Ghs moderate sedation ea addtl 15 min, other at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$32.73
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.
$187.00
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.
$18.48 with BCBS vs $670.00 with United — 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 | $18.48 | ↓ -44% |
| UNITED | Medicare|All Plans | $18.85 | ↓ -42% |
| AMERIVANTAGE | Medicare|All Plans | $19.04 | ↓ -42% |
| SCANHealth | Medicare|All Plans | $19.78 | ↓ -40% |
| AETNA | Medicare|All Plans | $21.00 | ↓ -36% |
| Wellpoint | Medicaid|All Other Plans | $24.70 | ↓ -25% |
| Ambetter | Commercial|All Plans | $26.80 | ↓ -18% |
| Wellpoint | Commercial|Exchange | $27.72 | ↓ -15% |
| Wellpoint | Medicaid|STAR | $29.64 | ↓ -9% |
| Bright Health | Commercial|All Plans | $32.90 | ↑ +1% |
| Entrust | Commercial|All Plans | $40.32 | ↑ +23% |
| Cigna | Commercial|Local Plus | $41.16 | ↑ +26% |
| Health Smart | Commercial|All Plans | $46.20 | ↑ +41% |
| First Health | Commercial|All Plans | $50.40 | ↑ +54% |
| Humana | Commercial|All Plans | $51.24 | ↑ +57% |
| SUPERIOR | Medicaid|CHIP | $52.36 | ↑ +60% |
| UNITED | Medicaid|All Other Plans | $53.41 | ↑ +63% |
| UNITED | Medicaid|STARKIDS | $53.41 | ↑ +63% |
| Cigna | Commercial|All Other Plans | $53.76 | ↑ +64% |
| Aetna | Commercial|All Plans | $53.76 | ↑ +64% |
| BCBS | Medicaid|STARKIDS | $54.98 | ↑ +68% |
| UNITED | Medicaid|STARPLUS | $54.98 | ↑ +68% |
| SUPERIOR | Medicaid|All Other Plans | $54.98 | ↑ +68% |
| Ellwood | Commercial|All Plans | $55.44 | ↑ +69% |
| United | Commercial|All Other Plans | $65.52 | ↑ +100% |
| SUPERIOR | Medicaid|STAR | $65.98 | ↑ +102% |
| PHCS | Commercial|All Plans | $71.40 | ↑ +118% |
| Multiplan | Commercial|All Plans | $75.60 | ↑ +131% |
| BCBS-TX | Commercial|HMO | $84.00 | ↑ +157% |
| BCBS-TX | Commercial|Blue Premier | $84.00 | ↑ +157% |
| BCBS-TX | Commercial|Ref Lab | $84.00 | ↑ +157% |
| BCBS-TX | Commercial|PPO | $84.00 | ↑ +157% |
| BCBS-TX | Commercial|Blue Advantage HMO | $84.00 | ↑ +157% |
| SUPERIOR | Medicaid|STARPLUS | $122.00 | ↑ +273% |
| United | Commercial|Exchange | $670.00 | ↑ +1947% |
Visitor-reported prices
Comments
Ghs moderate sedation ea addtl 15 min, other at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $322.73 | $252.52 – $252.52 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $107.42 | $30.44 – $201.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $70.05 | $14.42 – $105.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $115.81 | $23.16 – $198.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $107.42 | $28.64 – $153.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $70.05 | $22.49 – $242.03 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $70.05 | $36.19 – $105.08 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $115.81 | $38.60 – $198.08 |