St. Luke's Health - Brazosport Hospital — price list
← Hospital overviewVerified from St. Luke's Health - Brazosport Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
441 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 10 hole plate Inpatient | 105525 CDM | $1,484 | $519 | $208 – $2,315 | — | |
| 10 hole plate Outpatient | 105525 CDM | $1,484 | $519 | $178 – $890 | — | |
| Acne surgery Outpatient | 10040 CPT | — | — | $0.40 – $473 | — | |
| Addl personnel add 30 min Inpatient | 10051 CDM | $31.00 | $10.85 | $15.50 – $15.50 | — | |
| Addl personnel add 30 min Outpatient | 10051 CDM | $31.00 | $10.85 | $1.86 – $15.50 | — | |
| Addl personnel ist hour Inpatient | 10050 CDM | $56.00 | $19.60 | $28.00 – $28.00 | — | |
| Addl personnel ist hour Outpatient | 10050 CDM | $56.00 | $19.60 | $3.36 – $28.00 | — | |
| Allogeneic bone marrow transplant Inpatient | 0071 APR-DRG | — | — | $32,977 – $148,852 | — | |
| Allogeneic bone marrow transplant Inpatient | 0072 APR-DRG | — | — | $48,107 – $226,690 | — | |
| Allogeneic bone marrow transplant Inpatient | 0073 APR-DRG | — | — | $71,747 – $337,390 | — | |
| Allogeneic bone marrow transplant Inpatient | 0074 APR-DRG | — | — | $126,139 – $956,153 | — | |
| Allogeneic bone marrow transplant Inpatient | 014 MS-DRG | — | — | $95,015 – $247,040 | — | |
| Alteration in consciousness Inpatient | 0521 APR-DRG | — | — | $2,683 – $9,739 | — | |
| Alteration in consciousness Inpatient | 0522 APR-DRG | — | — | $3,446 – $12,509 | — | |
| Alteration in consciousness Inpatient | 0523 APR-DRG | — | — | $4,384 – $15,914 | — | |
| Alteration in consciousness Inpatient | 0524 APR-DRG | — | — | $11,865 – $43,070 | — | |
| Anest local rn monitor ist hr Inpatient | 10055 CDM | $274 | $95.90 | $137 – $137 | — | |
| Anest local rn monitor ist hr Outpatient | 10055 CDM | $274 | $95.90 | $16.44 – $137 | — | |
| Anesth cat or MRI scan Inpatient | 01922 CPT | $1,523 | $533 | $762 – $762 | — | |
| Anesth cat or MRI scan Outpatient | 01922 CPT | $1,523 | $533 | $228 – $762 | — | |
| Anestlocal rn monitor add30mn Inpatient | 10056 CDM | $73.00 | $25.55 | $36.50 – $36.50 | — | |
| Anestlocal rn monitor add30mn Outpatient | 10056 CDM | $73.00 | $25.55 | $4.38 – $36.50 | — | |
| Anoxic and other severe brain damage Inpatient | 0591 APR-DRG | — | — | $3,463 – $22,201 | — | |
| Anoxic and other severe brain damage Inpatient | 0592 APR-DRG | — | — | $3,482 – $27,515 | — | |
| Anoxic and other severe brain damage Inpatient | 0593 APR-DRG | — | — | $5,201 – $41,375 | — | |
| Anoxic and other severe brain damage Inpatient | 0594 APR-DRG | — | — | $13,354 – $71,634 | — | |
| Aspiration of cyst/abcess Inpatient | 10160 CPT | $391 | $137 | $195 – $195 | — | |
| Aspiration of cyst/abcess Outpatient | 10160 CPT | $391 | $137 | $0.40 – $3,635 | — | |
| Autologous bone marrow transplant or t-cell immunotherapy Inpatient | 0081 APR-DRG | — | — | $23,190 – $84,180 | — | |
| Autologous bone marrow transplant or t-cell immunotherapy Inpatient | 0082 APR-DRG | — | — | $27,688 – $100,507 | — |