Clsd tx/nasal bone fx/stabilize 21320 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$110.95
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.
$634.00
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.
$71.28 with BCBS vs $4,321.83 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 |
|---|---|---|---|
| BCBS | Medicare|All Plans | $71.28 | ↓ -36% |
| UNITED | Medicare|All Plans | $72.71 | ↓ -34% |
| AMERIVANTAGE | Medicare|All Plans | $73.42 | ↓ -34% |
| SCANHealth | Medicare|All Plans | $76.27 | ↓ -31% |
| AETNA | Medicare|All Plans | $81.00 | ↓ -27% |
| Wellpoint | Medicaid|All Other Plans | $95.26 | ↓ -14% |
| Ambetter | Commercial|All Plans | $103.36 | ↓ -7% |
| Wellpoint | Commercial|Exchange | $106.92 | ↓ -4% |
| Wellpoint | Medicaid|STAR | $114.31 | ↑ +3% |
| Bright Health | Commercial|All Plans | $126.88 | ↑ +14% |
| Entrust | Commercial|All Plans | $155.52 | ↑ +40% |
| Health Smart | Commercial|All Plans | $178.20 | ↑ +61% |
| United | Commercial|All Other Plans | $188.00 | ↑ +69% |
| First Health | Commercial|All Plans | $194.40 | ↑ +75% |
| Humana | Commercial|All Plans | $197.64 | ↑ +78% |
| Cigna | Commercial|All Other Plans | $207.36 | ↑ +87% |
| Aetna | Commercial|All Plans | $207.36 | ↑ +87% |
| Ellwood | Commercial|All Plans | $213.84 | ↑ +93% |
| PHCS | Commercial|All Plans | $275.40 | ↑ +148% |
| Multiplan | Commercial|All Plans | $291.60 | ↑ +163% |
| BCBS-TX | Commercial|Ref Lab | $324.00 | ↑ +192% |
| SUPERIOR | Medicaid|CHIP | $932.72 | ↑ +741% |
| UNITED | Medicaid|STARKIDS | $951.37 | ↑ +757% |
| UNITED | Medicaid|All Other Plans | $951.37 | ↑ +757% |
| BCBS | Medicaid|STARKIDS | $979.36 | ↑ +783% |
| SUPERIOR | Medicaid|All Other Plans | $979.36 | ↑ +783% |
| SUPERIOR | Medicaid|STAR | $1,175.23 | ↑ +959% |
| United | Commercial|Exchange | $2,124.00 | ↑ +1814% |
| SUPERIOR | Medicaid|STARPLUS | $2,173.24 | ↑ +1859% |
| UNITED | Medicaid|STARPLUS | $2,219.87 | ↑ +1901% |
| Cigna | Commercial|Local Plus | $3,346.00 | ↑ +2916% |
| BCBS-TX | Commercial|Blue Premier | $3,667.01 | ↑ +3205% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,693.20 | ↑ +3229% |
| BCBS-TX | Commercial|HMO | $3,928.94 | ↑ +3441% |
| BCBS-TX | Commercial|PPO | $4,321.83 | ↑ +3795% |
Visitor-reported prices
Comments
Clsd tx/nasal bone fx/stabilize 21320 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,678.17 | $886.62 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,474.95 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,808.01 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,678.17 | $886.62 – $7,975.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,474.95 | $85.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,474.95 | $886.62 – $7,975.81 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,808.01 | $71.00 – $7,975.81 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,678.17 | $886.62 – $7,975.81 |