Emg 2 ext w-w/o paraspinal area 95861 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$113.23
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.
$647.00
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.
$48.40 with BCBS vs $317.03 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 | $48.40 | ↓ -57% |
| UNITED | Medicare|All Plans | $49.37 | ↓ -56% |
| AMERIVANTAGE | Medicare|All Plans | $49.86 | ↓ -56% |
| SCANHealth | Medicare|All Plans | $51.79 | ↓ -54% |
| AETNA | Medicare|All Plans | $55.00 | ↓ -51% |
| Wellpoint | Medicaid|All Other Plans | $64.68 | ↓ -43% |
| Ambetter | Commercial|All Plans | $70.18 | ↓ -38% |
| Wellpoint | Commercial|Exchange | $72.60 | ↓ -36% |
| United | Commercial|Exchange | $77.00 | ↓ -32% |
| Wellpoint | Medicaid|STAR | $77.62 | ↓ -31% |
| Bright Health | Commercial|All Plans | $86.16 | ↓ -24% |
| Entrust | Commercial|All Plans | $105.60 | ↓ -7% |
| Health Smart | Commercial|All Plans | $121.00 | ↑ +7% |
| First Health | Commercial|All Plans | $132.00 | ↑ +17% |
| Humana | Commercial|All Plans | $134.20 | ↑ +19% |
| Cigna | Commercial|All Other Plans | $140.80 | ↑ +24% |
| Aetna | Commercial|All Plans | $140.80 | ↑ +24% |
| Ellwood | Commercial|All Plans | $145.20 | ↑ +28% |
| United | Commercial|All Other Plans | $171.60 | ↑ +52% |
| PHCS | Commercial|All Plans | $187.00 | ↑ +65% |
| Multiplan | Commercial|All Plans | $198.00 | ↑ +75% |
| BCBS-TX | Commercial|Blue Advantage HMO | $216.97 | ↑ +92% |
| BCBS-TX | Commercial|Ref Lab | $220.00 | ↑ +94% |
| BCBS-TX | Commercial|Blue Premier | $220.00 | ↑ +94% |
| BCBS-TX | Commercial|HMO | $220.00 | ↑ +94% |
| BCBS-TX | Commercial|PPO | $220.00 | ↑ +94% |
| Cigna | Commercial|Local Plus | $317.03 | ↑ +180% |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $651.34 | $126.97 – $814.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $649.80 | $133.75 – $974.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $497.74 | $99.55 – $622.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $651.34 | $126.97 – $814.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $649.80 | $126.97 – $974.70 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $649.80 | $316.45 – $974.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $497.74 | $126.97 – $746.60 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $651.34 | $126.97 – $814.17 |