Biopsy skin incisional single lesion at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$116.20
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.
$664.00
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.
$103.97 with SUPERIOR vs $2,888.00 with Cigna — 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $103.97 | ↓ -11% |
| UNITED | Medicaid|STARKIDS | $106.05 | ↓ -9% |
| UNITED | Medicaid|All Other Plans | $106.05 | ↓ -9% |
| BCBS | Medicaid|STARKIDS | $109.17 | ↓ -6% |
| SUPERIOR | Medicaid|All Other Plans | $109.17 | ↓ -6% |
| BCBS | Medicare|All Plans | $130.46 | ↑ +12% |
| SUPERIOR | Medicaid|STAR | $131.00 | ↑ +13% |
| UNITED | Medicare|All Plans | $133.07 | ↑ +15% |
| AMERIVANTAGE | Medicare|All Plans | $134.38 | ↑ +16% |
| SCANHealth | Medicare|All Plans | $139.60 | ↑ +20% |
| AETNA | Medicare|All Plans | $148.25 | ↑ +28% |
| BCBS-TX | Commercial|Blue Premier | $162.69 | ↑ +40% |
| BCBS-TX | Commercial|Blue Advantage HMO | $163.86 | ↑ +41% |
| BCBS-TX | Commercial|HMO | $174.32 | ↑ +50% |
| Wellpoint | Medicaid|All Other Plans | $174.35 | ↑ +50% |
| United | Commercial|All Other Plans | $188.00 | ↑ +62% |
| Ambetter | Commercial|All Plans | $189.17 | ↑ +63% |
| BCBS-TX | Commercial|PPO | $191.75 | ↑ +65% |
| Wellpoint | Commercial|Exchange | $195.69 | ↑ +68% |
| Wellpoint | Medicaid|STAR | $209.22 | ↑ +80% |
| Bright Health | Commercial|All Plans | $232.22 | ↑ +100% |
| SUPERIOR | Medicaid|STARPLUS | $242.25 | ↑ +108% |
| UNITED | Medicaid|STARPLUS | $247.45 | ↑ +113% |
| Entrust | Commercial|All Plans | $284.64 | ↑ +145% |
| Health Smart | Commercial|All Plans | $326.15 | ↑ +181% |
| First Health | Commercial|All Plans | $355.80 | ↑ +206% |
| Humana | Commercial|All Plans | $361.73 | ↑ +211% |
| Cigna | Commercial|All Other Plans | $379.52 | ↑ +227% |
| Aetna | Commercial|All Plans | $379.52 | ↑ +227% |
| Ellwood | Commercial|All Plans | $391.38 | ↑ +237% |
| PHCS | Commercial|All Plans | $504.05 | ↑ +334% |
| Multiplan | Commercial|All Plans | $533.70 | ↑ +359% |
| BCBS-TX | Commercial|Ref Lab | $593.00 | ↑ +410% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1198% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +2385% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $645.67 | $98.83 – $1,596.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $634.09 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $789.90 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $645.67 | $98.83 – $1,596.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $634.09 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $634.09 | $98.83 – $1,555.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $789.90 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $645.67 | $98.83 – $1,596.25 |