Exc thrombosed hemorrhoid 46320 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$568.40
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.
$3,248.00
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.
$62.48 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 | $62.48 | ↓ -89% |
| UNITED | Medicare|All Plans | $63.73 | ↓ -89% |
| AMERIVANTAGE | Medicare|All Plans | $64.36 | ↓ -89% |
| SCANHealth | Medicare|All Plans | $66.86 | ↓ -88% |
| AETNA | Medicare|All Plans | $71.00 | ↓ -88% |
| Wellpoint | Medicaid|All Other Plans | $83.50 | ↓ -85% |
| Ambetter | Commercial|All Plans | $90.60 | ↓ -84% |
| Wellpoint | Commercial|Exchange | $93.72 | ↓ -84% |
| Wellpoint | Medicaid|STAR | $100.20 | ↓ -82% |
| Bright Health | Commercial|All Plans | $111.22 | ↓ -80% |
| SUPERIOR | Medicaid|CHIP | $132.23 | ↓ -77% |
| UNITED | Medicaid|All Other Plans | $134.87 | ↓ -76% |
| UNITED | Medicaid|STARKIDS | $134.87 | ↓ -76% |
| Entrust | Commercial|All Plans | $136.32 | ↓ -76% |
| SUPERIOR | Medicaid|All Other Plans | $138.84 | ↓ -76% |
| BCBS | Medicaid|STARKIDS | $138.84 | ↓ -76% |
| Health Smart | Commercial|All Plans | $156.20 | ↓ -73% |
| SUPERIOR | Medicaid|STAR | $166.61 | ↓ -71% |
| First Health | Commercial|All Plans | $170.40 | ↓ -70% |
| Humana | Commercial|All Plans | $173.24 | ↓ -70% |
| Cigna | Commercial|All Other Plans | $181.76 | ↓ -68% |
| Aetna | Commercial|All Plans | $181.76 | ↓ -68% |
| Ellwood | Commercial|All Plans | $187.44 | ↓ -67% |
| United | Commercial|All Other Plans | $188.00 | ↓ -67% |
| BCBS-TX | Commercial|Blue Premier | $188.45 | ↓ -67% |
| BCBS-TX | Commercial|Blue Advantage HMO | $189.80 | ↓ -67% |
| BCBS-TX | Commercial|HMO | $201.92 | ↓ -64% |
| BCBS-TX | Commercial|PPO | $222.11 | ↓ -61% |
| PHCS | Commercial|All Plans | $241.40 | ↓ -58% |
| Multiplan | Commercial|All Plans | $255.60 | ↓ -55% |
| BCBS-TX | Commercial|Ref Lab | $284.00 | ↓ -50% |
| SUPERIOR | Medicaid|STARPLUS | $308.10 | ↓ -46% |
| UNITED | Medicaid|STARPLUS | $314.71 | ↓ -45% |
| United | Commercial|Exchange | $2,124.00 | ↑ +274% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +408% |
Visitor-reported prices
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Exc thrombosed hemorrhoid 46320 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,985.99 | $125.69 – $3,732.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,633.15 | $134.49 – $3,949.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,563.73 | $125.69 – $3,204.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,985.99 | $125.69 – $3,732.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,633.15 | $134.49 – $3,949.72 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,633.15 | $125.69 – $3,949.72 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,563.73 | $125.69 – $3,845.59 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,985.99 | $125.69 – $3,732.49 |