Ins tun cv cath wo subq prt/pm at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$570.85
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.
$3,262.00
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.
$188.00 with United vs $6,045.00 with United — 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|All Other Plans | $188.00 | ↓ -67% |
| BCBS | Medicare|All Plans | $215.16 | ↓ -62% |
| UNITED | Medicare|All Plans | $219.47 | ↓ -62% |
| AMERIVANTAGE | Medicare|All Plans | $221.62 | ↓ -61% |
| SCANHealth | Medicare|All Plans | $230.23 | ↓ -60% |
| AETNA | Medicare|All Plans | $244.50 | ↓ -57% |
| Wellpoint | Medicaid|All Other Plans | $287.54 | ↓ -50% |
| Ambetter | Commercial|All Plans | $311.99 | ↓ -45% |
| Wellpoint | Commercial|Exchange | $322.74 | ↓ -43% |
| Wellpoint | Medicaid|STAR | $345.04 | ↓ -40% |
| Bright Health | Commercial|All Plans | $382.99 | ↓ -33% |
| Entrust | Commercial|All Plans | $469.44 | ↓ -18% |
| Health Smart | Commercial|All Plans | $537.90 | ↓ -6% |
| First Health | Commercial|All Plans | $586.80 | ↑ +3% |
| Humana | Commercial|All Plans | $596.58 | ↑ +5% |
| Aetna | Commercial|All Plans | $625.92 | ↑ +10% |
| Cigna | Commercial|All Other Plans | $625.92 | ↑ +10% |
| Ellwood | Commercial|All Plans | $645.48 | ↑ +13% |
| PHCS | Commercial|All Plans | $831.30 | ↑ +46% |
| Multiplan | Commercial|All Plans | $880.20 | ↑ +54% |
| BCBS-TX | Commercial|Ref Lab | $978.00 | ↑ +71% |
| SUPERIOR | Medicaid|CHIP | $1,176.37 | ↑ +106% |
| UNITED | Medicaid|All Other Plans | $1,199.90 | ↑ +110% |
| UNITED | Medicaid|STARKIDS | $1,199.90 | ↑ +110% |
| BCBS | Medicaid|STARKIDS | $1,235.19 | ↑ +116% |
| SUPERIOR | Medicaid|All Other Plans | $1,235.19 | ↑ +116% |
| SUPERIOR | Medicaid|STAR | $1,482.23 | ↑ +160% |
| SUPERIOR | Medicaid|STARPLUS | $2,740.94 | ↑ +380% |
| UNITED | Medicaid|STARPLUS | $2,799.76 | ↑ +390% |
| Cigna | Commercial|Local Plus | $3,346.00 | ↑ +486% |
| BCBS-TX | Commercial|Blue Premier | $3,879.79 | ↑ +580% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,907.50 | ↑ +585% |
| BCBS-TX | Commercial|HMO | $4,156.92 | ↑ +628% |
| BCBS-TX | Commercial|PPO | $4,572.61 | ↑ +701% |
| United | Commercial|Exchange | $6,045.00 | ↑ +959% |
Visitor-reported prices
Comments
Ins tun cv cath wo subq prt/pm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $4,812.07 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $5,078.21 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,390.27 | $71.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $4,812.07 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $5,078.21 | $85.00 – $7,896.23 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $5,078.21 | $1,118.22 – $7,896.23 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,390.27 | $71.00 – $8,085.40 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $4,812.07 | $1,118.22 – $7,896.23 |