Biliary endoscopy thru skin at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$548.10
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.
$3,132.00
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.
$689.04 with BCBS vs $6,045.00 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 | $689.04 | ↑ +26% |
| UNITED | Medicare|All Plans | $702.83 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $709.72 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $737.28 | ↑ +35% |
| AETNA | Medicare|All Plans | $783.00 | ↑ +43% |
| United | Commercial|All Other Plans | $875.00 | ↑ +60% |
| Wellpoint | Medicaid|All Other Plans | $920.81 | ↑ +68% |
| Ambetter | Commercial|All Plans | $999.11 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $1,033.56 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $1,104.97 | ↑ +102% |
| Bright Health | Commercial|All Plans | $1,226.50 | ↑ +124% |
| Entrust | Commercial|All Plans | $1,503.36 | ↑ +174% |
| SUPERIOR | Medicaid|CHIP | $1,640.20 | ↑ +199% |
| UNITED | Medicaid|STARKIDS | $1,673.00 | ↑ +205% |
| UNITED | Medicaid|All Other Plans | $1,673.00 | ↑ +205% |
| BCBS | Medicaid|STARKIDS | $1,722.21 | ↑ +214% |
| SUPERIOR | Medicaid|All Other Plans | $1,722.21 | ↑ +214% |
| Health Smart | Commercial|All Plans | $1,722.60 | ↑ +214% |
| First Health | Commercial|All Plans | $1,879.20 | ↑ +243% |
| Humana | Commercial|All Plans | $1,910.52 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $2,004.48 | ↑ +266% |
| Aetna | Commercial|All Plans | $2,004.48 | ↑ +266% |
| SUPERIOR | Medicaid|STAR | $2,066.65 | ↑ +277% |
| Ellwood | Commercial|All Plans | $2,067.12 | ↑ +277% |
| PHCS | Commercial|All Plans | $2,662.20 | ↑ +386% |
| Multiplan | Commercial|All Plans | $2,818.80 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $3,132.00 | ↑ +471% |
| Cigna | Commercial|Local Plus | $3,711.00 | ↑ +577% |
| SUPERIOR | Medicaid|STARPLUS | $3,821.67 | ↑ +597% |
| UNITED | Medicaid|STARPLUS | $3,903.68 | ↑ +612% |
| BCBS-TX | Commercial|Blue Premier | $4,353.08 | ↑ +694% |
| BCBS-TX | Commercial|Blue Advantage HMO | $4,384.17 | ↑ +700% |
| BCBS-TX | Commercial|HMO | $4,664.01 | ↑ +751% |
| BCBS-TX | Commercial|PPO | $5,130.41 | ↑ +836% |
| United | Commercial|Exchange | $6,045.00 | ↑ +1003% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,676.24 | $1,559.13 – $13,982.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,478.00 | $510.06 – $8,570.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,676.24 | $1,559.13 – $13,982.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,478.00 | $1,628.87 – $9,722.46 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,478.00 | $1,559.13 – $8,570.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,676.24 | $1,559.13 – $13,982.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $2,676.24 | $1,559.13 – $14,005.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $2,478.00 | $1,362.90 – $9,722.46 |