Close lac/mouth vest/2.5 cm or < 40830 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$117.25
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.
$670.00
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.
$92.13 with SUPERIOR 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $92.13 | ↓ -21% |
| UNITED | Medicaid|STARKIDS | $93.97 | ↓ -20% |
| UNITED | Medicaid|All Other Plans | $93.97 | ↓ -20% |
| BCBS | Medicaid|STARKIDS | $96.74 | ↓ -17% |
| SUPERIOR | Medicaid|All Other Plans | $96.74 | ↓ -17% |
| SUPERIOR | Medicaid|STAR | $116.08 | ↓ -1% |
| BCBS | Medicare|All Plans | $147.40 | ↑ +26% |
| UNITED | Medicare|All Plans | $150.35 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $151.83 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $157.72 | ↑ +35% |
| AETNA | Medicare|All Plans | $167.50 | ↑ +43% |
| United | Commercial|All Other Plans | $188.00 | ↑ +60% |
| Wellpoint | Medicaid|All Other Plans | $196.98 | ↑ +68% |
| Ambetter | Commercial|All Plans | $213.73 | ↑ +82% |
| SUPERIOR | Medicaid|STARPLUS | $214.66 | ↑ +83% |
| UNITED | Medicaid|STARPLUS | $219.27 | ↑ +87% |
| Wellpoint | Commercial|Exchange | $221.10 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $236.38 | ↑ +102% |
| Bright Health | Commercial|All Plans | $262.38 | ↑ +124% |
| BCBS-TX | Commercial|Blue Premier | $285.10 | ↑ +143% |
| BCBS-TX | Commercial|Blue Advantage HMO | $287.13 | ↑ +145% |
| BCBS-TX | Commercial|HMO | $305.46 | ↑ +161% |
| Entrust | Commercial|All Plans | $321.60 | ↑ +174% |
| Cigna | Commercial|Local Plus | $328.30 | ↑ +180% |
| BCBS-TX | Commercial|PPO | $336.01 | ↑ +187% |
| Health Smart | Commercial|All Plans | $368.50 | ↑ +214% |
| First Health | Commercial|All Plans | $402.00 | ↑ +243% |
| Humana | Commercial|All Plans | $408.70 | ↑ +249% |
| Aetna | Commercial|All Plans | $428.80 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $428.80 | ↑ +266% |
| Ellwood | Commercial|All Plans | $442.20 | ↑ +277% |
| PHCS | Commercial|All Plans | $569.50 | ↑ +386% |
| Multiplan | Commercial|All Plans | $603.00 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $670.00 | ↑ +471% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1186% |
Visitor-reported prices
Comments
Close lac/mouth vest/2.5 cm or < 40830 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,350.29 | $254.55 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $523.20 | $87.58 – $654.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $553.04 | $71.00 – $829.56 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $487.69 | $71.00 – $609.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $523.20 | $87.58 – $654.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $553.04 | $85.00 – $829.56 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $553.04 | $87.58 – $829.56 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $487.69 | $71.00 – $731.53 |