Biliary endoscopy thru skin at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$1,594.60
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.
$9,112.00
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.
$875.00 with United vs $9,379.00 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 |
|---|---|---|---|
| United | Commercial|All Other Plans | $875.00 | ↓ -45% |
| BCBS | Medicare|All Plans | $2,004.64 | ↑ +26% |
| UNITED | Medicare|All Plans | $2,044.74 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $2,064.78 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $2,144.97 | ↑ +35% |
| AETNA | Medicare|All Plans | $2,278.00 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $2,678.93 | ↑ +68% |
| Ambetter | Commercial|All Plans | $2,906.73 | ↑ +82% |
| SUPERIOR | Medicaid|CHIP | $2,965.95 | ↑ +86% |
| Wellpoint | Commercial|Exchange | $3,006.96 | ↑ +89% |
| UNITED | Medicaid|STARKIDS | $3,025.27 | ↑ +90% |
| UNITED | Medicaid|All Other Plans | $3,025.27 | ↑ +90% |
| SUPERIOR | Medicaid|All Other Plans | $3,114.25 | ↑ +95% |
| BCBS | Medicaid|STARKIDS | $3,114.25 | ↑ +95% |
| Wellpoint | Medicaid|STAR | $3,214.72 | ↑ +102% |
| Bright Health | Commercial|All Plans | $3,568.26 | ↑ +124% |
| SUPERIOR | Medicaid|STAR | $3,737.10 | ↑ +134% |
| Entrust | Commercial|All Plans | $4,373.76 | ↑ +174% |
| Health Smart | Commercial|All Plans | $5,011.60 | ↑ +214% |
| First Health | Commercial|All Plans | $5,467.20 | ↑ +243% |
| Humana | Commercial|All Plans | $5,558.32 | ↑ +249% |
| Aetna | Commercial|All Plans | $5,831.68 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $5,831.68 | ↑ +266% |
| Ellwood | Commercial|All Plans | $6,013.92 | ↑ +277% |
| BCBS-TX | Commercial|Blue Premier | $6,767.19 | ↑ +324% |
| BCBS-TX | Commercial|Blue Advantage HMO | $6,815.53 | ↑ +327% |
| SUPERIOR | Medicaid|STARPLUS | $6,910.66 | ↑ +333% |
| UNITED | Medicaid|STARPLUS | $7,058.96 | ↑ +343% |
| BCBS-TX | Commercial|HMO | $7,250.57 | ↑ +355% |
| PHCS | Commercial|All Plans | $7,745.20 | ↑ +386% |
| Cigna | Commercial|Local Plus | $7,855.00 | ↑ +393% |
| BCBS-TX | Commercial|PPO | $7,975.62 | ↑ +400% |
| Multiplan | Commercial|All Plans | $8,200.80 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $9,112.00 | ↑ +471% |
| United | Commercial|Exchange | $9,379.00 | ↑ +488% |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $5,961.90 | $4,833.48 – $10,295.80 |
| HCA HOUSTON KINGWOOD | HUMBLE | $12,366.52 | $2,762.95 – $10,731.66 |
| Baylor St Luke's Medical Center | Houston | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Joseph Health Madison Hospital | Madisonville | $1,594.60 | $1,160.87 – $9,112.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $8,487.50 | $5,460.00 – $24,250.00 |
| St. Joseph Health College Station Hospital | College Station | $1,594.60 | $5,011.60 – $9,112.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $8,487.50 | $6,547.50 – $24,250.00 |