHC | Medicaid|CHIP | $32.63 | ↓ -92% |
| UNITED | Medicaid|All Other Plans | $38.76 | ↓ -90% |
| CHC | Medicaid|All Other Plans | $41.04 | ↓ -90% |
| SUPERIOR | Medicaid|All Plans | $41.04 | ↓ -90% |
| BCBS | Medicaid|All Plans | $41.04 | ↓ -90% |
| UNITED | Medicaid|STAR | $51.94 | ↓ -87% |
| CHC | Medicaid|STAR | $55.12 | ↓ -86% |
| TCHP | Medicaid|All Other Plans | $67.80 | ↓ -83% |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $88.19 | ↓ -78% |
| HUMANA | Medicare|All Plans | $88.19 | ↓ -78% |
| UNITED | Medicare|All Plans | $88.19 | ↓ -78% |
| KELSEY | Medicare|All Plans | $88.19 | ↓ -78% |
| BCBS | Medicare|All Plans | $88.19 | ↓ -78% |
| WellcareTP | Medicare|All Plans | $90.84 | ↓ -77% |
| SELECTCARE | Medicare|All Plans | $90.84 | ↓ -77% |
| Wellpoint | Medicare|All Plans | $90.84 | ↓ -77% |
| TCHP | Medicaid|STAR | $90.86 | ↓ -77% |
| Community Health Choice | Commercial|Exchange | $92.60 | ↓ -77% |
| SCANHealth | Medicare|All Plans | $94.36 | ↓ -76% |
| Devoted | Medicare|All Plans | $94.36 | ↓ -76% |
| UNITED | Medicaid|STARPLUS | $118.61 | ↓ -70% |
| Ambetter | Commercial|All Plans | $127.88 | ↓ -68% |
| Cigna | Commercial|All Plans | $129.13 | ↓ -67% |
| Wellpoint | Commercial|Exchange | $132.29 | ↓ -67% |
| Bright Health | Commercial|All Plans | $135.27 | ↓ -66% |
| Aetna | Commercial|Exchange | $135.81 | ↓ -66% |
| United | Commercial|Exchange | $136.69 | ↓ -65% |
| BCBS-TX | Commercial|Blue Options | $149.71 | ↓ -62% |
| BCBS-TX | Commercial|Blue Advantage HMO | $152.44 | ↓ -61% |
| BCBS-TX | Commercial|Traditional | $166.48 | ↓ -58% |
| Aetna | Medicare|All Plans | $169.50 | ↓ -57% |
| BCBS-TX | Commercial|PPO-POS | $202.72 | ↓ -49% |
| Humana | Commercial|All Plans | $204.95 | ↓ -48% |
| Entrust | Commercial|All Plans | $213.15 | ↓ -46% |
| BCBS-TX | Commercial|HMO | $217.88 | ↓ -45% |
| BCBS-TX | Commercial|PPO | $243.42 | ↓ -38% |
| United | Commercial|All Other Plans | $361.60 | ↓ -9% |
| Aetna | Commercial|All Other Plans | $384.20 | ↓ -3% |
| Health First | Commercial|All Plans | $565.00 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $678.00 | ↑ +71% |
| Wellpoint | Medicaid|STAR | $908.52 | ↑ +130% |
Visitor-reported prices
Comments
X-ray mandible ltd <4 views at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $426.98 | $307.27 – $307.27 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $121.12 | $39.09 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $261.13 | $53.75 – $391.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $303.05 | $39.09 – $378.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $121.12 | $39.09 – $225.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $261.13 | $41.83 – $391.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $261.13 | $39.09 – $391.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $303.05 | $39.09 – $454.57 |