Aco annual medicare visit (awv), initial g0438aco at St. Joseph Health Burleson Hospital

1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$41.30

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$236.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$51.92 with BCBS vs $236.00 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 →

Payer
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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
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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 $51.92 ↑ +26%
UNITED Medicare|All Plans $52.96 ↑ +28%
AMERIVANTAGE Medicare|All Plans $53.48 ↑ +29%
SCANHealth Medicare|All Plans $55.56 ↑ +35%
AETNA Medicare|All Plans $59.00 ↑ +43%
Wellpoint Medicaid|All Other Plans $69.39 ↑ +68%
Ambetter Commercial|All Plans $75.29 ↑ +82%
United Commercial|Exchange $77.00 ↑ +86%
Wellpoint Commercial|Exchange $77.88 ↑ +89%
Wellpoint Medicaid|STAR $83.27 ↑ +102%
Bright Health Commercial|All Plans $92.42 ↑ +124%
Entrust Commercial|All Plans $113.28 ↑ +174%
Health Smart Commercial|All Plans $129.80 ↑ +214%
First Health Commercial|All Plans $141.60 ↑ +243%
Humana Commercial|All Plans $143.96 ↑ +249%
Aetna Commercial|All Plans $151.04 ↑ +266%
Cigna Commercial|All Other Plans $151.04 ↑ +266%
Ellwood Commercial|All Plans $155.76 ↑ +277%
United Commercial|All Other Plans $184.08 ↑ +346%
PHCS Commercial|All Plans $200.60 ↑ +386%
Multiplan Commercial|All Plans $212.40 ↑ +414%
BCBS-TX Commercial|Ref Lab $236.00 ↑ +471%

Visitor-reported prices

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Aco annual medicare visit (awv), initial g0438aco at other Texas hospitals

Hospital City Cash price Negotiated range
St. Joseph Health Madison Hospital Madisonville $41.30 $30.07 – $236.00
St. Joseph Health College Station Hospital College Station $41.30 $77.00 – $507.58
St. Joseph Health Grimes Hospital Navasota $41.30 $77.00 – $261.96
HCA HOUSTON CLEAR LAKE FRIENDSWOOD not published $139.36 – $379.71
HCA HOUSTON MEDICAL CENTER Houston not published $139.36 – $379.71
HCA HOUSTON CONROE CONROE not published $144.18 – $364.70
HCA HOUSTON KINGWOOD HUMBLE not published $150.12 – $379.71
HCA HOUSTON NORTHWEST SPRING not published $139.36 – $379.71

All Texas hospitals for this procedure →