Bivalirudin at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$16.13
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.
$92.13
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.
$0.16 with United vs $92.13 with BCBS-TX — 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|Exchange | $0.16 | ↓ -99% |
| Cigna | Commercial|Local Plus | $0.19 | ↓ -99% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1.90 | ↓ -88% |
| BCBS-TX | Commercial|Blue Premier | $3.11 | ↓ -81% |
| BCBS-TX | Commercial|HMO | $3.19 | ↓ -80% |
| BCBS-TX | Commercial|PPO | $3.64 | ↓ -77% |
| BCBS | Medicare|All Plans | $20.27 | ↑ +26% |
| UNITED | Medicare|All Plans | $20.68 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $20.88 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $21.69 | ↑ +34% |
| AETNA | Medicare|All Plans | $23.04 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $27.09 | ↑ +68% |
| Ambetter | Commercial|All Plans | $29.39 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $30.41 | ↑ +89% |
| Bright Health | Commercial|All Plans | $30.41 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $32.51 | ↑ +102% |
| Entrust | Commercial|All Plans | $44.23 | ↑ +174% |
| Health Smart | Commercial|All Plans | $50.68 | ↑ +214% |
| First Health | Commercial|All Plans | $55.28 | ↑ +243% |
| Humana | Commercial|All Plans | $56.20 | ↑ +248% |
| Aetna | Commercial|All Plans | $58.97 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $58.97 | ↑ +266% |
| Ellwood | Commercial|All Plans | $60.81 | ↑ +277% |
| United | Commercial|All Other Plans | $71.87 | ↑ +346% |
| PHCS | Commercial|All Plans | $78.32 | ↑ +386% |
| Multiplan | Commercial|All Plans | $82.92 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $92.13 | ↑ +471% |
Visitor-reported prices
Comments
Bivalirudin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $7,681.72 | $0.15 – $9.45 |
| St. Luke's Health - Patients Medical Center | Pasadena | $863.63 | $0.23 – $1,850.63 |
| Baylor St Luke's Medical Center | Houston | $2,412.12 | $0.28 – $581.76 |
| St. Luke's Health Memorial Lufkin | Lufkin | $3,323.61 | $0.19 – $2,290.47 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $2,412.12 | $0.23 – $581.76 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $2,412.12 | $0.23 – $581.76 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $2,412.12 | $0.23 – $581.76 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $1,038.91 | $0.20 – $1,929.39 |