External chromosome analysis 20-25 cells at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$218.75
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.
$1,250.00
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.
$130.15 with United vs $1,125.00 with Multiplan — 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 | $130.15 | ↓ -41% |
| BCBS-TX | Commercial|Ref Lab | $141.72 | ↓ -35% |
| BCBS | Medicare|All Plans | $144.61 | ↓ -34% |
| AETNA | Medicare|All Plans | $144.61 | ↓ -34% |
| UNITED | Medicare|All Plans | $147.50 | ↓ -33% |
| AMERIVANTAGE | Medicare|All Plans | $148.95 | ↓ -32% |
| SCANHealth | Medicare|All Plans | $154.73 | ↓ -29% |
| SUPERIOR | Medicaid|CHIP | $198.11 | ↓ -9% |
| UNITED | Medicaid|All Other Plans | $202.07 | ↓ -8% |
| UNITED | Medicaid|STARKIDS | $202.07 | ↓ -8% |
| BCBS | Medicaid|STARKIDS | $208.02 | ↓ -5% |
| SUPERIOR | Medicaid|All Other Plans | $208.02 | ↓ -5% |
| Ambetter | Commercial|All Plans | $209.68 | ↓ -4% |
| Wellpoint | Commercial|Exchange | $216.92 | ↓ -1% |
| SUPERIOR | Medicaid|STAR | $249.62 | ↑ +14% |
| Bright Health | Commercial|All Plans | $257.41 | ↑ +18% |
| Entrust | Commercial|All Plans | $289.22 | ↑ +32% |
| Cigna | Commercial|Local Plus | $315.56 | ↑ +44% |
| Wellpoint | Medicaid|All Other Plans | $367.50 | ↑ +68% |
| Ellwood | Commercial|All Plans | $433.83 | ↑ +98% |
| Wellpoint | Medicaid|STAR | $441.00 | ↑ +102% |
| SUPERIOR | Medicaid|STARPLUS | $461.60 | ↑ +111% |
| UNITED | Medicaid|STARPLUS | $471.50 | ↑ +116% |
| BCBS-TX | Commercial|Blue Advantage HMO | $507.58 | ↑ +132% |
| BCBS-TX | Commercial|Blue Premier | $507.58 | ↑ +132% |
| BCBS-TX | Commercial|HMO | $517.70 | ↑ +137% |
| BCBS-TX | Commercial|PPO | $597.24 | ↑ +173% |
| Health Smart | Commercial|All Plans | $687.50 | ↑ +214% |
| First Health | Commercial|All Plans | $750.00 | ↑ +243% |
| Humana | Commercial|All Plans | $762.50 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $800.00 | ↑ +266% |
| Aetna | Commercial|All Plans | $800.00 | ↑ +266% |
| United | Commercial|All Other Plans | $975.00 | ↑ +346% |
| PHCS | Commercial|All Plans | $1,062.50 | ↑ +386% |
| Multiplan | Commercial|All Plans | $1,125.00 | ↑ +414% |
Visitor-reported prices
Comments
External chromosome analysis 20-25 cells at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $558.82 | $35.00 – $350.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $632.62 | $36.00 – $420.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $525.00 | $36.00 – $350.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $558.82 | $35.00 – $350.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $632.62 | $36.00 – $420.47 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $632.62 | $26.00 – $420.47 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $525.00 | $36.00 – $420.47 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $558.82 | $35.00 – $350.39 |