#hypersens-actinomyces ab at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$27.48
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.
?
What you pay up front if you don't use insurance.
$157.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$9.16 with United vs $141.30 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $9.16 | ↓ -67% |
| BCBS | Medicare|All Plans | $10.18 | ↓ -63% |
| AETNA | Medicare|All Plans | $10.18 | ↓ -63% |
| UNITED | Medicare|All Plans | $10.38 | ↓ -62% |
| AMERIVANTAGE | Medicare|All Plans | $10.49 | ↓ -62% |
| SCANHealth | Medicare|All Plans | $10.89 | ↓ -60% |
| BCBS-TX | Commercial|Ref Lab | $11.08 | ↓ -60% |
| SUPERIOR | Medicaid|CHIP | $13.94 | ↓ -49% |
| UNITED | Medicaid|STARKIDS | $14.22 | ↓ -48% |
| UNITED | Medicaid|All Other Plans | $14.22 | ↓ -48% |
| BCBS | Medicaid|STARKIDS | $14.64 | ↓ -47% |
| SUPERIOR | Medicaid|All Other Plans | $14.64 | ↓ -47% |
| Ambetter | Commercial|All Plans | $14.76 | ↓ -46% |
| Wellpoint | Commercial|Exchange | $15.27 | ↓ -44% |
| SUPERIOR | Medicaid|STAR | $17.56 | ↓ -36% |
| Bright Health | Commercial|All Plans | $18.12 | ↓ -34% |
| Entrust | Commercial|All Plans | $20.36 | ↓ -26% |
| Cigna | Commercial|Local Plus | $21.90 | ↓ -20% |
| Ellwood | Commercial|All Plans | $30.54 | ↑ +11% |
| SUPERIOR | Medicaid|STARPLUS | $32.48 | ↑ +18% |
| UNITED | Medicaid|STARPLUS | $33.18 | ↑ +21% |
| BCBS-TX | Commercial|Blue Advantage HMO | $35.73 | ↑ +30% |
| BCBS-TX | Commercial|Blue Premier | $35.73 | ↑ +30% |
| BCBS-TX | Commercial|HMO | $36.44 | ↑ +33% |
| BCBS-TX | Commercial|PPO | $42.04 | ↑ +53% |
| Wellpoint | Medicaid|All Other Plans | $46.16 | ↑ +68% |
| Wellpoint | Medicaid|STAR | $55.39 | ↑ +102% |
| Health Smart | Commercial|All Plans | $86.35 | ↑ +214% |
| First Health | Commercial|All Plans | $94.20 | ↑ +243% |
| Humana | Commercial|All Plans | $95.77 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $100.48 | ↑ +266% |
| Aetna | Commercial|All Plans | $100.48 | ↑ +266% |
| United | Commercial|All Other Plans | $122.46 | ↑ +346% |
| PHCS | Commercial|All Plans | $133.45 | ↑ +386% |
| Multiplan | Commercial|All Plans | $141.30 | ↑ +414% |
Visitor-reported prices
Comments
#hypersens-actinomyces ab at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $27.48 | $9.16 – $141.30 |
| St. Luke's Health Memorial Lufkin | Lufkin | $17.34 | $8.55 – $103.99 |
| St. Joseph Health College Station Hospital | College Station | $27.48 | $8.55 – $133.45 |
| St. Joseph Health Grimes Hospital | Navasota | $27.48 | $9.16 – $133.45 |
| St. Luke's Health Memorial Livingston | Livingston | $17.34 | $8.55 – $103.99 |
| St. Luke's Health Memorial San Augustine | San Augustine | $17.34 | $8.55 – $103.99 |
| Ascension Providence | Waco | $22.95 | $3.59 – $44.89 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $37.89 | $3.59 – $60.82 |