Texas / CHI St Luke's Health Brazosport
CMS certification 450072 · Lake Jackson, TX · 2 entries in CMS's price-transparency list
CHI St Luke's Health Brazosport: charges and Medicare payments
CHI St Luke's Health Brazosport reported 343 Medicare inpatient stays across 14 DRGs in 2024. Across them it charged 5 times what it was paid — mid-range in Texas, number 105 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 74 stays at an average charge of $79,416, 12% below the national average. It also billed 521 outpatient services, charging 10.49 times what Medicare paid.
- 1Medicare inpatient stays 343
- 2Charge ÷ paid, inpatient 5×
- 3Rank in TX (highest ratio = 1) 105 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 14 DRGs that can be compared with the national average, CHI St Luke's Health Brazosport charged more than the national average in 5 (36%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 74 | $79,416 | -12% | $16,143 |
| 291 Heart Failure and Shock with MCC | 49 | $52,768 | -6% | $11,430 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $65,589 | -13% | $13,041 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $40,276 | +6% | $8,065 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $51,753 | +1% | $9,903 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $55,836 | -7% | $11,666 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $48,157 | -2% | $9,402 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $45,148 | -22% | $10,868 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $45,970 | +14% | $7,933 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $54,895 | -9% | $11,328 |
| 683 Renal Failure with CC | 16 | $44,446 | +9% | $8,153 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $89,956 | -21% | $15,281 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $52,803 | +5% | $8,585 |
| 682 Renal Failure with MCC | 11 | $57,699 | -12% | $11,385 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 194 | $31,116 | $2,518 |
| Level 1 Endovascular Procedures | 79 | $34,075 | $2,999 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 50 | $11,213 | $1,503 |
| Level 3 Vascular Procedures | 47 | $21,763 | $2,893 |
| Level 3 Endovascular Procedures | 32 | $61,543 | $10,192 |
| Level 1 Laparoscopy and Related Services | 29 | $24,017 | $5,007 |
| Level 4 Urology and Related Services | 20 | $20,649 | $3,233 |
| Level 5 Musculoskeletal Procedures | 19 | $65,717 | $12,187 |
| Level 2 Urology and Related Services | 13 | $4,694 | $633 |
| Level 3 Urology and Related Services | 13 | $12,344 | $1,889 |
| Level 5 Urology and Related Services | 13 | $27,172 | $4,798 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $17,922 | $3,208 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI St Luke's Health Brazosport charged $79,416 on average, 29% less than the Texas average of $111,133, and was paid $16,143 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), CHI St Luke's Health Brazosport charged $52,768 on average, 22% less than the Texas average of $67,944, and was paid $11,430 against a state average of $11,820. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), CHI St Luke's Health Brazosport charged $65,589 on average, 29% less than the Texas average of $92,713, and was paid $13,041 against a state average of $13,694. For Kidney and Urinary Tract Infections without MCC (DRG 690), CHI St Luke's Health Brazosport charged $40,276 on average, 6% less than the Texas average of $42,965, and was paid $8,065 against a state average of $8,372. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $31,116 was 11% above the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $34,075 was 6% below the state average of $36,220. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,213 was 20% below the state average of $14,089. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $21,763 was 23% below the state average of $28,214.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHI St Luke's Health Brazosport in Lake Jackson, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-05-15 (CMS case 4547)
- Closure Notice — 2025-06-05 (CMS case 4547)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.