Ghs simple repair 5.1 - 7.5 cm - 12014 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$157.33
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.
$899.00
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.
$188.00 with United vs $1,508.00 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 |
|---|---|---|---|
| United | Commercial|All Other Plans | $188.00 | ↑ +19% |
| BCBS | Medicare|All Plans | $190.30 | ↑ +21% |
| UNITED | Medicare|All Plans | $194.11 | ↑ +23% |
| AMERIVANTAGE | Medicare|All Plans | $196.01 | ↑ +25% |
| SCANHealth | Medicare|All Plans | $203.63 | ↑ +29% |
| AETNA | Medicare|All Plans | $216.25 | ↑ +37% |
| BCBS-TX | Commercial|Blue Premier | $244.62 | ↑ +55% |
| BCBS-TX | Commercial|Blue Advantage HMO | $246.37 | ↑ +57% |
| SUPERIOR | Medicaid|CHIP | $251.72 | ↑ +60% |
| Wellpoint | Medicaid|All Other Plans | $254.31 | ↑ +62% |
| UNITED | Medicaid|All Other Plans | $256.76 | ↑ +63% |
| UNITED | Medicaid|STARKIDS | $256.76 | ↑ +63% |
| BCBS-TX | Commercial|HMO | $262.10 | ↑ +67% |
| UNITED | Medicaid|STARPLUS | $264.31 | ↑ +68% |
| BCBS | Medicaid|STARKIDS | $264.31 | ↑ +68% |
| SUPERIOR | Medicaid|All Other Plans | $264.31 | ↑ +68% |
| Ambetter | Commercial|All Plans | $275.94 | ↑ +75% |
| Wellpoint | Commercial|Exchange | $285.45 | ↑ +81% |
| BCBS-TX | Commercial|PPO | $288.30 | ↑ +83% |
| Wellpoint | Medicaid|STAR | $305.18 | ↑ +94% |
| SUPERIOR | Medicaid|STAR | $317.17 | ↑ +102% |
| Bright Health | Commercial|All Plans | $338.74 | ↑ +115% |
| Entrust | Commercial|All Plans | $415.20 | ↑ +164% |
| Cigna | Commercial|Local Plus | $440.51 | ↑ +180% |
| Health Smart | Commercial|All Plans | $475.75 | ↑ +202% |
| First Health | Commercial|All Plans | $519.00 | ↑ +230% |
| Humana | Commercial|All Plans | $527.65 | ↑ +235% |
| Cigna | Commercial|All Other Plans | $553.60 | ↑ +252% |
| Aetna | Commercial|All Plans | $553.60 | ↑ +252% |
| Ellwood | Commercial|All Plans | $570.90 | ↑ +263% |
| SUPERIOR | Medicaid|STARPLUS | $586.51 | ↑ +273% |
| PHCS | Commercial|All Plans | $735.25 | ↑ +367% |
| Multiplan | Commercial|All Plans | $778.50 | ↑ +395% |
| BCBS-TX | Commercial|Ref Lab | $865.00 | ↑ +450% |
| United | Commercial|Exchange | $1,508.00 | ↑ +858% |
Visitor-reported prices
Comments
Ghs simple repair 5.1 - 7.5 cm - 12014 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $644.19 | $182.52 – $805.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $538.64 | $71.00 – $807.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $624.34 | $71.00 – $780.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $644.19 | $171.78 – $805.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $538.64 | $85.00 – $807.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $538.64 | $278.30 – $807.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $624.34 | $71.00 – $936.51 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $644.19 | $171.78 – $805.24 |