Benign lesion paring 2-4 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$82.78
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.
$473.00
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.
$17.60 with BCBS vs $1,508.00 with United — 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 |
|---|---|---|---|
| BCBS | Medicare|All Plans | $17.60 | ↓ -79% |
| UNITED | Medicare|All Plans | $17.96 | ↓ -78% |
| AMERIVANTAGE | Medicare|All Plans | $18.13 | ↓ -78% |
| SCANHealth | Medicare|All Plans | $18.84 | ↓ -77% |
| AETNA | Medicare|All Plans | $20.00 | ↓ -76% |
| Wellpoint | Medicaid|All Other Plans | $23.52 | ↓ -72% |
| Ambetter | Commercial|All Plans | $25.52 | ↓ -69% |
| Wellpoint | Commercial|Exchange | $26.40 | ↓ -68% |
| Wellpoint | Medicaid|STAR | $28.23 | ↓ -66% |
| Bright Health | Commercial|All Plans | $31.33 | ↓ -62% |
| Entrust | Commercial|All Plans | $38.40 | ↓ -54% |
| Health Smart | Commercial|All Plans | $44.00 | ↓ -47% |
| First Health | Commercial|All Plans | $48.00 | ↓ -42% |
| Humana | Commercial|All Plans | $48.80 | ↓ -41% |
| Cigna | Commercial|All Other Plans | $51.20 | ↓ -38% |
| Aetna | Commercial|All Plans | $51.20 | ↓ -38% |
| Ellwood | Commercial|All Plans | $52.80 | ↓ -36% |
| United | Commercial|All Other Plans | $62.40 | ↓ -25% |
| PHCS | Commercial|All Plans | $68.00 | ↓ -18% |
| Multiplan | Commercial|All Plans | $72.00 | ↓ -13% |
| BCBS-TX | Commercial|Ref Lab | $80.00 | ↓ -3% |
| SUPERIOR | Medicaid|CHIP | $132.44 | ↑ +60% |
| UNITED | Medicaid|All Other Plans | $135.09 | ↑ +63% |
| UNITED | Medicaid|STARKIDS | $135.09 | ↑ +63% |
| SUPERIOR | Medicaid|All Other Plans | $139.07 | ↑ +68% |
| BCBS | Medicaid|STARKIDS | $139.07 | ↑ +68% |
| SUPERIOR | Medicaid|STAR | $166.88 | ↑ +102% |
| Cigna | Commercial|Local Plus | $231.77 | ↑ +180% |
| BCBS-TX | Commercial|Blue Premier | $244.62 | ↑ +196% |
| BCBS-TX | Commercial|Blue Advantage HMO | $246.37 | ↑ +198% |
| BCBS-TX | Commercial|HMO | $262.10 | ↑ +217% |
| BCBS-TX | Commercial|PPO | $288.30 | ↑ +248% |
| SUPERIOR | Medicaid|STARPLUS | $308.59 | ↑ +273% |
| UNITED | Medicaid|STARPLUS | $315.21 | ↑ +281% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1722% |
Visitor-reported prices
Comments
Benign lesion paring 2-4 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $429.38 | $218.41 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $283.24 | $80.25 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $283.24 | $58.30 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $293.06 | $58.61 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $283.24 | $75.53 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $283.24 | $85.00 – $495.95 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $283.24 | $146.34 – $495.95 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $293.06 | $71.00 – $495.95 |