Ghs fb removal - non-incisional at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$280.70
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.
$1,604.00
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.
$56.76 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 | $56.76 | ↓ -80% |
| UNITED | Medicare|All Plans | $57.90 | ↓ -79% |
| AMERIVANTAGE | Medicare|All Plans | $58.47 | ↓ -79% |
| SCANHealth | Medicare|All Plans | $60.74 | ↓ -78% |
| AETNA | Medicare|All Plans | $64.50 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $75.86 | ↓ -73% |
| Ambetter | Commercial|All Plans | $82.31 | ↓ -71% |
| Wellpoint | Commercial|Exchange | $85.14 | ↓ -70% |
| Wellpoint | Medicaid|STAR | $91.03 | ↓ -68% |
| Bright Health | Commercial|All Plans | $101.04 | ↓ -64% |
| Entrust | Commercial|All Plans | $123.84 | ↓ -56% |
| SUPERIOR | Medicaid|CHIP | $126.10 | ↓ -55% |
| UNITED | Medicaid|All Other Plans | $128.62 | ↓ -54% |
| UNITED | Medicaid|STARKIDS | $128.62 | ↓ -54% |
| SUPERIOR | Medicaid|All Other Plans | $132.41 | ↓ -53% |
| BCBS | Medicaid|STARKIDS | $132.41 | ↓ -53% |
| Health Smart | Commercial|All Plans | $141.90 | ↓ -49% |
| First Health | Commercial|All Plans | $154.80 | ↓ -45% |
| Humana | Commercial|All Plans | $157.38 | ↓ -44% |
| SUPERIOR | Medicaid|STAR | $158.89 | ↓ -43% |
| Cigna | Commercial|All Other Plans | $165.12 | ↓ -41% |
| Aetna | Commercial|All Plans | $165.12 | ↓ -41% |
| Ellwood | Commercial|All Plans | $170.28 | ↓ -39% |
| United | Commercial|All Other Plans | $188.00 | ↓ -33% |
| BCBS-TX | Commercial|Blue Premier | $194.52 | ↓ -31% |
| BCBS-TX | Commercial|Blue Advantage HMO | $195.91 | ↓ -30% |
| BCBS-TX | Commercial|HMO | $208.41 | ↓ -26% |
| PHCS | Commercial|All Plans | $219.30 | ↓ -22% |
| BCBS-TX | Commercial|PPO | $229.25 | ↓ -18% |
| Multiplan | Commercial|All Plans | $232.20 | ↓ -17% |
| BCBS-TX | Commercial|Ref Lab | $258.00 | ↓ -8% |
| SUPERIOR | Medicaid|STARPLUS | $293.81 | ↑ +5% |
| UNITED | Medicaid|STARPLUS | $300.12 | ↑ +7% |
| United | Commercial|Exchange | $1,508.00 | ↑ +437% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +929% |
Visitor-reported prices
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Ghs fb removal - non-incisional at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $9,504.60 | $173.68 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,706.20 | $119.87 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,305.06 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,768.18 | $71.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,706.20 | $119.87 – $4,016.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,305.06 | $85.00 – $4,016.35 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,305.06 | $119.87 – $4,016.35 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,768.18 | $71.00 – $4,016.35 |