Dlyd plmt xtn prosth ea addl at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$118.65
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.
$678.00
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.
$149.16 with BCBS vs $9,871.00 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 | $149.16 | ↑ +26% |
| UNITED | Medicare|All Plans | $152.15 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $153.64 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $159.61 | ↑ +35% |
| AETNA | Medicare|All Plans | $169.50 | ↑ +43% |
| UNITED | Medicaid|All Other Plans | $193.64 | ↑ +63% |
| Wellpoint | Medicaid|All Other Plans | $199.34 | ↑ +68% |
| Ambetter | Commercial|All Plans | $216.29 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $223.74 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $239.20 | ↑ +102% |
| Bright Health | Commercial|All Plans | $265.51 | ↑ +124% |
| Entrust | Commercial|All Plans | $325.44 | ↑ +174% |
| Health Smart | Commercial|All Plans | $372.90 | ↑ +214% |
| First Health | Commercial|All Plans | $406.80 | ↑ +243% |
| Humana | Commercial|All Plans | $413.58 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $433.92 | ↑ +266% |
| Aetna | Commercial|All Plans | $433.92 | ↑ +266% |
| BCBS-TX | Commercial|Blue Premier | $436.94 | ↑ +268% |
| BCBS-TX | Commercial|Blue Advantage HMO | $440.06 | ↑ +271% |
| Ellwood | Commercial|All Plans | $447.48 | ↑ +277% |
| UNITED | Medicaid|STARPLUS | $451.82 | ↑ +281% |
| BCBS-TX | Commercial|HMO | $468.15 | ↑ +295% |
| BCBS-TX | Commercial|PPO | $514.97 | ↑ +334% |
| PHCS | Commercial|All Plans | $576.30 | ↑ +386% |
| Multiplan | Commercial|All Plans | $610.20 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $678.00 | ↑ +471% |
| United | Commercial|All Other Plans | $875.00 | ↑ +637% |
| United | Commercial|Exchange | $2,476.00 | ↑ +1987% |
| Cigna | Commercial|Local Plus | $9,871.00 | ↑ +8219% |
Visitor-reported prices
Comments
Dlyd plmt xtn prosth ea addl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,380.35 | $391.10 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,380.35 | $368.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,380.35 | $368.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $1,380.35 | $345.09 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $1,380.35 | $253.06 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $1,380.35 | $253.06 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $1,380.35 | $391.10 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $1,380.35 | $527.45 – $7,038.00 |