App high cost ss f/n/g/h/f <100sq cm addl <25sq cm at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$124.25
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.
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What you pay up front if you don't use insurance.
$710.00
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.
$50.00 with BCBS-TX vs $1,508.00 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-TX | Commercial|Blue Advantage HMO | $50.00 | ↓ -60% |
| BCBS-TX | Commercial|Blue Premier | $56.00 | ↓ -55% |
| BCBS-TX | Commercial|HMO | $59.00 | ↓ -53% |
| BCBS-TX | Commercial|PPO | $66.00 | ↓ -47% |
| BCBS | Medicare|All Plans | $156.20 | ↑ +26% |
| UNITED | Medicare|All Plans | $159.33 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $160.89 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $167.14 | ↑ +35% |
| AETNA | Medicare|All Plans | $177.50 | ↑ +43% |
| SUPERIOR | Medicaid|CHIP | $198.80 | ↑ +60% |
| UNITED | Medicaid|All Other Plans | $202.78 | ↑ +63% |
| UNITED | Medicaid|STARKIDS | $202.78 | ↑ +63% |
| SUPERIOR | Medicaid|All Other Plans | $208.74 | ↑ +68% |
| Wellpoint | Medicaid|All Other Plans | $208.74 | ↑ +68% |
| BCBS | Medicaid|STARKIDS | $208.74 | ↑ +68% |
| Ambetter | Commercial|All Plans | $226.49 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $234.30 | ↑ +89% |
| SUPERIOR | Medicaid|STAR | $250.49 | ↑ +102% |
| Wellpoint | Medicaid|STAR | $250.49 | ↑ +102% |
| Bright Health | Commercial|All Plans | $278.04 | ↑ +124% |
| Entrust | Commercial|All Plans | $340.80 | ↑ +174% |
| Cigna | Commercial|Local Plus | $347.90 | ↑ +180% |
| Health Smart | Commercial|All Plans | $390.50 | ↑ +214% |
| First Health | Commercial|All Plans | $426.00 | ↑ +243% |
| Humana | Commercial|All Plans | $433.10 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $454.40 | ↑ +266% |
| Aetna | Commercial|All Plans | $454.40 | ↑ +266% |
| SUPERIOR | Medicaid|STARPLUS | $463.21 | ↑ +273% |
| Ellwood | Commercial|All Plans | $468.60 | ↑ +277% |
| UNITED | Medicaid|STARPLUS | $473.15 | ↑ +281% |
| United | Commercial|All Other Plans | $532.50 | ↑ +329% |
| PHCS | Commercial|All Plans | $603.50 | ↑ +386% |
| Multiplan | Commercial|All Plans | $639.00 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $710.00 | ↑ +471% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1114% |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,317.32 | $4,826.69 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $930.11 | $263.53 – $1,317.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $245.53 | $50.54 – $368.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $223.21 | $44.64 – $279.01 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $930.11 | $248.03 – $1,317.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $245.53 | $78.82 – $368.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $245.53 | $126.86 – $368.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $223.21 | $71.00 – $334.82 |