Bronchoscopy w/biopsy(s) 31625 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$1,028.48
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.
$5,877.00
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.
$188.00 with United vs $5,877.00 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|All Other Plans | $188.00 | ↓ -82% |
| SUPERIOR | Medicaid|CHIP | $553.05 | ↓ -46% |
| UNITED | Medicaid|All Other Plans | $564.11 | ↓ -45% |
| UNITED | Medicaid|STARKIDS | $564.11 | ↓ -45% |
| SUPERIOR | Medicaid|All Other Plans | $580.70 | ↓ -44% |
| BCBS | Medicaid|STARKIDS | $580.70 | ↓ -44% |
| SUPERIOR | Medicaid|STAR | $696.84 | ↓ -32% |
| SUPERIOR | Medicaid|STARPLUS | $1,288.61 | ↑ +25% |
| BCBS | Medicare|All Plans | $1,292.94 | ↑ +26% |
| UNITED | Medicaid|STARPLUS | $1,316.26 | ↑ +28% |
| UNITED | Medicare|All Plans | $1,318.80 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $1,331.73 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $1,383.45 | ↑ +35% |
| AETNA | Medicare|All Plans | $1,469.25 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $1,727.84 | ↑ +68% |
| Ambetter | Commercial|All Plans | $1,874.77 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $1,939.41 | ↑ +89% |
| BCBS-TX | Commercial|Blue Premier | $2,002.85 | ↑ +95% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,017.16 | ↑ +96% |
| Wellpoint | Medicaid|STAR | $2,073.41 | ↑ +102% |
| United | Commercial|Exchange | $2,124.00 | ↑ +107% |
| BCBS-TX | Commercial|HMO | $2,145.92 | ↑ +109% |
| Bright Health | Commercial|All Plans | $2,301.44 | ↑ +124% |
| BCBS-TX | Commercial|PPO | $2,360.51 | ↑ +130% |
| Entrust | Commercial|All Plans | $2,820.96 | ↑ +174% |
| Health Smart | Commercial|All Plans | $3,232.35 | ↑ +214% |
| Cigna | Commercial|Local Plus | $3,346.00 | ↑ +225% |
| First Health | Commercial|All Plans | $3,526.20 | ↑ +243% |
| Humana | Commercial|All Plans | $3,584.97 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $3,761.28 | ↑ +266% |
| Aetna | Commercial|All Plans | $3,761.28 | ↑ +266% |
| Ellwood | Commercial|All Plans | $3,878.82 | ↑ +277% |
| PHCS | Commercial|All Plans | $4,995.45 | ↑ +386% |
| Multiplan | Commercial|All Plans | $5,289.30 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $5,877.00 | ↑ +471% |
Visitor-reported prices
Comments
Bronchoscopy w/biopsy(s) 31625 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $1,916.46 | $3,285.36 – $4,106.70 |
| Baylor St Luke's Medical Center | Houston | $2,998.45 | $1,285.00 – $8,567.00 |
| St. Joseph Health Madison Hospital | Madisonville | $1,028.48 | $748.73 – $5,877.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $2,998.45 | $1,285.00 – $8,567.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $2,998.45 | $1,285.00 – $8,567.00 |
| St. Joseph Health College Station Hospital | College Station | $1,028.48 | $3,232.35 – $5,877.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $2,998.45 | $2,313.09 – $8,567.00 |
| St. Joseph Health Grimes Hospital | Navasota | $1,028.48 | $2,131.01 – $6,523.47 |