Lab draw <3 yrs scalp vein 36405 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$47.43
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.
$271.00
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.
$59.62 with BCBS vs $670.00 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 |
|---|---|---|---|
| BCBS | Medicare|All Plans | $59.62 | ↑ +26% |
| UNITED | Medicare|All Plans | $60.82 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $61.41 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $63.80 | ↑ +35% |
| AETNA | Medicare|All Plans | $67.75 | ↑ +43% |
| SUPERIOR | Medicaid|CHIP | $75.88 | ↑ +60% |
| UNITED | Medicaid|STARKIDS | $77.40 | ↑ +63% |
| UNITED | Medicaid|All Other Plans | $77.40 | ↑ +63% |
| SUPERIOR | Medicaid|All Other Plans | $79.68 | ↑ +68% |
| UNITED | Medicaid|STARPLUS | $79.68 | ↑ +68% |
| BCBS | Medicaid|STARKIDS | $79.68 | ↑ +68% |
| Wellpoint | Medicaid|All Other Plans | $79.68 | ↑ +68% |
| Ambetter | Commercial|All Plans | $86.45 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $89.43 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $95.61 | ↑ +102% |
| SUPERIOR | Medicaid|STAR | $95.61 | ↑ +102% |
| Bright Health | Commercial|All Plans | $106.13 | ↑ +124% |
| Entrust | Commercial|All Plans | $130.08 | ↑ +174% |
| Cigna | Commercial|Local Plus | $132.79 | ↑ +180% |
| Health Smart | Commercial|All Plans | $149.05 | ↑ +214% |
| First Health | Commercial|All Plans | $162.60 | ↑ +243% |
| Humana | Commercial|All Plans | $165.31 | ↑ +249% |
| Aetna | Commercial|All Plans | $173.44 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $173.44 | ↑ +266% |
| SUPERIOR | Medicaid|STARPLUS | $176.81 | ↑ +273% |
| Ellwood | Commercial|All Plans | $178.86 | ↑ +277% |
| United | Commercial|All Other Plans | $188.00 | ↑ +296% |
| PHCS | Commercial|All Plans | $230.35 | ↑ +386% |
| Multiplan | Commercial|All Plans | $243.90 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $271.00 | ↑ +471% |
| United | Commercial|Exchange | $670.00 | ↑ +1313% |
Visitor-reported prices
Comments
Lab draw <3 yrs scalp vein 36405 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $117.60 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $81.90 | $15.57 – $175.50 |
| St. Joseph Health Madison Hospital | Madisonville | $47.43 | $34.53 – $271.00 |
| St. Joseph Health College Station Hospital | College Station | $47.43 | $21.68 – $271.00 |
| St. Joseph Health Grimes Hospital | Navasota | $47.43 | $98.27 – $300.81 |
| Covenant Medical Center | Lubbock | $117.60 | $158.45 – $158.45 |
| Covenant Hospital Plainview | Plainview | $120.96 | not published |
| Covenant Hospital Levelland | Levelland | $120.96 | not published |