Ghs moderate sedation < 5 yr, 30 min, other at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$72.28
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.
?
What you pay up front if you don't use insurance.
$413.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$90.86 with BCBS vs $670.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $90.86 | ↑ +26% |
| UNITED | Medicare|All Plans | $92.68 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $93.59 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $97.23 | ↑ +35% |
| AETNA | Medicare|All Plans | $103.25 | ↑ +43% |
| SUPERIOR | Medicaid|CHIP | $115.64 | ↑ +60% |
| UNITED | Medicaid|STARKIDS | $117.96 | ↑ +63% |
| UNITED | Medicaid|All Other Plans | $117.96 | ↑ +63% |
| Wellpoint | Medicaid|All Other Plans | $121.43 | ↑ +68% |
| UNITED | Medicaid|STARPLUS | $121.43 | ↑ +68% |
| BCBS | Medicaid|STARKIDS | $121.43 | ↑ +68% |
| SUPERIOR | Medicaid|All Other Plans | $121.43 | ↑ +68% |
| Ambetter | Commercial|All Plans | $131.75 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $136.29 | ↑ +89% |
| SUPERIOR | Medicaid|STAR | $145.71 | ↑ +102% |
| Wellpoint | Medicaid|STAR | $145.71 | ↑ +102% |
| Bright Health | Commercial|All Plans | $161.74 | ↑ +124% |
| BCBS-TX | Commercial|Blue Advantage HMO | $182.16 | ↑ +152% |
| United | Commercial|All Other Plans | $188.00 | ↑ +160% |
| Entrust | Commercial|All Plans | $198.24 | ↑ +174% |
| Cigna | Commercial|Local Plus | $202.37 | ↑ +180% |
| BCBS-TX | Commercial|Blue Premier | $214.20 | ↑ +196% |
| BCBS-TX | Commercial|HMO | $227.02 | ↑ +214% |
| Health Smart | Commercial|All Plans | $227.15 | ↑ +214% |
| First Health | Commercial|All Plans | $247.80 | ↑ +243% |
| Humana | Commercial|All Plans | $251.93 | ↑ +249% |
| BCBS-TX | Commercial|PPO | $252.65 | ↑ +250% |
| Cigna | Commercial|All Other Plans | $264.32 | ↑ +266% |
| Aetna | Commercial|All Plans | $264.32 | ↑ +266% |
| SUPERIOR | Medicaid|STARPLUS | $269.45 | ↑ +273% |
| Ellwood | Commercial|All Plans | $272.58 | ↑ +277% |
| PHCS | Commercial|All Plans | $351.05 | ↑ +386% |
| Multiplan | Commercial|All Plans | $371.70 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $413.00 | ↑ +471% |
| United | Commercial|Exchange | $670.00 | ↑ +827% |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min, other at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,721.18 | $352.43 – $352.43 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $154.86 | $43.88 – $281.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.93 | $49.59 – $361.39 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $172.11 | $34.42 – $276.45 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $154.86 | $41.30 – $219.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.93 | $77.34 – $361.39 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $240.93 | $124.48 – $361.39 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $172.11 | $57.37 – $276.45 |