Bx skin tangential ea sep/ addl les at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$64.58
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.
$369.00
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.
$50.00 with BCBS-TX vs $1,508.00 with United — 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-TX | Commercial|Blue Advantage HMO | $50.00 | ↓ -23% |
| BCBS | Medicare|All Plans | $50.82 | ↓ -21% |
| UNITED | Medicare|All Plans | $51.84 | ↓ -20% |
| AMERIVANTAGE | Medicare|All Plans | $52.35 | ↓ -19% |
| SCANHealth | Medicare|All Plans | $54.38 | ↓ -16% |
| BCBS-TX | Commercial|Blue Premier | $56.00 | ↓ -13% |
| AETNA | Medicare|All Plans | $57.75 | ↓ -11% |
| BCBS-TX | Commercial|HMO | $59.00 | ↓ -9% |
| SUPERIOR | Medicaid|CHIP | $64.68 | ↑ +0% |
| UNITED | Medicaid|All Other Plans | $65.98 | ↑ +2% |
| UNITED | Medicaid|STARKIDS | $65.98 | ↑ +2% |
| BCBS-TX | Commercial|PPO | $66.00 | ↑ +2% |
| BCBS | Medicaid|STARKIDS | $67.92 | ↑ +5% |
| SUPERIOR | Medicaid|All Other Plans | $67.92 | ↑ +5% |
| Wellpoint | Medicaid|All Other Plans | $67.92 | ↑ +5% |
| Ambetter | Commercial|All Plans | $73.69 | ↑ +14% |
| Wellpoint | Commercial|Exchange | $76.23 | ↑ +18% |
| SUPERIOR | Medicaid|STAR | $81.50 | ↑ +26% |
| Wellpoint | Medicaid|STAR | $81.50 | ↑ +26% |
| Bright Health | Commercial|All Plans | $90.46 | ↑ +40% |
| UNITED | Medicaid|STARPLUS | $108.49 | ↑ +68% |
| Entrust | Commercial|All Plans | $110.88 | ↑ +72% |
| Cigna | Commercial|Local Plus | $113.19 | ↑ +75% |
| Health Smart | Commercial|All Plans | $127.05 | ↑ +97% |
| First Health | Commercial|All Plans | $138.60 | ↑ +115% |
| Humana | Commercial|All Plans | $140.91 | ↑ +118% |
| Aetna | Commercial|All Plans | $147.84 | ↑ +129% |
| Cigna | Commercial|All Other Plans | $147.84 | ↑ +129% |
| SUPERIOR | Medicaid|STARPLUS | $150.71 | ↑ +133% |
| Ellwood | Commercial|All Plans | $152.46 | ↑ +136% |
| United | Commercial|All Other Plans | $173.25 | ↑ +168% |
| PHCS | Commercial|All Plans | $196.35 | ↑ +204% |
| Multiplan | Commercial|All Plans | $207.90 | ↑ +222% |
| BCBS-TX | Commercial|Ref Lab | $231.00 | ↑ +258% |
| United | Commercial|Exchange | $1,508.00 | ↑ +2235% |
Visitor-reported prices
Comments
Bx skin tangential ea sep/ addl les at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $236.14 | $66.91 – $334.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $221.69 | $45.03 – $328.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $253.73 | $50.75 – $317.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $236.14 | $62.97 – $334.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $221.69 | $70.22 – $328.13 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $221.69 | $113.02 – $328.13 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $253.73 | $71.00 – $380.60 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $236.14 | $62.97 – $334.53 |