Destroy vulva lesion simple 56501 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$906.85
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.
$5,182.00
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.
$39.60 with BCBS vs $2,539.18 with Cigna — 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 | $39.60 | ↓ -96% |
| UNITED | Medicare|All Plans | $40.40 | ↓ -96% |
| AMERIVANTAGE | Medicare|All Plans | $40.79 | ↓ -96% |
| SCANHealth | Medicare|All Plans | $42.38 | ↓ -95% |
| AETNA | Medicare|All Plans | $45.00 | ↓ -95% |
| Wellpoint | Medicaid|All Other Plans | $52.92 | ↓ -94% |
| Ambetter | Commercial|All Plans | $57.42 | ↓ -94% |
| Wellpoint | Commercial|Exchange | $59.40 | ↓ -93% |
| Wellpoint | Medicaid|STAR | $63.51 | ↓ -93% |
| Bright Health | Commercial|All Plans | $70.49 | ↓ -92% |
| Entrust | Commercial|All Plans | $86.40 | ↓ -90% |
| Health Smart | Commercial|All Plans | $99.00 | ↓ -89% |
| First Health | Commercial|All Plans | $108.00 | ↓ -88% |
| Humana | Commercial|All Plans | $109.80 | ↓ -88% |
| Cigna | Commercial|All Other Plans | $115.20 | ↓ -87% |
| Aetna | Commercial|All Plans | $115.20 | ↓ -87% |
| SUPERIOR | Medicaid|CHIP | $116.79 | ↓ -87% |
| Ellwood | Commercial|All Plans | $118.80 | ↓ -87% |
| UNITED | Medicaid|STARKIDS | $119.13 | ↓ -87% |
| UNITED | Medicaid|All Other Plans | $119.13 | ↓ -87% |
| SUPERIOR | Medicaid|All Other Plans | $122.63 | ↓ -86% |
| BCBS | Medicaid|STARKIDS | $122.63 | ↓ -86% |
| United | Commercial|All Other Plans | $140.40 | ↓ -85% |
| BCBS-TX | Commercial|Blue Premier | $145.01 | ↓ -84% |
| BCBS-TX | Commercial|Blue Advantage HMO | $146.05 | ↓ -84% |
| SUPERIOR | Medicaid|STAR | $147.16 | ↓ -84% |
| PHCS | Commercial|All Plans | $153.00 | ↓ -83% |
| BCBS-TX | Commercial|HMO | $155.37 | ↓ -83% |
| Multiplan | Commercial|All Plans | $162.00 | ↓ -82% |
| BCBS-TX | Commercial|PPO | $170.91 | ↓ -81% |
| BCBS-TX | Commercial|Ref Lab | $180.00 | ↓ -80% |
| SUPERIOR | Medicaid|STARPLUS | $272.12 | ↓ -70% |
| UNITED | Medicaid|STARPLUS | $277.96 | ↓ -69% |
| United | Commercial|Exchange | $2,124.00 | ↑ +134% |
| Cigna | Commercial|Local Plus | $2,539.18 | ↑ +180% |
Visitor-reported prices
Comments
Destroy vulva lesion simple 56501 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,887.49 | $71.00 – $5,831.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,785.00 | $71.00 – $5,388.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,887.49 | $85.00 – $5,831.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,887.49 | $111.02 – $5,831.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,785.00 | $71.00 – $5,677.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $3,887.49 | $71.00 – $5,388.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $3,887.49 | $71.00 – $5,831.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $3,785.00 | $71.00 – $5,677.51 |