_afb id by dna probe rflx ast at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$40.25
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.
?
What you pay up front if you don't use insurance.
$230.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$18.05 with United vs $207.00 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| United | Commercial|Exchange | $18.05 | ↓ -55% |
| BCBS | Medicare|All Plans | $20.05 | ↓ -50% |
| AETNA | Medicare|All Plans | $20.05 | ↓ -50% |
| UNITED | Medicare|All Plans | $20.45 | ↓ -49% |
| AMERIVANTAGE | Medicare|All Plans | $20.65 | ↓ -49% |
| SCANHealth | Medicare|All Plans | $21.45 | ↓ -47% |
| BCBS-TX | Commercial|Ref Lab | $21.83 | ↓ -46% |
| SUPERIOR | Medicaid|CHIP | $27.47 | ↓ -32% |
| UNITED | Medicaid|STARKIDS | $28.02 | ↓ -30% |
| UNITED | Medicaid|All Other Plans | $28.02 | ↓ -30% |
| BCBS | Medicaid|STARKIDS | $28.84 | ↓ -28% |
| SUPERIOR | Medicaid|All Other Plans | $28.84 | ↓ -28% |
| Ambetter | Commercial|All Plans | $29.07 | ↓ -28% |
| Wellpoint | Commercial|Exchange | $30.08 | ↓ -25% |
| SUPERIOR | Medicaid|STAR | $34.61 | ↓ -14% |
| Bright Health | Commercial|All Plans | $35.69 | ↓ -11% |
| Entrust | Commercial|All Plans | $40.10 | ↓ -0% |
| Cigna | Commercial|Local Plus | $43.78 | ↑ +9% |
| Ellwood | Commercial|All Plans | $60.15 | ↑ +49% |
| SUPERIOR | Medicaid|STARPLUS | $64.01 | ↑ +59% |
| UNITED | Medicaid|STARPLUS | $65.38 | ↑ +62% |
| Wellpoint | Medicaid|All Other Plans | $67.62 | ↑ +68% |
| BCBS-TX | Commercial|Blue Premier | $70.38 | ↑ +75% |
| BCBS-TX | Commercial|Blue Advantage HMO | $70.38 | ↑ +75% |
| BCBS-TX | Commercial|HMO | $71.78 | ↑ +78% |
| Wellpoint | Medicaid|STAR | $81.15 | ↑ +102% |
| BCBS-TX | Commercial|PPO | $82.81 | ↑ +106% |
| Health Smart | Commercial|All Plans | $126.50 | ↑ +214% |
| First Health | Commercial|All Plans | $138.00 | ↑ +243% |
| Humana | Commercial|All Plans | $140.30 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $147.20 | ↑ +266% |
| Aetna | Commercial|All Plans | $147.20 | ↑ +266% |
| United | Commercial|All Other Plans | $179.40 | ↑ +346% |
| PHCS | Commercial|All Plans | $195.50 | ↑ +386% |
| Multiplan | Commercial|All Plans | $207.00 | ↑ +414% |
Visitor-reported prices
Comments
_afb id by dna probe rflx ast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $307.03 | $10.00 – $166.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $292.41 | $12.00 – $166.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $292.41 | $12.00 – $161.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $307.03 | $10.00 – $166.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $292.41 | $12.00 – $166.44 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $292.41 | $8.00 – $166.44 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $292.41 | $12.00 – $193.43 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $307.03 | $10.00 – $166.69 |