Counseling visit to discuss need for ldct g0296 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$6.48
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.
$37.00
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.
$8.14 with BCBS vs $77.00 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 |
|---|---|---|---|
| BCBS | Medicare|All Plans | $8.14 | ↑ +26% |
| UNITED | Medicare|All Plans | $8.31 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $8.39 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $8.71 | ↑ +34% |
| AETNA | Medicare|All Plans | $9.25 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $10.88 | ↑ +68% |
| Ambetter | Commercial|All Plans | $11.81 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $12.21 | ↑ +88% |
| Wellpoint | Medicaid|STAR | $13.06 | ↑ +102% |
| Bright Health | Commercial|All Plans | $14.49 | ↑ +124% |
| Entrust | Commercial|All Plans | $17.76 | ↑ +174% |
| Health Smart | Commercial|All Plans | $20.35 | ↑ +214% |
| First Health | Commercial|All Plans | $22.20 | ↑ +243% |
| Humana | Commercial|All Plans | $22.57 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $23.68 | ↑ +265% |
| Aetna | Commercial|All Plans | $23.68 | ↑ +265% |
| Ellwood | Commercial|All Plans | $24.42 | ↑ +277% |
| United | Commercial|All Other Plans | $28.86 | ↑ +345% |
| PHCS | Commercial|All Plans | $31.45 | ↑ +385% |
| Multiplan | Commercial|All Plans | $33.30 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $37.00 | ↑ +471% |
| BCBS-TX | Commercial|Blue Premier | $37.00 | ↑ +471% |
| BCBS-TX | Commercial|HMO | $37.00 | ↑ +471% |
| BCBS-TX | Commercial|PPO | $37.00 | ↑ +471% |
| BCBS-TX | Commercial|Blue Advantage HMO | $37.00 | ↑ +471% |
| United | Commercial|Exchange | $77.00 | ↑ +1088% |
Visitor-reported prices
Comments
Counseling visit to discuss need for ldct g0296 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $6.48 | $4.72 – $77.00 |
| St. Joseph Health College Station Hospital | College Station | $6.48 | $20.35 – $77.00 |
| St. Joseph Health Grimes Hospital | Navasota | $6.48 | $13.42 – $77.00 |
| HCA HOUSTON WEST | HOUSTON | $333.00 | $19.77 – $63.25 |
| Adventhealth Rollins Brook | Lampasas | not published | $104.07 – $104.07 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $19.77 – $63.25 |
| Covenant Children's Hospital | Lubbock | not published | $92.17 – $92.17 |
| HCA HOUSTON CONROE | CONROE | not published | $19.77 – $63.25 |