{"hospital":{"ccn":"450072","name":"CHI ST LUKE'S HEALTH BRAZOSPORT","city":"LAKE JACKSON","state":"TX","zip":"77566","phone":"979-297-4411","ownership":"Voluntary non-profit - Private","website_domain":"commonspirit.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Up to 200% of the FPL – Any patient whose Family Income is at or below 200% of the FPL, including, without limitation, any Uninsured or Underinsured patient, is eligible to receive Financial Assistance up to a 100% discount from his or her account balance for eligible services provided to the patient after payment, if any, by any thirdparty(ies).","source_id":"fap-9af0e4b3becd626d","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Financial Assistance is offered to insured patients to the extent allowed under the patient’s insurance carrier contract.","source_id":"fap-9af0e4b3becd626d","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Medicaid"],"layer":"documented","quote":"Medicaid patients who receive non-covered medically necessary services will be considered for Presumptive Financial Assistance.","source_id":"fap-9af0e4b3becd626d","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":null,"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Mail or fax completed application with all documentation to: CHI St. Luke's Health - Brazosport, Attn: Business Office, 194 Abner Jackson Drive. Lake Jackson, TX 77556"},{"kind":"fax","detail":"Fax: 979-285-1730."},{"kind":"in_person","detail":"To submit your completed application in person: CHI St. Luke's Health - Brazosport Hospital, 100 Medical Drive, Lake Jackson, TX 77566"}],"layer":"documented","quote":"Mail or fax completed application with all documentation to: CHI St. Luke's Health - Brazosport, Attn: Business Office, 194 Abner Jackson Drive. Lake Jackson, TX 77556 Fax: 979-285-1730. Be sure to keep a copy for yourself. To submit your completed application in person: CHI St. Luke's Health - Brazosport Hospital, 100 Medical Drive, Lake Jackson, TX 77566","source_id":"application-b318bc4494a6cdd5","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"We will notify you of the final determination of eligibility and appeal rights, if applicable, within 30 calendar days of receiving a complete financial assistance application, including documentation of income.","source_id":"application-b318bc4494a6cdd5","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":null,"hours":null,"languages":null},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-da97202290715b5c","kind":"hospital_web","url":"https://www.commonspirit.org/patient-resources/stlukes-health-financial-assistance","title":"St. Luke’s Health Financial Assistance | CommonSpirit Health","fetched_on":"2026-10-10","sha256":"da97202290715b5cd6d7f33c231a29d7ff6ba4cb2f2c6e8fc1034bd7003b92a8","effective_date":null},{"id":"application-b318bc4494a6cdd5","kind":"hospital_web","url":"https://www.commonspirit.org/content/dam/commonspiritorg/en/stluh/soho/finance/assistance/stlukes-health-brazosport-financial-assistance-app-en.pdf","title":"Brazosport Hospital Financial Assistance Application Form ...","fetched_on":"2026-10-10","sha256":"b318bc4494a6cdd59e11522bf7022707b3e4f68e24614a6c31e7c5b2a9bf4177","effective_date":null},{"id":"fap-d106c6ec1847d543","kind":"hospital_web","url":"https://www.commonspirit.org/patient-resources/bslmc-financial-assistance","title":"BSLMC Financial Assistance | CommonSpirit Health","fetched_on":"2026-10-10","sha256":"d106c6ec1847d5437b06c470d8a413868d3dd5661516b00e992df92b1171c6ff","effective_date":null},{"id":"fap-64e58fb945339bba","kind":"hospital_web","url":"https://www.commonspirit.org/content/dam/shared/en/pdfs/finance/assistance/g-003-financial-assistance-policy-ar.pdf","title":"Arabic","fetched_on":"2026-10-10","sha256":"64e58fb945339bba60fe487c0788fa94a7b84e72ed9006a061d0dc0d50f1a66e","effective_date":null},{"id":"fap-e9895c0a8e725ed1","kind":"hospital_web","url":"https://www.commonspirit.org/content/dam/shared/en/pdfs/finance/assistance/g-003-financial-assistance-policy-de.pdf","title":"German","fetched_on":"2026-10-10","sha256":"e9895c0a8e725ed17d3370dbb4a75c75887ed6c15aa9dc7e328cfa04e2031c8c","effective_date":null},{"id":"fap-6addd3fca7c7aa29","kind":"hospital_web","url":"https://www.commonspirit.org/content/dam/shared/en/pdfs/finance/assistance/g-003-financial-assistance-policy-es.pdf","title":"Spanish","fetched_on":"2026-10-10","sha256":"6addd3fca7c7aa292a7a6984675ad0279892f86b3501d855a0ec2fc6a49b5779","effective_date":null},{"id":"fap-9af0e4b3becd626d","kind":"hospital_web","url":"https://www.commonspirit.org/content/dam/shared/en/pdfs/finance/assistance/g-003-financial-assistance-policy-en.pdf","title":"English","fetched_on":"2026-10-10","sha256":"9af0e4b3becd626d920eefc53810697d303f96f34f017b4bdbeea28df9c24c01","effective_date":null}],"accuracy":null}