Cdna analysis for variants at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$140.18
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.
$801.00
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.
$166.68 with United vs $764.88 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|Exchange | $166.68 | ↑ +19% |
| BCBS-TX | Commercial|Ref Lab | $181.50 | ↑ +29% |
| BCBS | Medicare|All Plans | $185.20 | ↑ +32% |
| AETNA | Medicare|All Plans | $185.20 | ↑ +32% |
| UNITED | Medicare|All Plans | $188.90 | ↑ +35% |
| AMERIVANTAGE | Medicare|All Plans | $190.76 | ↑ +36% |
| SCANHealth | Medicare|All Plans | $198.16 | ↑ +41% |
| Wellpoint | Medicaid|All Other Plans | $235.50 | ↑ +68% |
| SUPERIOR | Medicaid|CHIP | $253.72 | ↑ +81% |
| UNITED | Medicaid|STARKIDS | $258.79 | ↑ +85% |
| UNITED | Medicaid|All Other Plans | $258.79 | ↑ +85% |
| BCBS | Medicaid|STARKIDS | $266.41 | ↑ +90% |
| SUPERIOR | Medicaid|All Other Plans | $266.41 | ↑ +90% |
| Ambetter | Commercial|All Plans | $268.54 | ↑ +92% |
| Wellpoint | Commercial|Exchange | $277.80 | ↑ +98% |
| Wellpoint | Medicaid|STAR | $282.60 | ↑ +102% |
| SUPERIOR | Medicaid|STAR | $319.69 | ↑ +128% |
| Bright Health | Commercial|All Plans | $329.66 | ↑ +135% |
| Entrust | Commercial|All Plans | $370.40 | ↑ +164% |
| Cigna | Commercial|Local Plus | $403.88 | ↑ +188% |
| Health Smart | Commercial|All Plans | $440.55 | ↑ +214% |
| First Health | Commercial|All Plans | $480.60 | ↑ +243% |
| Humana | Commercial|All Plans | $488.61 | ↑ +249% |
| Aetna | Commercial|All Plans | $512.64 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $512.64 | ↑ +266% |
| Ellwood | Commercial|All Plans | $555.60 | ↑ +296% |
| SUPERIOR | Medicaid|STARPLUS | $591.17 | ↑ +322% |
| UNITED | Medicaid|STARPLUS | $603.85 | ↑ +331% |
| United | Commercial|All Other Plans | $624.78 | ↑ +346% |
| BCBS-TX | Commercial|Blue Premier | $650.05 | ↑ +364% |
| BCBS-TX | Commercial|Blue Advantage HMO | $650.05 | ↑ +364% |
| BCBS-TX | Commercial|HMO | $663.02 | ↑ +373% |
| PHCS | Commercial|All Plans | $680.85 | ↑ +386% |
| Multiplan | Commercial|All Plans | $720.90 | ↑ +414% |
| BCBS-TX | Commercial|PPO | $764.88 | ↑ +446% |
Visitor-reported prices
Comments
Cdna analysis for variants at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $750.00 | $10.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $750.00 | $10.00 – $444.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $750.00 | $8.00 – $444.48 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $750.00 | $12.00 – $444.48 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $750.00 | $10.00 – $444.48 |