Bilicheck at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$3.68
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.
$21.00
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.
$4.52 with United vs $20.73 with BCBS-TX — 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 |
|---|---|---|---|
| United | Commercial|Exchange | $4.52 | ↑ +23% |
| AETNA | Medicare|All Plans | $5.02 | ↑ +36% |
| BCBS | Medicare|All Plans | $5.02 | ↑ +36% |
| UNITED | Medicare|All Plans | $5.12 | ↑ +39% |
| AMERIVANTAGE | Medicare|All Plans | $5.17 | ↑ +40% |
| SCANHealth | Medicare|All Plans | $5.37 | ↑ +46% |
| BCBS-TX | Commercial|Ref Lab | $5.46 | ↑ +48% |
| Wellpoint | Medicaid|All Other Plans | $6.18 | ↑ +68% |
| SUPERIOR | Medicaid|CHIP | $6.88 | ↑ +87% |
| UNITED | Medicaid|All Other Plans | $7.02 | ↑ +91% |
| UNITED | Medicaid|STARKIDS | $7.02 | ↑ +91% |
| BCBS | Medicaid|STARKIDS | $7.22 | ↑ +96% |
| SUPERIOR | Medicaid|All Other Plans | $7.22 | ↑ +96% |
| Ambetter | Commercial|All Plans | $7.28 | ↑ +98% |
| Wellpoint | Medicaid|STAR | $7.41 | ↑ +101% |
| Wellpoint | Commercial|Exchange | $7.53 | ↑ +105% |
| SUPERIOR | Medicaid|STAR | $8.67 | ↑ +136% |
| Bright Health | Commercial|All Plans | $8.94 | ↑ +143% |
| Entrust | Commercial|All Plans | $10.04 | ↑ +173% |
| Cigna | Commercial|Local Plus | $11.32 | ↑ +208% |
| Health Smart | Commercial|All Plans | $11.55 | ↑ +214% |
| First Health | Commercial|All Plans | $12.60 | ↑ +242% |
| Humana | Commercial|All Plans | $12.81 | ↑ +248% |
| Aetna | Commercial|All Plans | $13.44 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $13.44 | ↑ +265% |
| Ellwood | Commercial|All Plans | $15.06 | ↑ +309% |
| SUPERIOR | Medicaid|STARPLUS | $16.03 | ↑ +336% |
| UNITED | Medicaid|STARPLUS | $16.37 | ↑ +345% |
| United | Commercial|All Other Plans | $16.38 | ↑ +345% |
| BCBS-TX | Commercial|Blue Premier | $17.62 | ↑ +379% |
| BCBS-TX | Commercial|Blue Advantage HMO | $17.62 | ↑ +379% |
| PHCS | Commercial|All Plans | $17.85 | ↑ +385% |
| BCBS-TX | Commercial|HMO | $17.97 | ↑ +388% |
| Multiplan | Commercial|All Plans | $18.90 | ↑ +414% |
| BCBS-TX | Commercial|PPO | $20.73 | ↑ +463% |
Visitor-reported prices
Comments
Bilicheck at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $42.15 | $4.22 – $52.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $42.15 | $7.36 – $63.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $42.15 | $4.22 – $52.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $42.15 | $4.22 – $52.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $42.15 | $4.52 – $63.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $42.15 | $4.22 – $63.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $42.15 | $4.22 – $63.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $42.15 | $4.22 – $52.69 |