Destruction anal lesion(s) smpl chem 46900 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$150.85
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.
$862.00
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.
$80.30 with BCBS vs $2,888.00 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 | $80.30 | ↓ -47% |
| UNITED | Medicare|All Plans | $81.91 | ↓ -46% |
| AMERIVANTAGE | Medicare|All Plans | $82.71 | ↓ -45% |
| SCANHealth | Medicare|All Plans | $85.93 | ↓ -43% |
| AETNA | Medicare|All Plans | $91.25 | ↓ -40% |
| Wellpoint | Medicaid|All Other Plans | $107.31 | ↓ -29% |
| Ambetter | Commercial|All Plans | $116.44 | ↓ -23% |
| Wellpoint | Commercial|Exchange | $120.45 | ↓ -20% |
| Wellpoint | Medicaid|STAR | $128.78 | ↓ -15% |
| Bright Health | Commercial|All Plans | $142.94 | ↓ -5% |
| SUPERIOR | Medicaid|CHIP | $145.04 | ↓ -4% |
| UNITED | Medicaid|All Other Plans | $147.94 | ↓ -2% |
| UNITED | Medicaid|STARKIDS | $147.94 | ↓ -2% |
| BCBS | Medicaid|STARKIDS | $152.29 | ↑ +1% |
| SUPERIOR | Medicaid|All Other Plans | $152.29 | ↑ +1% |
| Entrust | Commercial|All Plans | $175.20 | ↑ +16% |
| SUPERIOR | Medicaid|STAR | $182.75 | ↑ +21% |
| United | Commercial|All Other Plans | $188.00 | ↑ +25% |
| Health Smart | Commercial|All Plans | $200.75 | ↑ +33% |
| First Health | Commercial|All Plans | $219.00 | ↑ +45% |
| Humana | Commercial|All Plans | $222.65 | ↑ +48% |
| BCBS-TX | Commercial|Blue Premier | $226.03 | ↑ +50% |
| BCBS-TX | Commercial|Blue Advantage HMO | $227.64 | ↑ +51% |
| Cigna | Commercial|All Other Plans | $233.60 | ↑ +55% |
| Aetna | Commercial|All Plans | $233.60 | ↑ +55% |
| Ellwood | Commercial|All Plans | $240.90 | ↑ +60% |
| BCBS-TX | Commercial|HMO | $242.18 | ↑ +61% |
| BCBS-TX | Commercial|PPO | $266.39 | ↑ +77% |
| PHCS | Commercial|All Plans | $310.25 | ↑ +106% |
| Multiplan | Commercial|All Plans | $328.50 | ↑ +118% |
| SUPERIOR | Medicaid|STARPLUS | $337.94 | ↑ +124% |
| UNITED | Medicaid|STARPLUS | $345.20 | ↑ +129% |
| BCBS-TX | Commercial|Ref Lab | $365.00 | ↑ +142% |
| United | Commercial|Exchange | $1,508.00 | ↑ +900% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +1814% |
Visitor-reported prices
Comments
Destruction anal lesion(s) smpl chem 46900 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $535.46 | $110.22 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $535.46 | $137.87 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $535.46 | $147.52 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $535.46 | $137.87 – $1,667.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $535.46 | $137.87 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $535.46 | $137.87 – $2,975.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $535.46 | $137.87 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $535.46 | $137.87 – $2,975.00 |