Insert palate implants at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$1,147.30
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.
$6,556.00
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.
$662.00 with United vs $3,310.00 with BCBS-TX — 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 | $662.00 | ↓ -42% |
| BCBS-TX | Commercial|Blue Advantage HMO | $728.20 | ↓ -37% |
| BCBS | Medicare|All Plans | $728.20 | ↓ -37% |
| UNITED | Medicare|All Plans | $742.77 | ↓ -35% |
| AMERIVANTAGE | Medicare|All Plans | $750.05 | ↓ -35% |
| SCANHealth | Medicare|All Plans | $779.18 | ↓ -32% |
| BCBS-TX | Commercial|Blue Premier | $827.50 | ↓ -28% |
| AETNA | Medicare|All Plans | $827.50 | ↓ -28% |
| Bright Health | Commercial|All Plans | $860.60 | ↓ -25% |
| BCBS-TX | Commercial|HMO | $893.70 | ↓ -22% |
| BCBS-TX | Commercial|PPO | $959.90 | ↓ -16% |
| Wellpoint | Medicaid|All Other Plans | $973.14 | ↓ -15% |
| Cigna | Commercial|Local Plus | $1,026.10 | ↓ -11% |
| Ambetter | Commercial|All Plans | $1,055.89 | ↓ -8% |
| Wellpoint | Commercial|Exchange | $1,092.30 | ↓ -5% |
| Wellpoint | Medicaid|STAR | $1,167.77 | ↑ +2% |
| Entrust | Commercial|All Plans | $1,588.80 | ↑ +38% |
| Health Smart | Commercial|All Plans | $1,820.50 | ↑ +59% |
| First Health | Commercial|All Plans | $1,986.00 | ↑ +73% |
| Humana | Commercial|All Plans | $2,019.10 | ↑ +76% |
| Aetna | Commercial|All Plans | $2,118.40 | ↑ +85% |
| Cigna | Commercial|All Other Plans | $2,118.40 | ↑ +85% |
| Ellwood | Commercial|All Plans | $2,184.60 | ↑ +90% |
| United | Commercial|All Other Plans | $2,581.80 | ↑ +125% |
| PHCS | Commercial|All Plans | $2,813.50 | ↑ +145% |
| Multiplan | Commercial|All Plans | $2,979.00 | ↑ +160% |
| BCBS-TX | Commercial|Ref Lab | $3,310.00 | ↑ +189% |
Visitor-reported prices
Comments
Insert palate implants at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $1,147.30 | $421.70 – $2,979.00 |
| St. Joseph Health College Station Hospital | College Station | $1,147.30 | $662.00 – $2,813.50 |
| St. Joseph Health Grimes Hospital | Navasota | $1,147.30 | $662.00 – $3,674.10 |
| Adventhealth Rollins Brook | Lampasas | not published | $1,686.68 – $1,686.68 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $2,158.94 – $2,158.94 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $2,766.15 – $2,766.15 |
| Covenant Children's Hospital | Lubbock | not published | $763.11 – $2,874.09 |
| HCA HOUSTON CONROE | CONROE | not published | $2,347.85 – $2,347.85 |