Complx repair enel 1.1-2.5 cm 13151 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$148.05
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.
$846.00
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.
$117.92 with BCBS vs $3,711.00 with Cigna — 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 | $117.92 | ↓ -20% |
| UNITED | Medicare|All Plans | $120.28 | ↓ -19% |
| AMERIVANTAGE | Medicare|All Plans | $121.46 | ↓ -18% |
| SCANHealth | Medicare|All Plans | $126.18 | ↓ -15% |
| AETNA | Medicare|All Plans | $134.00 | ↓ -9% |
| Wellpoint | Medicaid|All Other Plans | $157.59 | ↑ +6% |
| Ambetter | Commercial|All Plans | $170.99 | ↑ +15% |
| Wellpoint | Commercial|Exchange | $176.88 | ↑ +19% |
| United | Commercial|All Other Plans | $188.00 | ↑ +27% |
| Wellpoint | Medicaid|STAR | $189.11 | ↑ +28% |
| Bright Health | Commercial|All Plans | $209.90 | ↑ +42% |
| SUPERIOR | Medicaid|CHIP | $228.07 | ↑ +54% |
| UNITED | Medicaid|All Other Plans | $232.63 | ↑ +57% |
| UNITED | Medicaid|STARKIDS | $232.63 | ↑ +57% |
| SUPERIOR | Medicaid|All Other Plans | $239.47 | ↑ +62% |
| BCBS | Medicaid|STARKIDS | $239.47 | ↑ +62% |
| Entrust | Commercial|All Plans | $257.28 | ↑ +74% |
| SUPERIOR | Medicaid|STAR | $287.37 | ↑ +94% |
| Health Smart | Commercial|All Plans | $294.80 | ↑ +99% |
| First Health | Commercial|All Plans | $321.60 | ↑ +117% |
| Humana | Commercial|All Plans | $326.96 | ↑ +121% |
| Cigna | Commercial|All Other Plans | $343.04 | ↑ +132% |
| Aetna | Commercial|All Plans | $343.04 | ↑ +132% |
| Ellwood | Commercial|All Plans | $353.76 | ↑ +139% |
| PHCS | Commercial|All Plans | $455.60 | ↑ +208% |
| Multiplan | Commercial|All Plans | $482.40 | ↑ +226% |
| SUPERIOR | Medicaid|STARPLUS | $531.40 | ↑ +259% |
| BCBS-TX | Commercial|Ref Lab | $536.00 | ↑ +262% |
| UNITED | Medicaid|STARPLUS | $542.81 | ↑ +267% |
| BCBS-TX | Commercial|Blue Premier | $695.83 | ↑ +370% |
| BCBS-TX | Commercial|Blue Advantage HMO | $700.80 | ↑ +373% |
| BCBS-TX | Commercial|HMO | $745.53 | ↑ +404% |
| BCBS-TX | Commercial|PPO | $820.08 | ↑ +454% |
| United | Commercial|Exchange | $1,508.00 | ↑ +919% |
| Cigna | Commercial|Local Plus | $3,711.00 | ↑ +2407% |
Visitor-reported prices
Comments
Complx repair enel 1.1-2.5 cm 13151 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,278.25 | $216.80 – $1,597.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,605.96 | $71.00 – $2,408.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,154.08 | $71.00 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,278.25 | $216.80 – $1,597.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,605.96 | $85.00 – $2,408.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,605.96 | $216.80 – $2,408.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,154.08 | $71.00 – $1,731.11 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,278.25 | $216.80 – $1,597.81 |