Infectious agent nucleic acid quantification hiv-1 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$151.90
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.
$868.00
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.
$76.59 with United vs $781.20 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 | $76.59 | ↓ -50% |
| BCBS | Medicare|All Plans | $85.10 | ↓ -44% |
| AETNA | Medicare|All Plans | $85.10 | ↓ -44% |
| UNITED | Medicare|All Plans | $86.80 | ↓ -43% |
| AMERIVANTAGE | Medicare|All Plans | $87.65 | ↓ -42% |
| SCANHealth | Medicare|All Plans | $91.06 | ↓ -40% |
| BCBS-TX | Commercial|Ref Lab | $92.66 | ↓ -39% |
| SUPERIOR | Medicaid|CHIP | $116.58 | ↓ -23% |
| UNITED | Medicaid|STARKIDS | $118.91 | ↓ -22% |
| UNITED | Medicaid|All Other Plans | $118.91 | ↓ -22% |
| BCBS | Medicaid|STARKIDS | $122.41 | ↓ -19% |
| SUPERIOR | Medicaid|All Other Plans | $122.41 | ↓ -19% |
| Ambetter | Commercial|All Plans | $123.39 | ↓ -19% |
| Wellpoint | Commercial|Exchange | $127.65 | ↓ -16% |
| SUPERIOR | Medicaid|STAR | $146.89 | ↓ -3% |
| Bright Health | Commercial|All Plans | $151.48 | ↓ -0% |
| Entrust | Commercial|All Plans | $170.20 | ↑ +12% |
| Cigna | Commercial|Local Plus | $185.71 | ↑ +22% |
| Wellpoint | Medicaid|All Other Plans | $255.20 | ↑ +68% |
| Ellwood | Commercial|All Plans | $255.30 | ↑ +68% |
| SUPERIOR | Medicaid|STARPLUS | $271.63 | ↑ +79% |
| UNITED | Medicaid|STARPLUS | $277.46 | ↑ +83% |
| BCBS-TX | Commercial|Blue Premier | $298.70 | ↑ +97% |
| BCBS-TX | Commercial|Blue Advantage HMO | $298.70 | ↑ +97% |
| BCBS-TX | Commercial|HMO | $304.66 | ↑ +101% |
| Wellpoint | Medicaid|STAR | $306.24 | ↑ +102% |
| BCBS-TX | Commercial|PPO | $351.46 | ↑ +131% |
| Health Smart | Commercial|All Plans | $477.40 | ↑ +214% |
| First Health | Commercial|All Plans | $520.80 | ↑ +243% |
| Humana | Commercial|All Plans | $529.48 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $555.52 | ↑ +266% |
| Aetna | Commercial|All Plans | $555.52 | ↑ +266% |
| United | Commercial|All Other Plans | $677.04 | ↑ +346% |
| PHCS | Commercial|All Plans | $737.80 | ↑ +386% |
| Multiplan | Commercial|All Plans | $781.20 | ↑ +414% |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification hiv-1 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,054.41 | $76.59 – $327.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $448.31 | $10.00 – $560.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $327.28 | $12.00 – $490.91 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $426.38 | $12.00 – $532.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $448.31 | $10.00 – $560.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $327.28 | $12.00 – $490.91 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $327.28 | $8.00 – $490.91 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $426.38 | $12.00 – $639.57 |