Drain finger abscess;simple 26010 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$129.15
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.
$738.00
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.
$78.21 with SUPERIOR vs $1,508.00 with United — 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $78.21 | ↓ -39% |
| UNITED | Medicaid|All Other Plans | $79.77 | ↓ -38% |
| UNITED | Medicaid|STARKIDS | $79.77 | ↓ -38% |
| BCBS | Medicare|All Plans | $81.18 | ↓ -37% |
| BCBS | Medicaid|STARKIDS | $82.12 | ↓ -36% |
| SUPERIOR | Medicaid|All Other Plans | $82.12 | ↓ -36% |
| UNITED | Medicare|All Plans | $82.81 | ↓ -36% |
| AMERIVANTAGE | Medicare|All Plans | $83.62 | ↓ -35% |
| SCANHealth | Medicare|All Plans | $86.87 | ↓ -33% |
| AETNA | Medicare|All Plans | $92.25 | ↓ -29% |
| SUPERIOR | Medicaid|STAR | $98.54 | ↓ -24% |
| Wellpoint | Medicaid|All Other Plans | $108.49 | ↓ -16% |
| Ambetter | Commercial|All Plans | $117.72 | ↓ -9% |
| Wellpoint | Commercial|Exchange | $121.77 | ↓ -6% |
| BCBS-TX | Commercial|Blue Premier | $123.61 | ↓ -4% |
| BCBS-TX | Commercial|Blue Advantage HMO | $124.49 | ↓ -4% |
| Wellpoint | Medicaid|STAR | $130.19 | ↑ +1% |
| BCBS-TX | Commercial|HMO | $132.44 | ↑ +3% |
| Bright Health | Commercial|All Plans | $144.51 | ↑ +12% |
| BCBS-TX | Commercial|PPO | $145.68 | ↑ +13% |
| Entrust | Commercial|All Plans | $177.12 | ↑ +37% |
| SUPERIOR | Medicaid|STARPLUS | $182.23 | ↑ +41% |
| UNITED | Medicaid|STARPLUS | $186.14 | ↑ +44% |
| United | Commercial|All Other Plans | $188.00 | ↑ +46% |
| Health Smart | Commercial|All Plans | $202.95 | ↑ +57% |
| First Health | Commercial|All Plans | $221.40 | ↑ +71% |
| Humana | Commercial|All Plans | $225.09 | ↑ +74% |
| Cigna | Commercial|All Other Plans | $236.16 | ↑ +83% |
| Aetna | Commercial|All Plans | $236.16 | ↑ +83% |
| Ellwood | Commercial|All Plans | $243.54 | ↑ +89% |
| PHCS | Commercial|All Plans | $313.65 | ↑ +143% |
| Multiplan | Commercial|All Plans | $332.10 | ↑ +157% |
| Cigna | Commercial|Local Plus | $361.62 | ↑ +180% |
| BCBS-TX | Commercial|Ref Lab | $369.00 | ↑ +186% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1068% |
Visitor-reported prices
Comments
Drain finger abscess;simple 26010 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,295.65 | $110.36 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $522.25 | $74.34 – $652.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $492.81 | $71.00 – $739.22 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $551.70 | $71.00 – $689.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $522.25 | $74.34 – $652.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $492.81 | $79.54 – $739.22 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $492.81 | $74.34 – $739.22 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $551.70 | $71.00 – $827.55 |