Ghs moderate sedation ea addtl 15 min at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$15.75
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.
?
What you pay up front if you don't use insurance.
$90.00
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.
$17.82 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 | $17.82 | ↑ +13% |
| UNITED | Medicare|All Plans | $18.18 | ↑ +15% |
| AMERIVANTAGE | Medicare|All Plans | $18.36 | ↑ +17% |
| SCANHealth | Medicare|All Plans | $19.07 | ↑ +21% |
| AETNA | Medicare|All Plans | $20.25 | ↑ +29% |
| BCBS-TX | Commercial|Blue Advantage HMO | $21.51 | ↑ +37% |
| SUPERIOR | Medicaid|CHIP | $22.68 | ↑ +44% |
| UNITED | Medicaid|STARKIDS | $23.14 | ↑ +47% |
| UNITED | Medicaid|All Other Plans | $23.14 | ↑ +47% |
| Wellpoint | Medicaid|All Other Plans | $23.82 | ↑ +51% |
| UNITED | Medicaid|STARPLUS | $23.82 | ↑ +51% |
| BCBS | Medicaid|STARKIDS | $23.82 | ↑ +51% |
| SUPERIOR | Medicaid|All Other Plans | $23.82 | ↑ +51% |
| BCBS-TX | Commercial|Blue Premier | $25.30 | ↑ +61% |
| Ambetter | Commercial|All Plans | $25.84 | ↑ +64% |
| Wellpoint | Commercial|Exchange | $26.73 | ↑ +70% |
| BCBS-TX | Commercial|HMO | $26.81 | ↑ +70% |
| Wellpoint | Medicaid|STAR | $28.58 | ↑ +81% |
| SUPERIOR | Medicaid|STAR | $28.58 | ↑ +81% |
| BCBS-TX | Commercial|PPO | $29.84 | ↑ +89% |
| Bright Health | Commercial|All Plans | $31.72 | ↑ +101% |
| Entrust | Commercial|All Plans | $38.88 | ↑ +147% |
| Cigna | Commercial|Local Plus | $39.69 | ↑ +152% |
| Health Smart | Commercial|All Plans | $44.55 | ↑ +183% |
| First Health | Commercial|All Plans | $48.60 | ↑ +209% |
| Humana | Commercial|All Plans | $49.41 | ↑ +214% |
| Cigna | Commercial|All Other Plans | $51.84 | ↑ +229% |
| Aetna | Commercial|All Plans | $51.84 | ↑ +229% |
| SUPERIOR | Medicaid|STARPLUS | $52.85 | ↑ +236% |
| Ellwood | Commercial|All Plans | $53.46 | ↑ +239% |
| PHCS | Commercial|All Plans | $68.85 | ↑ +337% |
| United | Commercial|All Other Plans | $70.20 | ↑ +346% |
| Multiplan | Commercial|All Plans | $72.90 | ↑ +363% |
| BCBS-TX | Commercial|Ref Lab | $81.00 | ↑ +414% |
| United | Commercial|Exchange | $670.00 | ↑ +4154% |
Visitor-reported prices
Comments
Ghs moderate sedation ea addtl 15 min at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $322.73 | $41.62 – $41.62 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $107.42 | $30.44 – $152.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $119.22 | $24.54 – $178.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $119.22 | $23.84 – $149.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $107.42 | $25.30 – $152.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $119.22 | $38.27 – $178.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $119.22 | $61.60 – $178.83 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $119.22 | $32.65 – $178.83 |