Drain ostomy pouch w/flange at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$39.20
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.
$224.00
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.
$2.20 with BCBS vs $10.00 with BCBS-TX — 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 | $2.20 | ↓ -94% |
| UNITED | Medicare|All Plans | $2.25 | ↓ -94% |
| AMERIVANTAGE | Medicare|All Plans | $2.27 | ↓ -94% |
| SCANHealth | Medicare|All Plans | $2.36 | ↓ -94% |
| AETNA | Medicare|All Plans | $2.50 | ↓ -94% |
| Wellpoint | Medicaid|All Other Plans | $2.94 | ↓ -93% |
| Ambetter | Commercial|All Plans | $3.19 | ↓ -92% |
| Wellpoint | Commercial|Exchange | $3.30 | ↓ -92% |
| Wellpoint | Medicaid|STAR | $3.53 | ↓ -91% |
| Bright Health | Commercial|All Plans | $3.92 | ↓ -90% |
| BCBS-TX | Commercial|Blue Advantage HMO | $4.52 | ↓ -88% |
| Entrust | Commercial|All Plans | $4.80 | ↓ -88% |
| Cigna | Commercial|Local Plus | $4.90 | ↓ -88% |
| BCBS-TX | Commercial|Blue Premier | $5.24 | ↓ -87% |
| Health Smart | Commercial|All Plans | $5.50 | ↓ -86% |
| BCBS-TX | Commercial|HMO | $5.59 | ↓ -86% |
| First Health | Commercial|All Plans | $6.00 | ↓ -85% |
| Humana | Commercial|All Plans | $6.10 | ↓ -84% |
| BCBS-TX | Commercial|PPO | $6.19 | ↓ -84% |
| Aetna | Commercial|All Plans | $6.40 | ↓ -84% |
| Cigna | Commercial|All Other Plans | $6.40 | ↓ -84% |
| Ellwood | Commercial|All Plans | $6.60 | ↓ -83% |
| United | Commercial|All Other Plans | $7.80 | ↓ -80% |
| PHCS | Commercial|All Plans | $8.50 | ↓ -78% |
| Multiplan | Commercial|All Plans | $9.00 | ↓ -77% |
| BCBS-TX | Commercial|Ref Lab | $10.00 | ↓ -74% |
Visitor-reported prices
Comments
Drain ostomy pouch w/flange at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $39.20 | $1.28 – $9.00 |
| St. Joseph Health College Station Hospital | College Station | $39.20 | $4.52 – $8.50 |
| St. Joseph Health Grimes Hospital | Navasota | $39.20 | $3.63 – $11.10 |
| Ascension Providence | Waco | $7.47 | $3.52 – $3.92 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $32.67 | $3.11 – $3.77 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $32.67 | $3.11 – $3.77 |
| Ascension Seton Smithville (Ascension Seton) | Smithville | $15.12 | $3.11 – $3.77 |
| Dell Children's Medical Center (Ascension Seton) | Austin | $29.40 | $3.11 – $3.77 |