Adjustment gastric band at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$12.43
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.
$71.00
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.
$15.62 with BCBS vs $77.00 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 | $15.62 | ↑ +26% |
| UNITED | Medicare|All Plans | $15.94 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $16.09 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $16.72 | ↑ +35% |
| AETNA | Medicare|All Plans | $17.75 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $20.88 | ↑ +68% |
| Ambetter | Commercial|All Plans | $22.65 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $23.43 | ↑ +88% |
| Wellpoint | Medicaid|STAR | $25.05 | ↑ +102% |
| Bright Health | Commercial|All Plans | $27.81 | ↑ +124% |
| Entrust | Commercial|All Plans | $34.08 | ↑ +174% |
| Health Smart | Commercial|All Plans | $39.05 | ↑ +214% |
| First Health | Commercial|All Plans | $42.60 | ↑ +243% |
| Humana | Commercial|All Plans | $43.31 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $45.44 | ↑ +266% |
| Aetna | Commercial|All Plans | $45.44 | ↑ +266% |
| Ellwood | Commercial|All Plans | $46.86 | ↑ +277% |
| United | Commercial|All Other Plans | $55.38 | ↑ +346% |
| PHCS | Commercial|All Plans | $60.35 | ↑ +386% |
| Multiplan | Commercial|All Plans | $63.90 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $71.00 | ↑ +471% |
| United | Commercial|Exchange | $77.00 | ↑ +519% |
Visitor-reported prices
Comments
Adjustment gastric band at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $207.51 | $58.79 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $207.51 | $55.34 – $293.97 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $207.51 | $55.34 – $293.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $207.51 | $51.88 – $293.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $207.51 | $38.04 – $293.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $207.51 | $38.04 – $293.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $207.51 | $58.79 – $293.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $207.51 | $96.84 – $293.97 |