Herpes simplex virus isolation at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$87.68
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.
$501.00
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.
$30.47 with United vs $450.90 with Multiplan — 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 | $30.47 | ↓ -65% |
| BCBS | Medicare|All Plans | $33.86 | ↓ -61% |
| AETNA | Medicare|All Plans | $33.86 | ↓ -61% |
| UNITED | Medicare|All Plans | $34.54 | ↓ -61% |
| AMERIVANTAGE | Medicare|All Plans | $34.88 | ↓ -60% |
| SCANHealth | Medicare|All Plans | $36.23 | ↓ -59% |
| BCBS-TX | Commercial|Ref Lab | $36.87 | ↓ -58% |
| SUPERIOR | Medicaid|CHIP | $46.38 | ↓ -47% |
| UNITED | Medicaid|STARKIDS | $47.31 | ↓ -46% |
| UNITED | Medicaid|All Other Plans | $47.31 | ↓ -46% |
| BCBS | Medicaid|STARKIDS | $48.70 | ↓ -44% |
| SUPERIOR | Medicaid|All Other Plans | $48.70 | ↓ -44% |
| Ambetter | Commercial|All Plans | $49.10 | ↓ -44% |
| Wellpoint | Commercial|Exchange | $50.79 | ↓ -42% |
| SUPERIOR | Medicaid|STAR | $58.44 | ↓ -33% |
| Bright Health | Commercial|All Plans | $60.27 | ↓ -31% |
| Entrust | Commercial|All Plans | $67.72 | ↓ -23% |
| Cigna | Commercial|Local Plus | $73.99 | ↓ -16% |
| Ellwood | Commercial|All Plans | $101.58 | ↑ +16% |
| SUPERIOR | Medicaid|STARPLUS | $108.07 | ↑ +23% |
| UNITED | Medicaid|STARPLUS | $110.38 | ↑ +26% |
| BCBS-TX | Commercial|Blue Advantage HMO | $118.85 | ↑ +36% |
| BCBS-TX | Commercial|Blue Premier | $118.85 | ↑ +36% |
| BCBS-TX | Commercial|HMO | $121.22 | ↑ +38% |
| BCBS-TX | Commercial|PPO | $139.84 | ↑ +59% |
| Wellpoint | Medicaid|All Other Plans | $147.30 | ↑ +68% |
| Wellpoint | Medicaid|STAR | $176.76 | ↑ +102% |
| Health Smart | Commercial|All Plans | $275.55 | ↑ +214% |
| First Health | Commercial|All Plans | $300.60 | ↑ +243% |
| Humana | Commercial|All Plans | $305.61 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $320.64 | ↑ +266% |
| Aetna | Commercial|All Plans | $320.64 | ↑ +266% |
| United | Commercial|All Other Plans | $390.78 | ↑ +346% |
| PHCS | Commercial|All Plans | $425.85 | ↑ +386% |
| Multiplan | Commercial|All Plans | $450.90 | ↑ +414% |
Visitor-reported prices
Comments
Herpes simplex virus isolation at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $97.06 | $30.47 – $130.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $59.70 | $10.00 – $81.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $167.38 | $8.76 – $81.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $148.78 | $12.00 – $81.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $59.70 | $10.00 – $81.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $167.38 | $12.00 – $81.26 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $167.38 | $8.00 – $81.26 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $148.78 | $12.00 – $81.26 |