Diabetes (HbA1c) Test at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$30.45
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.
$174.00
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.
$8.74 with United vs $144.00 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 | $8.74 | ↓ -71% |
| BCBS | Medicare|All Plans | $9.71 | ↓ -68% |
| AETNA | Medicare|All Plans | $9.71 | ↓ -68% |
| UNITED | Medicare|All Plans | $9.90 | ↓ -67% |
| AMERIVANTAGE | Medicare|All Plans | $10.00 | ↓ -67% |
| SCANHealth | Medicare|All Plans | $10.39 | ↓ -66% |
| BCBS-TX | Commercial|Ref Lab | $10.57 | ↓ -65% |
| SUPERIOR | Medicaid|CHIP | $13.31 | ↓ -56% |
| UNITED | Medicaid|STARKIDS | $13.58 | ↓ -55% |
| UNITED | Medicaid|All Other Plans | $13.58 | ↓ -55% |
| BCBS | Medicaid|STARKIDS | $13.98 | ↓ -54% |
| SUPERIOR | Medicaid|All Other Plans | $13.98 | ↓ -54% |
| Ambetter | Commercial|All Plans | $14.08 | ↓ -54% |
| Wellpoint | Commercial|Exchange | $14.57 | ↓ -52% |
| SUPERIOR | Medicaid|STAR | $16.77 | ↓ -45% |
| Bright Health | Commercial|All Plans | $17.28 | ↓ -43% |
| Entrust | Commercial|All Plans | $19.42 | ↓ -36% |
| Cigna | Commercial|Local Plus | $21.14 | ↓ -31% |
| Ellwood | Commercial|All Plans | $29.13 | ↓ -4% |
| SUPERIOR | Medicaid|STARPLUS | $31.01 | ↑ +2% |
| UNITED | Medicaid|STARPLUS | $31.68 | ↑ +4% |
| BCBS-TX | Commercial|Blue Advantage HMO | $34.08 | ↑ +12% |
| BCBS-TX | Commercial|Blue Premier | $34.08 | ↑ +12% |
| BCBS-TX | Commercial|HMO | $34.76 | ↑ +14% |
| BCBS-TX | Commercial|PPO | $40.10 | ↑ +32% |
| Wellpoint | Medicaid|All Other Plans | $47.04 | ↑ +54% |
| Wellpoint | Medicaid|STAR | $56.45 | ↑ +85% |
| Health Smart | Commercial|All Plans | $88.00 | ↑ +189% |
| First Health | Commercial|All Plans | $96.00 | ↑ +215% |
| Humana | Commercial|All Plans | $97.60 | ↑ +221% |
| Cigna | Commercial|All Other Plans | $102.40 | ↑ +236% |
| Aetna | Commercial|All Plans | $102.40 | ↑ +236% |
| United | Commercial|All Other Plans | $124.80 | ↑ +310% |
| PHCS | Commercial|All Plans | $136.00 | ↑ +347% |
| Multiplan | Commercial|All Plans | $144.00 | ↑ +373% |
Visitor-reported prices
Comments
Diabetes (HbA1c) Test at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $193.18 | $8.74 – $37.38 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $111.51 | $8.16 – $115.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $92.09 | $12.00 – $129.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $123.97 | $8.16 – $115.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $111.51 | $8.16 – $115.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $92.09 | $8.73 – $129.45 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $92.09 | $8.00 – $129.45 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $123.97 | $8.16 – $138.13 |