Lens, intraocular (new tech) at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$1,299.73
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.
$7,427.00
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.
$813.80 with United vs $4,069.00 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 | $813.80 | ↓ -37% |
| BCBS | Medicare|All Plans | $895.18 | ↓ -31% |
| UNITED | Medicare|All Plans | $913.09 | ↓ -30% |
| AMERIVANTAGE | Medicare|All Plans | $922.04 | ↓ -29% |
| SCANHealth | Medicare|All Plans | $957.85 | ↓ -26% |
| AETNA | Medicare|All Plans | $1,017.25 | ↓ -22% |
| Bright Health | Commercial|All Plans | $1,057.94 | ↓ -19% |
| Wellpoint | Medicaid|All Other Plans | $1,196.29 | ↓ -8% |
| Ambetter | Commercial|All Plans | $1,298.02 | ↓ -0% |
| Wellpoint | Commercial|Exchange | $1,342.77 | ↑ +3% |
| Wellpoint | Medicaid|STAR | $1,435.55 | ↑ +10% |
| Entrust | Commercial|All Plans | $1,953.12 | ↑ +50% |
| Cigna | Commercial|Local Plus | $1,993.81 | ↑ +53% |
| Health Smart | Commercial|All Plans | $2,237.95 | ↑ +72% |
| First Health | Commercial|All Plans | $2,441.40 | ↑ +88% |
| Humana | Commercial|All Plans | $2,482.09 | ↑ +91% |
| Aetna | Commercial|All Plans | $2,604.16 | ↑ +100% |
| Cigna | Commercial|All Other Plans | $2,604.16 | ↑ +100% |
| Ellwood | Commercial|All Plans | $2,685.54 | ↑ +107% |
| United | Commercial|All Other Plans | $3,173.82 | ↑ +144% |
| PHCS | Commercial|All Plans | $3,458.65 | ↑ +166% |
| Multiplan | Commercial|All Plans | $3,662.10 | ↑ +182% |
| BCBS-TX | Commercial|Ref Lab | $4,069.00 | ↑ +213% |
Visitor-reported prices
Comments
Lens, intraocular (new tech) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,528.30 | $77.25 – $340.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,528.30 | $56.12 – $408.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,528.30 | $54.53 – $340.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,528.30 | $72.71 – $340.81 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,528.30 | $87.52 – $408.97 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,528.30 | $140.87 – $408.97 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,528.30 | $90.88 – $408.97 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,528.30 | $72.71 – $340.81 |