Epoetin alfa, 100 units esrd at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$41.32
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.
$236.06
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.
$0.65 with United vs $112.86 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 |
|---|---|---|---|
| United | Commercial|Exchange | $0.65 | ↓ -98% |
| Cigna | Commercial|Local Plus | $0.85 | ↓ -98% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2.21 | ↓ -95% |
| BCBS-TX | Commercial|Blue Premier | $3.60 | ↓ -91% |
| BCBS-TX | Commercial|HMO | $3.70 | ↓ -91% |
| BCBS-TX | Commercial|PPO | $4.22 | ↓ -90% |
| BCBS | Medicare|All Plans | $24.83 | ↓ -40% |
| UNITED | Medicare|All Plans | $25.33 | ↓ -39% |
| AMERIVANTAGE | Medicare|All Plans | $25.58 | ↓ -38% |
| SCANHealth | Medicare|All Plans | $26.57 | ↓ -36% |
| AETNA | Medicare|All Plans | $28.22 | ↓ -32% |
| Wellpoint | Medicaid|All Other Plans | $33.19 | ↓ -20% |
| Ambetter | Commercial|All Plans | $36.01 | ↓ -13% |
| Wellpoint | Commercial|Exchange | $37.25 | ↓ -10% |
| Wellpoint | Medicaid|STAR | $39.82 | ↓ -4% |
| Bright Health | Commercial|All Plans | $44.20 | ↑ +7% |
| Entrust | Commercial|All Plans | $54.18 | ↑ +31% |
| Health Smart | Commercial|All Plans | $62.08 | ↑ +50% |
| First Health | Commercial|All Plans | $67.72 | ↑ +64% |
| Humana | Commercial|All Plans | $68.85 | ↑ +67% |
| Aetna | Commercial|All Plans | $72.24 | ↑ +75% |
| Cigna | Commercial|All Other Plans | $72.24 | ↑ +75% |
| Ellwood | Commercial|All Plans | $74.49 | ↑ +80% |
| United | Commercial|All Other Plans | $88.04 | ↑ +113% |
| PHCS | Commercial|All Plans | $95.94 | ↑ +132% |
| Multiplan | Commercial|All Plans | $101.58 | ↑ +146% |
| BCBS-TX | Commercial|Ref Lab | $112.86 | ↑ +173% |
Visitor-reported prices
Comments
Epoetin alfa, 100 units esrd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $41.32 | $0.65 – $101.58 |
| St. Joseph Health College Station Hospital | College Station | $41.32 | $0.65 – $95.94 |
| St. Joseph Health Grimes Hospital | Navasota | $41.32 | $0.65 – $125.28 |
| HCA HOUSTON TOMBALL | HOUSTON | $415.04 | $0.71 – $11.98 |
| Adventhealth Rollins Brook | Lampasas | not published | $6.16 – $6.16 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $0.71 – $11.98 |
| Covenant Children's Hospital | Lubbock | not published | $2.69 – $6.39 |
| HCA HOUSTON CONROE | CONROE | not published | $0.77 – $11.98 |