C1 esterase inhibitor func - sendout at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$61.78
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.
$353.00
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.
$10.80 with United vs $317.70 with Multiplan — 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 | $10.80 | ↓ -83% |
| BCBS | Medicare|All Plans | $12.00 | ↓ -81% |
| AETNA | Medicare|All Plans | $12.00 | ↓ -81% |
| UNITED | Medicare|All Plans | $12.24 | ↓ -80% |
| AMERIVANTAGE | Medicare|All Plans | $12.36 | ↓ -80% |
| SCANHealth | Medicare|All Plans | $12.84 | ↓ -79% |
| BCBS-TX | Commercial|Ref Lab | $13.06 | ↓ -79% |
| SUPERIOR | Medicaid|CHIP | $16.44 | ↓ -73% |
| UNITED | Medicaid|STARKIDS | $16.77 | ↓ -73% |
| UNITED | Medicaid|All Other Plans | $16.77 | ↓ -73% |
| BCBS | Medicaid|STARKIDS | $17.26 | ↓ -72% |
| SUPERIOR | Medicaid|All Other Plans | $17.26 | ↓ -72% |
| Ambetter | Commercial|All Plans | $17.40 | ↓ -72% |
| Wellpoint | Commercial|Exchange | $18.00 | ↓ -71% |
| SUPERIOR | Medicaid|STAR | $20.71 | ↓ -66% |
| Bright Health | Commercial|All Plans | $21.36 | ↓ -65% |
| Entrust | Commercial|All Plans | $24.00 | ↓ -61% |
| Cigna | Commercial|Local Plus | $26.42 | ↓ -57% |
| Ellwood | Commercial|All Plans | $36.00 | ↓ -42% |
| SUPERIOR | Medicaid|STARPLUS | $38.31 | ↓ -38% |
| UNITED | Medicaid|STARPLUS | $39.13 | ↓ -37% |
| BCBS-TX | Commercial|Blue Advantage HMO | $42.12 | ↓ -32% |
| BCBS-TX | Commercial|Blue Premier | $42.12 | ↓ -32% |
| BCBS-TX | Commercial|HMO | $42.96 | ↓ -30% |
| BCBS-TX | Commercial|PPO | $49.56 | ↓ -20% |
| Wellpoint | Medicaid|All Other Plans | $103.79 | ↑ +68% |
| Wellpoint | Medicaid|STAR | $124.54 | ↑ +102% |
| Health Smart | Commercial|All Plans | $194.15 | ↑ +214% |
| First Health | Commercial|All Plans | $211.80 | ↑ +243% |
| Humana | Commercial|All Plans | $215.33 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $225.92 | ↑ +266% |
| Aetna | Commercial|All Plans | $225.92 | ↑ +266% |
| United | Commercial|All Other Plans | $275.34 | ↑ +346% |
| PHCS | Commercial|All Plans | $300.05 | ↑ +386% |
| Multiplan | Commercial|All Plans | $317.70 | ↑ +414% |
Visitor-reported prices
Comments
C1 esterase inhibitor func - sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $658.50 | $10.00 – $118.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $658.50 | $12.00 – $141.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $658.50 | $10.08 – $118.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $658.50 | $10.00 – $118.05 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $658.50 | $10.79 – $141.66 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $658.50 | $8.00 – $141.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $658.50 | $10.08 – $141.66 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $658.50 | $10.00 – $118.05 |