Cryptococcus abs qn - sendout at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$49.70
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.
$284.00
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.
$12.97 with United vs $255.60 with Multiplan — 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 | $12.97 | ↓ -74% |
| BCBS | Medicare|All Plans | $14.41 | ↓ -71% |
| AETNA | Medicare|All Plans | $14.41 | ↓ -71% |
| UNITED | Medicare|All Plans | $14.70 | ↓ -70% |
| AMERIVANTAGE | Medicare|All Plans | $14.84 | ↓ -70% |
| SCANHealth | Medicare|All Plans | $15.42 | ↓ -69% |
| BCBS-TX | Commercial|Ref Lab | $15.69 | ↓ -68% |
| SUPERIOR | Medicaid|CHIP | $19.74 | ↓ -60% |
| UNITED | Medicaid|STARKIDS | $20.13 | ↓ -59% |
| UNITED | Medicaid|All Other Plans | $20.13 | ↓ -59% |
| BCBS | Medicaid|STARKIDS | $20.73 | ↓ -58% |
| SUPERIOR | Medicaid|All Other Plans | $20.73 | ↓ -58% |
| Ambetter | Commercial|All Plans | $20.89 | ↓ -58% |
| Wellpoint | Commercial|Exchange | $21.62 | ↓ -56% |
| SUPERIOR | Medicaid|STAR | $24.87 | ↓ -50% |
| Bright Health | Commercial|All Plans | $25.65 | ↓ -48% |
| Entrust | Commercial|All Plans | $28.82 | ↓ -42% |
| Cigna | Commercial|Local Plus | $31.72 | ↓ -36% |
| Ellwood | Commercial|All Plans | $43.23 | ↓ -13% |
| SUPERIOR | Medicaid|STARPLUS | $45.99 | ↓ -7% |
| UNITED | Medicaid|STARPLUS | $46.98 | ↓ -5% |
| BCBS-TX | Commercial|Blue Advantage HMO | $50.58 | ↑ +2% |
| BCBS-TX | Commercial|Blue Premier | $50.58 | ↑ +2% |
| BCBS-TX | Commercial|HMO | $51.59 | ↑ +4% |
| BCBS-TX | Commercial|PPO | $59.51 | ↑ +20% |
| Wellpoint | Medicaid|All Other Plans | $83.50 | ↑ +68% |
| Wellpoint | Medicaid|STAR | $100.20 | ↑ +102% |
| Health Smart | Commercial|All Plans | $156.20 | ↑ +214% |
| First Health | Commercial|All Plans | $170.40 | ↑ +243% |
| Humana | Commercial|All Plans | $173.24 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $181.76 | ↑ +266% |
| Aetna | Commercial|All Plans | $181.76 | ↑ +266% |
| United | Commercial|All Other Plans | $221.52 | ↑ +346% |
| PHCS | Commercial|All Plans | $241.40 | ↑ +386% |
| Multiplan | Commercial|All Plans | $255.60 | ↑ +414% |
Visitor-reported prices
Comments
Cryptococcus abs qn - sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $120.20 | $10.00 – $150.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $110.08 | $12.00 – $165.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $98.95 | $12.00 – $123.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $120.20 | $10.00 – $150.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $110.08 | $12.00 – $165.11 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $110.08 | $8.00 – $165.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $98.95 | $12.00 – $148.43 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $120.20 | $10.00 – $150.25 |