Graft impl ult thck 6x12cm -cost per sq cm at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$23,253.65
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.
$132,878.00
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.
$35.15 with Cigna vs $12,122.00 with BCBS-TX — 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 |
|---|---|---|---|
| Cigna | Commercial|Local Plus | $35.15 | ↓ -100% |
| BCBS-TX | Commercial|Blue Advantage HMO | $48.70 | ↓ -100% |
| BCBS-TX | Commercial|Blue Premier | $79.40 | ↓ -100% |
| BCBS-TX | Commercial|HMO | $81.52 | ↓ -100% |
| BCBS-TX | Commercial|PPO | $93.17 | ↓ -100% |
| United | Commercial|Exchange | $2,424.40 | ↓ -90% |
| BCBS | Medicare|All Plans | $2,666.84 | ↓ -89% |
| UNITED | Medicare|All Plans | $2,720.18 | ↓ -88% |
| AMERIVANTAGE | Medicare|All Plans | $2,746.85 | ↓ -88% |
| SCANHealth | Medicare|All Plans | $2,853.52 | ↓ -88% |
| AETNA | Medicare|All Plans | $3,030.50 | ↓ -87% |
| Wellpoint | Medicaid|All Other Plans | $3,563.87 | ↓ -85% |
| Ambetter | Commercial|All Plans | $3,866.92 | ↓ -83% |
| Wellpoint | Commercial|Exchange | $4,000.26 | ↓ -83% |
| Bright Health | Commercial|All Plans | $4,000.26 | ↓ -83% |
| Wellpoint | Medicaid|STAR | $4,276.65 | ↓ -82% |
| Entrust | Commercial|All Plans | $5,818.56 | ↓ -75% |
| Health Smart | Commercial|All Plans | $6,667.10 | ↓ -71% |
| First Health | Commercial|All Plans | $7,273.20 | ↓ -69% |
| Humana | Commercial|All Plans | $7,394.42 | ↓ -68% |
| Aetna | Commercial|All Plans | $7,758.08 | ↓ -67% |
| Cigna | Commercial|All Other Plans | $7,758.08 | ↓ -67% |
| Ellwood | Commercial|All Plans | $8,000.52 | ↓ -66% |
| United | Commercial|All Other Plans | $9,455.16 | ↓ -59% |
| PHCS | Commercial|All Plans | $10,303.70 | ↓ -56% |
| Multiplan | Commercial|All Plans | $10,909.80 | ↓ -53% |
| BCBS-TX | Commercial|Ref Lab | $12,122.00 | ↓ -48% |
Visitor-reported prices
Comments
Graft impl ult thck 6x12cm -cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $27,603.28 | $12.30 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $27,603.28 | $8.94 – $65.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $27,603.28 | $8.68 – $131.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $27,603.28 | $11.58 – $268.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $27,603.28 | $13.93 – $186.89 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $27,603.28 | $22.43 – $65.11 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $27,603.28 | $14.47 – $186.89 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $27,603.28 | $11.58 – $268.77 |