Inj proc lumbr disk ea lvl at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$797.65
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.
$4,558.00
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.
$50.00 with BCBS-TX vs $2,973.64 with SUPERIOR — 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | ↓ -94% |
| BCBS-TX | Commercial|Blue Premier | $56.00 | ↓ -93% |
| BCBS-TX | Commercial|HMO | $59.00 | ↓ -93% |
| BCBS-TX | Commercial|PPO | $66.00 | ↓ -92% |
| BCBS | Medicare|All Plans | $92.18 | ↓ -88% |
| UNITED | Medicare|All Plans | $94.03 | ↓ -88% |
| AMERIVANTAGE | Medicare|All Plans | $94.95 | ↓ -88% |
| SCANHealth | Medicare|All Plans | $98.64 | ↓ -88% |
| AETNA | Medicare|All Plans | $104.75 | ↓ -87% |
| Wellpoint | Medicaid|All Other Plans | $123.19 | ↓ -85% |
| Ambetter | Commercial|All Plans | $133.67 | ↓ -83% |
| Wellpoint | Commercial|Exchange | $138.27 | ↓ -83% |
| Wellpoint | Medicaid|STAR | $147.83 | ↓ -81% |
| Bright Health | Commercial|All Plans | $164.09 | ↓ -79% |
| Entrust | Commercial|All Plans | $201.12 | ↓ -75% |
| Health Smart | Commercial|All Plans | $230.45 | ↓ -71% |
| First Health | Commercial|All Plans | $251.40 | ↓ -68% |
| Humana | Commercial|All Plans | $255.59 | ↓ -68% |
| Cigna | Commercial|All Other Plans | $268.16 | ↓ -66% |
| Aetna | Commercial|All Plans | $268.16 | ↓ -66% |
| Ellwood | Commercial|All Plans | $276.54 | ↓ -65% |
| United | Commercial|All Other Plans | $326.82 | ↓ -59% |
| PHCS | Commercial|All Plans | $356.15 | ↓ -55% |
| Multiplan | Commercial|All Plans | $377.10 | ↓ -53% |
| BCBS-TX | Commercial|Ref Lab | $419.00 | ↓ -47% |
| UNITED | Medicaid|All Other Plans | $1,154.40 | ↑ +45% |
| SUPERIOR | Medicaid|CHIP | $1,276.24 | ↑ +60% |
| UNITED | Medicaid|STARKIDS | $1,301.77 | ↑ +63% |
| SUPERIOR | Medicaid|All Other Plans | $1,340.06 | ↑ +68% |
| BCBS | Medicaid|STARKIDS | $1,340.06 | ↑ +68% |
| United | Commercial|Exchange | $1,508.00 | ↑ +89% |
| SUPERIOR | Medicaid|STAR | $1,608.07 | ↑ +102% |
| Cigna | Commercial|Local Plus | $1,980.58 | ↑ +148% |
| UNITED | Medicaid|STARPLUS | $2,693.59 | ↑ +238% |
| SUPERIOR | Medicaid|STARPLUS | $2,973.64 | ↑ +273% |
Visitor-reported prices
Comments
Inj proc lumbr disk ea lvl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,015.55 | $571.07 – $2,855.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $547.14 | $71.00 – $820.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $536.41 | $71.00 – $670.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,015.55 | $537.48 – $2,855.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $547.14 | $85.00 – $820.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $547.14 | $282.69 – $820.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $536.41 | $71.00 – $804.62 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,015.55 | $537.48 – $2,855.36 |