Egd remove foreign body at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$421.40
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.
$2,408.00
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.
$188.00 with United vs $3,346.00 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 |
|---|---|---|---|
| United | Commercial|All Other Plans | $188.00 | ↓ -55% |
| SUPERIOR | Medicaid|CHIP | $352.37 | ↓ -16% |
| UNITED | Medicaid|All Other Plans | $359.42 | ↓ -15% |
| UNITED | Medicaid|STARKIDS | $359.42 | ↓ -15% |
| SUPERIOR | Medicaid|All Other Plans | $369.99 | ↓ -12% |
| BCBS | Medicaid|STARKIDS | $369.99 | ↓ -12% |
| SUPERIOR | Medicaid|STAR | $443.99 | ↑ +5% |
| BCBS | Medicare|All Plans | $529.76 | ↑ +26% |
| UNITED | Medicare|All Plans | $540.36 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $545.66 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $566.85 | ↑ +35% |
| AETNA | Medicare|All Plans | $602.00 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $707.96 | ↑ +68% |
| Ambetter | Commercial|All Plans | $768.16 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $794.64 | ↑ +89% |
| SUPERIOR | Medicaid|STARPLUS | $821.02 | ↑ +95% |
| UNITED | Medicaid|STARPLUS | $838.64 | ↑ +99% |
| Wellpoint | Medicaid|STAR | $849.55 | ↑ +102% |
| Bright Health | Commercial|All Plans | $942.98 | ↑ +124% |
| BCBS-TX | Commercial|Blue Premier | $1,100.29 | ↑ +161% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,108.15 | ↑ +163% |
| Entrust | Commercial|All Plans | $1,155.84 | ↑ +174% |
| BCBS-TX | Commercial|HMO | $1,178.88 | ↑ +180% |
| BCBS-TX | Commercial|PPO | $1,296.77 | ↑ +208% |
| Health Smart | Commercial|All Plans | $1,324.40 | ↑ +214% |
| First Health | Commercial|All Plans | $1,444.80 | ↑ +243% |
| Humana | Commercial|All Plans | $1,468.88 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $1,541.12 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,541.12 | ↑ +266% |
| Ellwood | Commercial|All Plans | $1,589.28 | ↑ +277% |
| PHCS | Commercial|All Plans | $2,046.80 | ↑ +386% |
| United | Commercial|Exchange | $2,124.00 | ↑ +404% |
| Multiplan | Commercial|All Plans | $2,167.20 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $2,408.00 | ↑ +471% |
| Cigna | Commercial|Local Plus | $3,346.00 | ↑ +694% |
Visitor-reported prices
Comments
Egd remove foreign body at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,127.28 | $879.87 – $7,034.24 |
| St. Luke's Health - Patients Medical Center | Pasadena | $815.85 | $1,398.60 – $1,748.25 |
| St. Joseph Health Madison Hospital | Madisonville | $421.40 | $306.78 – $2,408.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $334.34 | $846.98 – $2,006.00 |
| St. Joseph Health College Station Hospital | College Station | $421.40 | $1,324.40 – $2,408.00 |
| St. Joseph Health Grimes Hospital | Navasota | $421.40 | $873.15 – $2,672.88 |
| St. Luke's Health Memorial Livingston | Livingston | $334.34 | $401.20 – $2,006.00 |
| Covenant Medical Center | Lubbock | $1,127.28 | $894.72 – $6,330.82 |