Biopsy of heart lining at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$865.38
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.
$4,945.00
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.
$875.00 with United vs $11,085.12 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|All Other Plans | $875.00 | ↑ +1% |
| BCBS | Medicare|All Plans | $1,087.90 | ↑ +26% |
| UNITED | Medicare|All Plans | $1,109.66 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $1,120.54 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $1,164.06 | ↑ +35% |
| AETNA | Medicare|All Plans | $1,236.25 | ↑ +43% |
| UNITED | Medicaid|All Other Plans | $1,412.30 | ↑ +63% |
| Wellpoint | Medicaid|All Other Plans | $1,453.83 | ↑ +68% |
| Ambetter | Commercial|All Plans | $1,577.46 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $1,631.85 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $1,744.60 | ↑ +102% |
| Bright Health | Commercial|All Plans | $1,936.47 | ↑ +124% |
| Entrust | Commercial|All Plans | $2,373.60 | ↑ +174% |
| Health Smart | Commercial|All Plans | $2,719.75 | ↑ +214% |
| First Health | Commercial|All Plans | $2,967.00 | ↑ +243% |
| Humana | Commercial|All Plans | $3,016.45 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $3,164.80 | ↑ +266% |
| Aetna | Commercial|All Plans | $3,164.80 | ↑ +266% |
| Ellwood | Commercial|All Plans | $3,263.70 | ↑ +277% |
| UNITED | Medicaid|STARPLUS | $3,295.35 | ↑ +281% |
| PHCS | Commercial|All Plans | $4,203.25 | ↑ +386% |
| Multiplan | Commercial|All Plans | $4,450.50 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $4,945.00 | ↑ +471% |
| United | Commercial|Exchange | $6,045.00 | ↑ +599% |
| BCBS-TX | Commercial|Blue Advantage HMO | $7,898.15 | ↑ +813% |
| BCBS-TX | Commercial|Blue Premier | $9,422.35 | ↑ +989% |
| Cigna | Commercial|Local Plus | $9,871.00 | ↑ +1041% |
| BCBS-TX | Commercial|HMO | $9,948.90 | ↑ +1050% |
| BCBS-TX | Commercial|PPO | $11,085.12 | ↑ +1181% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $5,819.15 | $1,648.76 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $6,306.49 | $1,298.09 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,099.77 | $1,019.95 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $5,819.15 | $1,551.77 – $17,181.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $6,306.49 | $2,024.38 – $17,181.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $6,306.49 | $3,258.35 – $9,459.74 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,099.77 | $1,699.92 – $7,896.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $5,819.15 | $1,551.77 – $7,896.23 |