Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$37.80
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.
$216.00
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.
$33.54 with United vs $194.40 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 | $33.54 | ↓ -11% |
| AETNA | Medicare|All Plans | $37.27 | ↓ -1% |
| BCBS | Medicare|All Plans | $37.27 | ↓ -1% |
| UNITED | Medicare|All Plans | $38.02 | ↑ +1% |
| BCBS-TX | Commercial|Ref Lab | $38.21 | ↑ +1% |
| AMERIVANTAGE | Medicare|All Plans | $38.39 | ↑ +2% |
| SCANHealth | Medicare|All Plans | $39.88 | ↑ +6% |
| SUPERIOR | Medicaid|CHIP | $51.06 | ↑ +35% |
| UNITED | Medicaid|All Other Plans | $52.08 | ↑ +38% |
| UNITED | Medicaid|STARKIDS | $52.08 | ↑ +38% |
| BCBS | Medicaid|STARKIDS | $53.61 | ↑ +42% |
| SUPERIOR | Medicaid|All Other Plans | $53.61 | ↑ +42% |
| Ambetter | Commercial|All Plans | $54.04 | ↑ +43% |
| Wellpoint | Commercial|Exchange | $55.91 | ↑ +48% |
| Wellpoint | Medicaid|All Other Plans | $63.51 | ↑ +68% |
| SUPERIOR | Medicaid|STAR | $64.34 | ↑ +70% |
| Bright Health | Commercial|All Plans | $66.34 | ↑ +76% |
| Entrust | Commercial|All Plans | $74.54 | ↑ +97% |
| Wellpoint | Medicaid|STAR | $76.21 | ↑ +102% |
| Cigna | Commercial|Local Plus | $81.54 | ↑ +116% |
| Ellwood | Commercial|All Plans | $111.81 | ↑ +196% |
| Health Smart | Commercial|All Plans | $118.80 | ↑ +214% |
| SUPERIOR | Medicaid|STARPLUS | $118.97 | ↑ +215% |
| UNITED | Medicaid|STARPLUS | $121.52 | ↑ +221% |
| First Health | Commercial|All Plans | $129.60 | ↑ +243% |
| BCBS-TX | Commercial|Blue Advantage HMO | $130.82 | ↑ +246% |
| BCBS-TX | Commercial|Blue Premier | $130.82 | ↑ +246% |
| Humana | Commercial|All Plans | $131.76 | ↑ +249% |
| BCBS-TX | Commercial|HMO | $133.43 | ↑ +253% |
| Cigna | Commercial|All Other Plans | $138.24 | ↑ +266% |
| Aetna | Commercial|All Plans | $138.24 | ↑ +266% |
| BCBS-TX | Commercial|PPO | $153.93 | ↑ +307% |
| United | Commercial|All Other Plans | $168.48 | ↑ +346% |
| PHCS | Commercial|All Plans | $183.60 | ↑ +386% |
| Multiplan | Commercial|All Plans | $194.40 | ↑ +414% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $318.55 | $33.54 – $143.49 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $215.18 | $10.00 – $268.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $157.88 | $12.00 – $236.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $209.30 | $12.00 – $261.62 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $215.18 | $10.00 – $268.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $157.88 | $12.00 – $236.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $157.88 | $8.00 – $236.83 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $209.30 | $12.00 – $313.95 |