Abdominal Ultrasound (complete) at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$310.45
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.
$1,774.00
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.
$131.99 with SUPERIOR vs $1,747.00 with BCBS-TX — 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $131.99 | ↓ -57% |
| UNITED | Medicaid|STARKIDS | $134.63 | ↓ -57% |
| UNITED | Medicaid|All Other Plans | $134.63 | ↓ -57% |
| BCBS | Medicaid|STARKIDS | $138.59 | ↓ -55% |
| SUPERIOR | Medicaid|All Other Plans | $138.59 | ↓ -55% |
| SUPERIOR | Medicaid|STAR | $166.31 | ↓ -46% |
| Cigna | Commercial|Local Plus | $228.81 | ↓ -26% |
| BCBS-TX | Commercial|Blue Advantage HMO | $254.42 | ↓ -18% |
| United | Commercial|Exchange | $263.00 | ↓ -15% |
| BCBS-TX | Commercial|Blue Premier | $282.44 | ↓ -9% |
| BCBS-TX | Commercial|HMO | $300.37 | ↓ -3% |
| SUPERIOR | Medicaid|STARPLUS | $307.54 | ↓ -1% |
| UNITED | Medicaid|STARPLUS | $314.14 | ↑ +1% |
| BCBS-TX | Commercial|PPO | $331.76 | ↑ +7% |
| BCBS | Medicare|All Plans | $384.34 | ↑ +24% |
| UNITED | Medicare|All Plans | $392.03 | ↑ +26% |
| AMERIVANTAGE | Medicare|All Plans | $395.88 | ↑ +28% |
| SCANHealth | Medicare|All Plans | $411.25 | ↑ +32% |
| AETNA | Medicare|All Plans | $436.75 | ↑ +41% |
| Wellpoint | Medicaid|All Other Plans | $513.62 | ↑ +65% |
| Ambetter | Commercial|All Plans | $557.30 | ↑ +80% |
| Wellpoint | Commercial|Exchange | $576.51 | ↑ +86% |
| Wellpoint | Medicaid|STAR | $616.35 | ↑ +99% |
| Bright Health | Commercial|All Plans | $684.13 | ↑ +120% |
| Entrust | Commercial|All Plans | $838.56 | ↑ +170% |
| Health Smart | Commercial|All Plans | $960.85 | ↑ +210% |
| First Health | Commercial|All Plans | $1,048.20 | ↑ +238% |
| Humana | Commercial|All Plans | $1,065.67 | ↑ +243% |
| Aetna | Commercial|All Plans | $1,118.08 | ↑ +260% |
| Cigna | Commercial|All Other Plans | $1,118.08 | ↑ +260% |
| Ellwood | Commercial|All Plans | $1,153.02 | ↑ +271% |
| United | Commercial|All Other Plans | $1,362.66 | ↑ +339% |
| PHCS | Commercial|All Plans | $1,484.95 | ↑ +378% |
| Multiplan | Commercial|All Plans | $1,572.30 | ↑ +406% |
| BCBS-TX | Commercial|Ref Lab | $1,747.00 | ↑ +463% |
Visitor-reported prices
Comments
Abdominal Ultrasound (complete) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,356.39 | $431.51 – $431.51 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $862.90 | $99.77 – $1,078.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $714.97 | $141.23 – $1,072.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $537.43 | $99.77 – $671.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $862.90 | $99.77 – $1,078.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $714.97 | $99.77 – $1,072.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $714.97 | $104.75 – $1,072.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $537.43 | $99.77 – $806.14 |