Abdominal MRI (with and without contrast) at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$1,289.23
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.
$7,367.00
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.
$185.68 with BCBS vs $2,011.00 with United — 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 |
|---|---|---|---|
| BCBS | Medicare|All Plans | $185.68 | ↓ -86% |
| UNITED | Medicare|All Plans | $189.40 | ↓ -85% |
| AMERIVANTAGE | Medicare|All Plans | $191.26 | ↓ -85% |
| SCANHealth | Medicare|All Plans | $198.68 | ↓ -85% |
| AETNA | Medicare|All Plans | $211.00 | ↓ -84% |
| Wellpoint | Medicaid|All Other Plans | $248.14 | ↓ -81% |
| Ambetter | Commercial|All Plans | $269.24 | ↓ -79% |
| Wellpoint | Commercial|Exchange | $278.52 | ↓ -78% |
| Wellpoint | Medicaid|STAR | $297.77 | ↓ -77% |
| Bright Health | Commercial|All Plans | $330.52 | ↓ -74% |
| Entrust | Commercial|All Plans | $405.12 | ↓ -69% |
| SUPERIOR | Medicaid|CHIP | $461.69 | ↓ -64% |
| Health Smart | Commercial|All Plans | $464.20 | ↓ -64% |
| UNITED | Medicaid|STARKIDS | $470.92 | ↓ -63% |
| UNITED | Medicaid|All Other Plans | $470.92 | ↓ -63% |
| SUPERIOR | Medicaid|All Other Plans | $484.77 | ↓ -62% |
| BCBS | Medicaid|STARKIDS | $484.77 | ↓ -62% |
| First Health | Commercial|All Plans | $506.40 | ↓ -61% |
| Cigna | Commercial|All Other Plans | $540.16 | ↓ -58% |
| Aetna | Commercial|All Plans | $540.16 | ↓ -58% |
| Ellwood | Commercial|All Plans | $557.04 | ↓ -57% |
| SUPERIOR | Medicaid|STAR | $581.73 | ↓ -55% |
| United | Commercial|All Other Plans | $658.32 | ↓ -49% |
| PHCS | Commercial|All Plans | $717.40 | ↓ -44% |
| Multiplan | Commercial|All Plans | $759.60 | ↓ -41% |
| BCBS-TX | Commercial|HMO | $844.00 | ↓ -35% |
| BCBS-TX | Commercial|PPO | $844.00 | ↓ -35% |
| BCBS-TX | Commercial|Blue Advantage HMO | $844.00 | ↓ -35% |
| BCBS-TX | Commercial|Blue Premier | $844.00 | ↓ -35% |
| BCBS-TX | Commercial|Ref Lab | $844.00 | ↓ -35% |
| SUPERIOR | Medicaid|STARPLUS | $1,075.74 | ↓ -17% |
| UNITED | Medicaid|STARPLUS | $1,098.82 | ↓ -15% |
| Cigna | Commercial|Local Plus | $1,169.00 | ↓ -9% |
| Humana | Commercial|All Plans | $1,450.00 | ↑ +12% |
| United | Commercial|Exchange | $2,011.00 | ↑ +56% |
Visitor-reported prices
Comments
Abdominal MRI (with and without contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,810.24 | $332.94 – $4,762.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,061.80 | $494.01 – $4,592.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,387.55 | $332.94 – $4,234.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,810.24 | $332.94 – $4,762.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,061.80 | $332.94 – $4,592.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,061.80 | $348.50 – $4,592.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,387.55 | $332.94 – $5,081.32 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,810.24 | $332.94 – $4,762.80 |