CT Scan of Abdomen and Pelvis (without contrast) at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$1,400.70
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.
$8,004.00
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.
$294.17 with SUPERIOR vs $8,004.00 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $294.17 | ↓ -79% |
| UNITED | Medicaid|All Other Plans | $300.05 | ↓ -79% |
| UNITED | Medicaid|STARKIDS | $300.05 | ↓ -79% |
| SUPERIOR | Medicaid|All Other Plans | $308.88 | ↓ -78% |
| BCBS | Medicaid|STARKIDS | $308.88 | ↓ -78% |
| SUPERIOR | Medicaid|STAR | $370.65 | ↓ -74% |
| BCBS-TX | Commercial|Blue Advantage HMO | $657.17 | ↓ -53% |
| SUPERIOR | Medicaid|STARPLUS | $685.42 | ↓ -51% |
| UNITED | Medicaid|STARPLUS | $700.12 | ↓ -50% |
| Cigna | Commercial|Local Plus | $731.00 | ↓ -48% |
| BCBS-TX | Commercial|Blue Premier | $759.71 | ↓ -46% |
| BCBS-TX | Commercial|HMO | $762.04 | ↓ -46% |
| Humana | Commercial|All Plans | $850.00 | ↓ -39% |
| BCBS-TX | Commercial|PPO | $894.87 | ↓ -36% |
| United | Commercial|Exchange | $1,676.00 | ↑ +20% |
| BCBS | Medicare|All Plans | $1,760.88 | ↑ +26% |
| UNITED | Medicare|All Plans | $1,796.10 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $1,813.71 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $1,884.15 | ↑ +35% |
| AETNA | Medicare|All Plans | $2,001.00 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $2,353.18 | ↑ +68% |
| Ambetter | Commercial|All Plans | $2,553.28 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $2,641.32 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $2,823.82 | ↑ +102% |
| Bright Health | Commercial|All Plans | $3,134.37 | ↑ +124% |
| Entrust | Commercial|All Plans | $3,841.92 | ↑ +174% |
| Health Smart | Commercial|All Plans | $4,402.20 | ↑ +214% |
| First Health | Commercial|All Plans | $4,802.40 | ↑ +243% |
| Aetna | Commercial|All Plans | $5,122.56 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $5,122.56 | ↑ +266% |
| Ellwood | Commercial|All Plans | $5,282.64 | ↑ +277% |
| United | Commercial|All Other Plans | $6,243.12 | ↑ +346% |
| PHCS | Commercial|All Plans | $6,803.40 | ↑ +386% |
| Multiplan | Commercial|All Plans | $7,203.60 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $8,004.00 | ↑ +471% |
Visitor-reported prices
Comments
CT Scan of Abdomen and Pelvis (without contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $6,422.46 | $1,085.97 – $1,085.97 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,538.08 | $188.11 – $4,422.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,837.26 | $314.76 – $4,255.88 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,629.39 | $188.11 – $4,536.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,538.08 | $188.11 – $4,422.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,837.26 | $201.28 – $4,255.88 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,837.26 | $188.11 – $4,255.88 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,629.39 | $188.11 – $5,444.08 |