Emg 3 ext w-w/o paraspinal area 95863 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$53.03
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.
$303.00
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.
$60.72 with BCBS vs $276.00 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 | $60.72 | ↑ +15% |
| UNITED | Medicare|All Plans | $61.94 | ↑ +17% |
| AMERIVANTAGE | Medicare|All Plans | $62.55 | ↑ +18% |
| SCANHealth | Medicare|All Plans | $64.98 | ↑ +23% |
| AETNA | Medicare|All Plans | $69.00 | ↑ +30% |
| United | Commercial|Exchange | $77.00 | ↑ +45% |
| Wellpoint | Medicaid|All Other Plans | $81.15 | ↑ +53% |
| Ambetter | Commercial|All Plans | $88.05 | ↑ +66% |
| Wellpoint | Commercial|Exchange | $91.08 | ↑ +72% |
| Wellpoint | Medicaid|STAR | $97.38 | ↑ +84% |
| Bright Health | Commercial|All Plans | $108.09 | ↑ +104% |
| Entrust | Commercial|All Plans | $132.48 | ↑ +150% |
| Cigna | Commercial|Local Plus | $148.47 | ↑ +180% |
| Health Smart | Commercial|All Plans | $151.80 | ↑ +186% |
| First Health | Commercial|All Plans | $165.60 | ↑ +212% |
| Humana | Commercial|All Plans | $168.36 | ↑ +217% |
| Cigna | Commercial|All Other Plans | $176.64 | ↑ +233% |
| Aetna | Commercial|All Plans | $176.64 | ↑ +233% |
| Ellwood | Commercial|All Plans | $182.16 | ↑ +244% |
| United | Commercial|All Other Plans | $215.28 | ↑ +306% |
| PHCS | Commercial|All Plans | $234.60 | ↑ +342% |
| BCBS-TX | Commercial|Blue Advantage HMO | $236.67 | ↑ +346% |
| Multiplan | Commercial|All Plans | $248.40 | ↑ +368% |
| BCBS-TX | Commercial|Ref Lab | $276.00 | ↑ +420% |
| BCBS-TX | Commercial|Blue Premier | $276.00 | ↑ +420% |
| BCBS-TX | Commercial|HMO | $276.00 | ↑ +420% |
| BCBS-TX | Commercial|PPO | $276.00 | ↑ +420% |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $545.38 | $122.80 – $681.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $647.91 | $133.36 – $971.87 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $572.65 | $114.53 – $715.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $545.38 | $122.80 – $681.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $647.91 | $122.80 – $971.87 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $647.91 | $334.75 – $971.87 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $572.65 | $122.80 – $858.97 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $545.38 | $122.80 – $681.72 |