Cath ptca pcltxl agent 3x20mm at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$3,093.30
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.
$17,676.00
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.
$875.00 with United vs $17,676.00 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 | $875.00 | ↓ -72% |
| BCBS | Medicare|All Plans | $3,888.72 | ↑ +26% |
| UNITED | Medicare|All Plans | $3,966.50 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $4,005.39 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $4,160.94 | ↑ +35% |
| AETNA | Medicare|All Plans | $4,419.00 | ↑ +43% |
| UNITED | Medicaid|All Other Plans | $5,048.27 | ↑ +63% |
| Wellpoint | Medicaid|All Other Plans | $5,196.75 | ↑ +68% |
| Ambetter | Commercial|All Plans | $5,638.65 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $5,833.08 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $6,236.10 | ↑ +102% |
| Bright Health | Commercial|All Plans | $6,921.93 | ↑ +124% |
| Entrust | Commercial|All Plans | $8,484.48 | ↑ +174% |
| Health Smart | Commercial|All Plans | $9,721.80 | ↑ +214% |
| Cigna | Commercial|Local Plus | $9,871.00 | ↑ +219% |
| First Health | Commercial|All Plans | $10,605.60 | ↑ +243% |
| Humana | Commercial|All Plans | $10,782.36 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $11,312.64 | ↑ +266% |
| Aetna | Commercial|All Plans | $11,312.64 | ↑ +266% |
| Ellwood | Commercial|All Plans | $11,666.16 | ↑ +277% |
| UNITED | Medicaid|STARPLUS | $11,779.29 | ↑ +281% |
| PHCS | Commercial|All Plans | $15,024.60 | ↑ +386% |
| Multiplan | Commercial|All Plans | $15,908.40 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $17,676.00 | ↑ +471% |
Visitor-reported prices
Comments
Cath ptca pcltxl agent 3x20mm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $10,892.07 | not published |
| Baylor St Luke's Medical Center | Houston | $12,321.54 | $100.00 – $35,204.40 |
| St. Joseph Health Madison Hospital | Madisonville | $3,093.30 | $2,251.93 – $17,676.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $12,321.54 | $100.00 – $35,204.40 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $12,321.54 | $100.00 – $35,204.40 |
| St. Joseph Health College Station Hospital | College Station | $3,093.30 | $1,442.37 – $17,676.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $12,321.54 | $100.00 – $35,204.40 |
| St. Joseph Health Grimes Hospital | Navasota | $3,093.30 | $6,409.32 – $19,620.36 |