Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$1,816.68
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.
$10,381.00
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.
$105.69 with United vs $2,395.00 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 |
|---|---|---|---|
| United | Commercial|Exchange | $105.69 | ↓ -94% |
| Cigna | Commercial|Local Plus | $119.05 | ↓ -93% |
| BCBS-TX | Commercial|Blue Advantage HMO | $193.54 | ↓ -89% |
| BCBS-TX | Commercial|Blue Premier | $224.45 | ↓ -88% |
| BCBS-TX | Commercial|HMO | $239.23 | ↓ -87% |
| BCBS-TX | Commercial|PPO | $264.77 | ↓ -85% |
| BCBS | Medicare|All Plans | $526.90 | ↓ -71% |
| UNITED | Medicare|All Plans | $537.44 | ↓ -70% |
| AMERIVANTAGE | Medicare|All Plans | $542.71 | ↓ -70% |
| SCANHealth | Medicare|All Plans | $563.79 | ↓ -69% |
| AETNA | Medicare|All Plans | $598.75 | ↓ -67% |
| Wellpoint | Medicaid|All Other Plans | $704.13 | ↓ -61% |
| Ambetter | Commercial|All Plans | $764.01 | ↓ -58% |
| Wellpoint | Commercial|Exchange | $790.35 | ↓ -56% |
| Wellpoint | Medicaid|STAR | $844.96 | ↓ -53% |
| Bright Health | Commercial|All Plans | $937.89 | ↓ -48% |
| Entrust | Commercial|All Plans | $1,149.60 | ↓ -37% |
| Health Smart | Commercial|All Plans | $1,317.25 | ↓ -27% |
| First Health | Commercial|All Plans | $1,437.00 | ↓ -21% |
| Humana | Commercial|All Plans | $1,460.95 | ↓ -20% |
| Aetna | Commercial|All Plans | $1,532.80 | ↓ -16% |
| Cigna | Commercial|All Other Plans | $1,532.80 | ↓ -16% |
| Ellwood | Commercial|All Plans | $1,580.70 | ↓ -13% |
| United | Commercial|All Other Plans | $1,868.10 | ↑ +3% |
| PHCS | Commercial|All Plans | $2,035.75 | ↑ +12% |
| Multiplan | Commercial|All Plans | $2,155.50 | ↑ +19% |
| BCBS-TX | Commercial|Ref Lab | $2,395.00 | ↑ +32% |
Visitor-reported prices
Comments
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $4,327.00 | $105.46 – $238.47 |
| Covenant Children's Hospital | Lubbock | $9,889.61 | $154.56 – $394.33 |
| St. Luke's Health - Patients Medical Center | Pasadena | $811.08 | $146.50 – $1,738.02 |
| Baylor St Luke's Medical Center | Houston | $545.30 | $119.62 – $712.00 |
| St. Joseph Health Madison Hospital | Madisonville | $1,816.68 | $105.69 – $2,155.50 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,181.41 | $22.34 – $227.46 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $545.30 | $146.50 – $712.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $545.30 | $146.50 – $712.00 |