Ghs superficial wnd dehiscence simp12020 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$154.35
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.
$882.00
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.
$78.32 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 | $78.32 | ↓ -49% |
| UNITED | Medicare|All Plans | $79.89 | ↓ -48% |
| AMERIVANTAGE | Medicare|All Plans | $80.67 | ↓ -48% |
| SCANHealth | Medicare|All Plans | $83.81 | ↓ -46% |
| AETNA | Medicare|All Plans | $89.00 | ↓ -42% |
| Wellpoint | Medicaid|All Other Plans | $104.67 | ↓ -32% |
| Ambetter | Commercial|All Plans | $113.57 | ↓ -26% |
| Wellpoint | Commercial|Exchange | $117.48 | ↓ -24% |
| Wellpoint | Medicaid|STAR | $125.60 | ↓ -19% |
| Bright Health | Commercial|All Plans | $139.41 | ↓ -10% |
| Entrust | Commercial|All Plans | $170.88 | ↑ +11% |
| United | Commercial|All Other Plans | $188.00 | ↑ +22% |
| Health Smart | Commercial|All Plans | $195.80 | ↑ +27% |
| First Health | Commercial|All Plans | $213.60 | ↑ +38% |
| Humana | Commercial|All Plans | $217.16 | ↑ +41% |
| Cigna | Commercial|All Other Plans | $227.84 | ↑ +48% |
| Aetna | Commercial|All Plans | $227.84 | ↑ +48% |
| SUPERIOR | Medicaid|CHIP | $228.07 | ↑ +48% |
| UNITED | Medicaid|All Other Plans | $232.63 | ↑ +51% |
| UNITED | Medicaid|STARKIDS | $232.63 | ↑ +51% |
| Ellwood | Commercial|All Plans | $234.96 | ↑ +52% |
| BCBS | Medicaid|STARKIDS | $239.47 | ↑ +55% |
| SUPERIOR | Medicaid|All Other Plans | $239.47 | ↑ +55% |
| SUPERIOR | Medicaid|STAR | $287.37 | ↑ +86% |
| PHCS | Commercial|All Plans | $302.60 | ↑ +96% |
| Multiplan | Commercial|All Plans | $320.40 | ↑ +108% |
| BCBS-TX | Commercial|Ref Lab | $356.00 | ↑ +131% |
| SUPERIOR | Medicaid|STARPLUS | $531.40 | ↑ +244% |
| UNITED | Medicaid|STARPLUS | $542.81 | ↑ +252% |
| BCBS-TX | Commercial|Blue Premier | $695.83 | ↑ +351% |
| BCBS-TX | Commercial|Blue Advantage HMO | $700.80 | ↑ +354% |
| BCBS-TX | Commercial|HMO | $745.53 | ↑ +383% |
| BCBS-TX | Commercial|PPO | $820.08 | ↑ +431% |
| United | Commercial|Exchange | $1,508.00 | ↑ +877% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +1771% |
Visitor-reported prices
Comments
Ghs superficial wnd dehiscence simp12020 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,665.04 | $216.80 – $2,081.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,444.46 | $71.00 – $2,166.69 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,240.18 | $71.00 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,665.04 | $216.80 – $2,081.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,444.46 | $85.00 – $2,166.69 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,444.46 | $216.80 – $2,166.69 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,240.18 | $71.00 – $1,860.27 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,665.04 | $216.80 – $2,081.30 |