Drng of scrotum abscess 55100 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$625.10
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.
$3,572.00
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.
$66.00 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 | $66.00 | ↓ -89% |
| UNITED | Medicare|All Plans | $67.32 | ↓ -89% |
| AMERIVANTAGE | Medicare|All Plans | $67.98 | ↓ -89% |
| SCANHealth | Medicare|All Plans | $70.62 | ↓ -89% |
| AETNA | Medicare|All Plans | $75.00 | ↓ -88% |
| Wellpoint | Medicaid|All Other Plans | $88.20 | ↓ -86% |
| Ambetter | Commercial|All Plans | $95.70 | ↓ -85% |
| Wellpoint | Commercial|Exchange | $99.00 | ↓ -84% |
| Wellpoint | Medicaid|STAR | $105.84 | ↓ -83% |
| Bright Health | Commercial|All Plans | $117.48 | ↓ -81% |
| Entrust | Commercial|All Plans | $144.00 | ↓ -77% |
| Health Smart | Commercial|All Plans | $165.00 | ↓ -74% |
| First Health | Commercial|All Plans | $180.00 | ↓ -71% |
| Humana | Commercial|All Plans | $183.00 | ↓ -71% |
| United | Commercial|All Other Plans | $188.00 | ↓ -70% |
| Cigna | Commercial|All Other Plans | $192.00 | ↓ -69% |
| Aetna | Commercial|All Plans | $192.00 | ↓ -69% |
| Ellwood | Commercial|All Plans | $198.00 | ↓ -68% |
| PHCS | Commercial|All Plans | $255.00 | ↓ -59% |
| Multiplan | Commercial|All Plans | $270.00 | ↓ -57% |
| BCBS-TX | Commercial|Ref Lab | $300.00 | ↓ -52% |
| SUPERIOR | Medicaid|CHIP | $511.75 | ↓ -18% |
| UNITED | Medicaid|STARKIDS | $521.99 | ↓ -16% |
| UNITED | Medicaid|All Other Plans | $521.99 | ↓ -16% |
| BCBS | Medicaid|STARKIDS | $537.34 | ↓ -14% |
| SUPERIOR | Medicaid|All Other Plans | $537.34 | ↓ -14% |
| SUPERIOR | Medicaid|STAR | $644.80 | ↑ +3% |
| SUPERIOR | Medicaid|STARPLUS | $1,192.38 | ↑ +91% |
| UNITED | Medicaid|STARPLUS | $1,217.96 | ↑ +95% |
| BCBS-TX | Commercial|Blue Premier | $1,921.64 | ↑ +207% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,935.37 | ↑ +210% |
| BCBS-TX | Commercial|HMO | $2,058.90 | ↑ +229% |
| United | Commercial|Exchange | $2,124.00 | ↑ +240% |
| BCBS-TX | Commercial|PPO | $2,264.79 | ↑ +262% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +362% |
Visitor-reported prices
Comments
Drng of scrotum abscess 55100 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,997.89 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,811.72 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,437.31 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,997.89 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,811.72 | $85.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,811.72 | $486.45 – $4,016.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,437.31 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,997.89 | $486.45 – $4,016.35 |