Carcinoembryonic ag (cea) at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$75.78
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.
$433.00
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.
$17.06 with United vs $389.70 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 | $17.06 | ↓ -77% |
| BCBS | Medicare|All Plans | $18.96 | ↓ -75% |
| AETNA | Medicare|All Plans | $18.96 | ↓ -75% |
| UNITED | Medicare|All Plans | $19.34 | ↓ -74% |
| AMERIVANTAGE | Medicare|All Plans | $19.53 | ↓ -74% |
| SCANHealth | Medicare|All Plans | $20.29 | ↓ -73% |
| BCBS-TX | Commercial|Ref Lab | $20.65 | ↓ -73% |
| SUPERIOR | Medicaid|CHIP | $25.97 | ↓ -66% |
| UNITED | Medicaid|STARKIDS | $26.49 | ↓ -65% |
| UNITED | Medicaid|All Other Plans | $26.49 | ↓ -65% |
| BCBS | Medicaid|STARKIDS | $27.27 | ↓ -64% |
| SUPERIOR | Medicaid|All Other Plans | $27.27 | ↓ -64% |
| Ambetter | Commercial|All Plans | $27.49 | ↓ -64% |
| Wellpoint | Commercial|Exchange | $28.44 | ↓ -62% |
| SUPERIOR | Medicaid|STAR | $32.72 | ↓ -57% |
| Bright Health | Commercial|All Plans | $33.75 | ↓ -55% |
| Entrust | Commercial|All Plans | $37.92 | ↓ -50% |
| Cigna | Commercial|Local Plus | $41.53 | ↓ -45% |
| Ellwood | Commercial|All Plans | $56.88 | ↓ -25% |
| SUPERIOR | Medicaid|STARPLUS | $60.51 | ↓ -20% |
| UNITED | Medicaid|STARPLUS | $61.81 | ↓ -18% |
| BCBS-TX | Commercial|Blue Advantage HMO | $66.55 | ↓ -12% |
| BCBS-TX | Commercial|Blue Premier | $66.55 | ↓ -12% |
| BCBS-TX | Commercial|HMO | $67.88 | ↓ -10% |
| BCBS-TX | Commercial|PPO | $78.30 | ↑ +3% |
| Wellpoint | Medicaid|All Other Plans | $127.31 | ↑ +68% |
| Wellpoint | Medicaid|STAR | $152.77 | ↑ +102% |
| Health Smart | Commercial|All Plans | $238.15 | ↑ +214% |
| First Health | Commercial|All Plans | $259.80 | ↑ +243% |
| Humana | Commercial|All Plans | $264.13 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $277.12 | ↑ +266% |
| Aetna | Commercial|All Plans | $277.12 | ↑ +266% |
| United | Commercial|All Other Plans | $337.74 | ↑ +346% |
| PHCS | Commercial|All Plans | $368.05 | ↑ +386% |
| Multiplan | Commercial|All Plans | $389.70 | ↑ +414% |
Visitor-reported prices
Comments
Carcinoembryonic ag (cea) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $326.49 | $17.06 – $73.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $340.80 | $10.00 – $200.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $340.80 | $12.00 – $201.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $340.80 | $12.00 – $217.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $340.80 | $10.00 – $200.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $340.80 | $12.00 – $201.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $340.80 | $8.00 – $201.83 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $340.80 | $12.00 – $260.87 |