Cystatin c at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$26.08
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.
?
What you pay up front if you don't use insurance.
$149.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$16.67 with United vs $134.10 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $16.67 | ↓ -36% |
| BCBS-TX | Commercial|Ref Lab | $18.15 | ↓ -30% |
| BCBS | Medicare|All Plans | $18.52 | ↓ -29% |
| AETNA | Medicare|All Plans | $18.52 | ↓ -29% |
| UNITED | Medicare|All Plans | $18.89 | ↓ -28% |
| AMERIVANTAGE | Medicare|All Plans | $19.08 | ↓ -27% |
| SCANHealth | Medicare|All Plans | $19.82 | ↓ -24% |
| SUPERIOR | Medicaid|CHIP | $25.38 | ↓ -3% |
| UNITED | Medicaid|All Other Plans | $25.89 | ↓ -1% |
| UNITED | Medicaid|STARKIDS | $25.89 | ↓ -1% |
| BCBS | Medicaid|STARKIDS | $26.65 | ↑ +2% |
| SUPERIOR | Medicaid|All Other Plans | $26.65 | ↑ +2% |
| Ambetter | Commercial|All Plans | $26.85 | ↑ +3% |
| Wellpoint | Commercial|Exchange | $27.78 | ↑ +7% |
| SUPERIOR | Medicaid|STAR | $31.98 | ↑ +23% |
| Bright Health | Commercial|All Plans | $32.97 | ↑ +26% |
| Entrust | Commercial|All Plans | $37.04 | ↑ +42% |
| Cigna | Commercial|Local Plus | $40.77 | ↑ +56% |
| Wellpoint | Medicaid|All Other Plans | $43.81 | ↑ +68% |
| Wellpoint | Medicaid|STAR | $52.57 | ↑ +102% |
| Ellwood | Commercial|All Plans | $55.56 | ↑ +113% |
| SUPERIOR | Medicaid|STARPLUS | $59.14 | ↑ +127% |
| UNITED | Medicaid|STARPLUS | $60.40 | ↑ +132% |
| BCBS-TX | Commercial|Blue Advantage HMO | $65.01 | ↑ +149% |
| BCBS-TX | Commercial|Blue Premier | $65.01 | ↑ +149% |
| BCBS-TX | Commercial|HMO | $66.30 | ↑ +154% |
| BCBS-TX | Commercial|PPO | $76.49 | ↑ +193% |
| Health Smart | Commercial|All Plans | $81.95 | ↑ +214% |
| First Health | Commercial|All Plans | $89.40 | ↑ +243% |
| Humana | Commercial|All Plans | $90.89 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $95.36 | ↑ +266% |
| Aetna | Commercial|All Plans | $95.36 | ↑ +266% |
| United | Commercial|All Other Plans | $116.22 | ↑ +346% |
| PHCS | Commercial|All Plans | $126.65 | ↑ +386% |
| Multiplan | Commercial|All Plans | $134.10 | ↑ +414% |
Visitor-reported prices
Comments
Cystatin c at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $116.33 | $16.67 – $71.30 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $93.16 | $10.00 – $44.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $116.88 | $6.72 – $48.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $113.48 | $12.00 – $44.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $93.16 | $10.00 – $44.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $116.88 | $12.00 – $48.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $116.88 | $8.00 – $48.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $113.48 | $12.00 – $48.94 |