Dch validity tests at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$9.98
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.
$57.00
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.
$3.13 with United vs $16.20 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 | $3.13 | ↓ -69% |
| BCBS-TX | Commercial|Ref Lab | $3.41 | ↓ -66% |
| BCBS | Medicare|All Plans | $3.48 | ↓ -65% |
| AETNA | Medicare|All Plans | $3.48 | ↓ -65% |
| UNITED | Medicare|All Plans | $3.55 | ↓ -64% |
| AMERIVANTAGE | Medicare|All Plans | $3.58 | ↓ -64% |
| SCANHealth | Medicare|All Plans | $3.72 | ↓ -63% |
| SUPERIOR | Medicaid|CHIP | $4.77 | ↓ -52% |
| UNITED | Medicaid|All Other Plans | $4.87 | ↓ -51% |
| UNITED | Medicaid|STARKIDS | $4.87 | ↓ -51% |
| BCBS | Medicaid|STARKIDS | $5.01 | ↓ -50% |
| SUPERIOR | Medicaid|All Other Plans | $5.01 | ↓ -50% |
| Ambetter | Commercial|All Plans | $5.05 | ↓ -49% |
| Wellpoint | Commercial|Exchange | $5.22 | ↓ -48% |
| Wellpoint | Medicaid|All Other Plans | $5.30 | ↓ -47% |
| SUPERIOR | Medicaid|STAR | $6.01 | ↓ -40% |
| Bright Health | Commercial|All Plans | $6.19 | ↓ -38% |
| Wellpoint | Medicaid|STAR | $6.36 | ↓ -36% |
| Entrust | Commercial|All Plans | $6.96 | ↓ -30% |
| Cigna | Commercial|Local Plus | $7.55 | ↓ -24% |
| Health Smart | Commercial|All Plans | $9.90 | ↓ -1% |
| Ellwood | Commercial|All Plans | $10.44 | ↑ +5% |
| First Health | Commercial|All Plans | $10.80 | ↑ +8% |
| Humana | Commercial|All Plans | $10.98 | ↑ +10% |
| SUPERIOR | Medicaid|STARPLUS | $11.11 | ↑ +11% |
| UNITED | Medicaid|STARPLUS | $11.35 | ↑ +14% |
| Cigna | Commercial|All Other Plans | $11.52 | ↑ +15% |
| Aetna | Commercial|All Plans | $11.52 | ↑ +15% |
| BCBS-TX | Commercial|Blue Premier | $12.21 | ↑ +22% |
| BCBS-TX | Commercial|Blue Advantage HMO | $12.21 | ↑ +22% |
| BCBS-TX | Commercial|HMO | $12.46 | ↑ +25% |
| United | Commercial|All Other Plans | $14.04 | ↑ +41% |
| BCBS-TX | Commercial|PPO | $14.37 | ↑ +44% |
| PHCS | Commercial|All Plans | $15.30 | ↑ +53% |
| Multiplan | Commercial|All Plans | $16.20 | ↑ +62% |
Visitor-reported prices
Comments
Dch validity tests at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $35.80 | $2.92 – $44.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $19.38 | $3.99 – $29.07 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $24.61 | $2.92 – $30.76 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $35.80 | $2.92 – $44.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $19.38 | $3.12 – $29.07 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $19.38 | $2.92 – $29.07 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $24.61 | $2.92 – $36.91 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $35.80 | $2.92 – $44.75 |