Ghs block ilioinguinal/gentitofemoral at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$256.38
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.
$1,465.00
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.
$40.48 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 | $40.48 | ↓ -84% |
| UNITED | Medicare|All Plans | $41.29 | ↓ -84% |
| AMERIVANTAGE | Medicare|All Plans | $41.70 | ↓ -84% |
| SCANHealth | Medicare|All Plans | $43.32 | ↓ -83% |
| AETNA | Medicare|All Plans | $46.00 | ↓ -82% |
| Wellpoint | Medicaid|All Other Plans | $54.10 | ↓ -79% |
| Ambetter | Commercial|All Plans | $58.70 | ↓ -77% |
| Wellpoint | Commercial|Exchange | $60.72 | ↓ -76% |
| Wellpoint | Medicaid|STAR | $64.92 | ↓ -75% |
| SUPERIOR | Medicaid|CHIP | $64.95 | ↓ -75% |
| UNITED | Medicaid|All Other Plans | $66.25 | ↓ -74% |
| UNITED | Medicaid|STARKIDS | $66.25 | ↓ -74% |
| SUPERIOR | Medicaid|All Other Plans | $68.20 | ↓ -73% |
| BCBS | Medicaid|STARKIDS | $68.20 | ↓ -73% |
| Bright Health | Commercial|All Plans | $72.06 | ↓ -72% |
| SUPERIOR | Medicaid|STAR | $81.84 | ↓ -68% |
| Entrust | Commercial|All Plans | $88.32 | ↓ -66% |
| Health Smart | Commercial|All Plans | $101.20 | ↓ -61% |
| BCBS-TX | Commercial|Blue Premier | $105.10 | ↓ -59% |
| BCBS-TX | Commercial|Blue Advantage HMO | $105.85 | ↓ -59% |
| First Health | Commercial|All Plans | $110.40 | ↓ -57% |
| Humana | Commercial|All Plans | $112.24 | ↓ -56% |
| BCBS-TX | Commercial|HMO | $112.61 | ↓ -56% |
| Aetna | Commercial|All Plans | $117.76 | ↓ -54% |
| Cigna | Commercial|All Other Plans | $117.76 | ↓ -54% |
| Ellwood | Commercial|All Plans | $121.44 | ↓ -53% |
| BCBS-TX | Commercial|PPO | $123.87 | ↓ -52% |
| United | Commercial|All Other Plans | $143.52 | ↓ -44% |
| SUPERIOR | Medicaid|STARPLUS | $151.33 | ↓ -41% |
| UNITED | Medicaid|STARPLUS | $154.58 | ↓ -40% |
| PHCS | Commercial|All Plans | $156.40 | ↓ -39% |
| Multiplan | Commercial|All Plans | $165.60 | ↓ -35% |
| BCBS-TX | Commercial|Ref Lab | $184.00 | ↓ -28% |
| United | Commercial|Exchange | $1,508.00 | ↑ +488% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +1026% |
Visitor-reported prices
Comments
Ghs block ilioinguinal/gentitofemoral at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $949.16 | $61.74 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,318.23 | $66.06 – $1,977.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,164.15 | $61.74 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $949.16 | $61.74 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,318.23 | $66.06 – $1,977.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,318.23 | $61.74 – $1,977.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,164.15 | $61.74 – $1,746.22 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $949.16 | $61.74 – $1,713.14 |