Brace fx hum ovr shldr sm at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$289.80
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.
$1,656.00
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.
$331.20 with United vs $1,656.00 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 | $331.20 | ↑ +14% |
| BCBS | Medicare|All Plans | $364.32 | ↑ +26% |
| BCBS-TX | Commercial|Blue Advantage HMO | $364.32 | ↑ +26% |
| UNITED | Medicare|All Plans | $371.61 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $375.25 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $389.83 | ↑ +35% |
| BCBS-TX | Commercial|Blue Premier | $414.00 | ↑ +43% |
| AETNA | Medicare|All Plans | $414.00 | ↑ +43% |
| BCBS-TX | Commercial|HMO | $447.12 | ↑ +54% |
| BCBS-TX | Commercial|PPO | $480.24 | ↑ +66% |
| Wellpoint | Medicaid|All Other Plans | $486.87 | ↑ +68% |
| Cigna | Commercial|Local Plus | $513.36 | ↑ +77% |
| Ambetter | Commercial|All Plans | $528.27 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $546.48 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $584.24 | ↑ +102% |
| Bright Health | Commercial|All Plans | $648.49 | ↑ +124% |
| Entrust | Commercial|All Plans | $794.88 | ↑ +174% |
| Health Smart | Commercial|All Plans | $910.80 | ↑ +214% |
| First Health | Commercial|All Plans | $993.60 | ↑ +243% |
| Humana | Commercial|All Plans | $1,010.16 | ↑ +249% |
| Aetna | Commercial|All Plans | $1,059.84 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $1,059.84 | ↑ +266% |
| Ellwood | Commercial|All Plans | $1,092.96 | ↑ +277% |
| United | Commercial|All Other Plans | $1,291.68 | ↑ +346% |
| PHCS | Commercial|All Plans | $1,407.60 | ↑ +386% |
| Multiplan | Commercial|All Plans | $1,490.40 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $1,656.00 | ↑ +471% |
Visitor-reported prices
Comments
Brace fx hum ovr shldr sm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $165.75 | $99.45 – $355.17 |
| St. Joseph Health Madison Hospital | Madisonville | $289.80 | $210.98 – $1,490.40 |
| St. Luke's Health Memorial Lufkin | Lufkin | $132.15 | $132.15 – $792.86 |
| St. Joseph Health College Station Hospital | College Station | $289.80 | $331.20 – $1,407.60 |
| St. Joseph Health Grimes Hospital | Navasota | $289.80 | $331.20 – $1,838.16 |
| St. Luke's Health Memorial Livingston | Livingston | $132.15 | $132.15 – $792.86 |
| St. Luke's Health Memorial San Augustine | San Augustine | $132.15 | $132.15 – $792.86 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $443.52 | $321.10 – $321.10 |