Bln 1.2 mono emrg 15x1.2 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$14,751.45
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.
$84,294.00
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.
$5.94 with BCBS vs $271.73 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 |
|---|---|---|---|
| BCBS | Medicare|All Plans | $5.94 | ↓ -100% |
| UNITED | Medicare|All Plans | $6.06 | ↓ -100% |
| AMERIVANTAGE | Medicare|All Plans | $6.12 | ↓ -100% |
| SCANHealth | Medicare|All Plans | $6.36 | ↓ -100% |
| AETNA | Medicare|All Plans | $6.75 | ↓ -100% |
| Wellpoint | Medicaid|All Other Plans | $7.94 | ↓ -100% |
| Ambetter | Commercial|All Plans | $8.62 | ↓ -100% |
| Wellpoint | Commercial|Exchange | $8.91 | ↓ -100% |
| Wellpoint | Medicaid|STAR | $9.53 | ↓ -100% |
| Bright Health | Commercial|All Plans | $10.58 | ↓ -100% |
| Entrust | Commercial|All Plans | $12.96 | ↓ -100% |
| Cigna | Commercial|Local Plus | $13.23 | ↓ -100% |
| Health Smart | Commercial|All Plans | $14.85 | ↓ -100% |
| First Health | Commercial|All Plans | $16.20 | ↓ -100% |
| Humana | Commercial|All Plans | $16.47 | ↓ -100% |
| Cigna | Commercial|All Other Plans | $17.28 | ↓ -100% |
| Aetna | Commercial|All Plans | $17.28 | ↓ -100% |
| Ellwood | Commercial|All Plans | $17.82 | ↓ -100% |
| United | Commercial|All Other Plans | $21.06 | ↓ -100% |
| PHCS | Commercial|All Plans | $22.95 | ↓ -100% |
| Multiplan | Commercial|All Plans | $24.30 | ↓ -100% |
| BCBS-TX | Commercial|Ref Lab | $27.00 | ↓ -100% |
| United | Commercial|Exchange | $187.40 | ↓ -99% |
| BCBS-TX | Commercial|Blue Advantage HMO | $206.14 | ↓ -99% |
| BCBS-TX | Commercial|Blue Premier | $234.25 | ↓ -98% |
| BCBS-TX | Commercial|HMO | $252.99 | ↓ -98% |
| BCBS-TX | Commercial|PPO | $271.73 | ↓ -98% |
Visitor-reported prices
Comments
Bln 1.2 mono emrg 15x1.2 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $9,159.36 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $8,124.20 | $92.61 – $311.91 |
| Baylor St Luke's Medical Center | Houston | $8,530.55 | $0.27 – $19,766.00 |
| St. Joseph Health Madison Hospital | Madisonville | $14,751.45 | $3.44 – $187.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $2,961.00 | $14.44 – $210.34 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $8,530.55 | $0.27 – $40,285.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $8,530.55 | $0.27 – $40,285.00 |
| St. Joseph Health College Station Hospital | College Station | $14,751.45 | $13.23 – $655.90 |