Expander breast 300cc mod hght extra proj smth natrelle at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$3,518.90
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.
$20,108.00
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.
$1,342.00 with United vs $6,710.00 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 |
|---|---|---|---|
| United | Commercial|Exchange | $1,342.00 | ↓ -62% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,476.20 | ↓ -58% |
| BCBS | Medicare|All Plans | $1,476.20 | ↓ -58% |
| UNITED | Medicare|All Plans | $1,505.73 | ↓ -57% |
| AMERIVANTAGE | Medicare|All Plans | $1,520.49 | ↓ -57% |
| SCANHealth | Medicare|All Plans | $1,579.54 | ↓ -55% |
| BCBS-TX | Commercial|Blue Premier | $1,677.50 | ↓ -52% |
| AETNA | Medicare|All Plans | $1,677.50 | ↓ -52% |
| Bright Health | Commercial|All Plans | $1,744.60 | ↓ -50% |
| BCBS-TX | Commercial|HMO | $1,811.70 | ↓ -49% |
| BCBS-TX | Commercial|PPO | $1,945.90 | ↓ -45% |
| Wellpoint | Medicaid|All Other Plans | $1,972.74 | ↓ -44% |
| Cigna | Commercial|Local Plus | $2,080.10 | ↓ -41% |
| Ambetter | Commercial|All Plans | $2,140.49 | ↓ -39% |
| Wellpoint | Commercial|Exchange | $2,214.30 | ↓ -37% |
| Wellpoint | Medicaid|STAR | $2,367.29 | ↓ -33% |
| Entrust | Commercial|All Plans | $3,220.80 | ↓ -8% |
| Health Smart | Commercial|All Plans | $3,690.50 | ↑ +5% |
| First Health | Commercial|All Plans | $4,026.00 | ↑ +14% |
| Humana | Commercial|All Plans | $4,093.10 | ↑ +16% |
| Aetna | Commercial|All Plans | $4,294.40 | ↑ +22% |
| Cigna | Commercial|All Other Plans | $4,294.40 | ↑ +22% |
| Ellwood | Commercial|All Plans | $4,428.60 | ↑ +26% |
| United | Commercial|All Other Plans | $5,233.80 | ↑ +49% |
| PHCS | Commercial|All Plans | $5,703.50 | ↑ +62% |
| Multiplan | Commercial|All Plans | $6,039.00 | ↑ +72% |
| BCBS-TX | Commercial|Ref Lab | $6,710.00 | ↑ +91% |
Visitor-reported prices
Comments
Expander breast 300cc mod hght extra proj smth natrelle at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $2,980.06 | $971.31 – $3,468.94 |
| St. Joseph Health Madison Hospital | Madisonville | $3,518.90 | $854.86 – $6,039.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $2,551.50 | $1,162.50 – $6,975.00 |
| St. Joseph Health College Station Hospital | College Station | $3,518.90 | $1,342.00 – $5,703.50 |
| St. Joseph Health Grimes Hospital | Navasota | $3,518.90 | $1,342.00 – $7,448.10 |
| St. Luke's Health Memorial Livingston | Livingston | $2,551.50 | $1,162.50 – $6,975.00 |
| St. Luke's Health Memorial San Augustine | San Augustine | $2,551.50 | $1,162.50 – $6,975.00 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $749.18 – $1,643.61 |