Low cost skin substitute app at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$140.88
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.
$805.00
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.
$177.10 with BCBS vs $2,888.00 with Cigna — 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 | $177.10 | ↑ +26% |
| UNITED | Medicare|All Plans | $180.65 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $182.42 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $189.50 | ↑ +35% |
| AETNA | Medicare|All Plans | $201.25 | ↑ +43% |
| SUPERIOR | Medicaid|CHIP | $225.40 | ↑ +60% |
| UNITED | Medicaid|STARKIDS | $229.91 | ↑ +63% |
| UNITED | Medicaid|All Other Plans | $229.91 | ↑ +63% |
| SUPERIOR | Medicaid|All Other Plans | $236.67 | ↑ +68% |
| Wellpoint | Medicaid|All Other Plans | $236.67 | ↑ +68% |
| BCBS | Medicaid|STARKIDS | $236.67 | ↑ +68% |
| Ambetter | Commercial|All Plans | $256.80 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $265.65 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $284.01 | ↑ +102% |
| SUPERIOR | Medicaid|STAR | $284.01 | ↑ +102% |
| Bright Health | Commercial|All Plans | $315.24 | ↑ +124% |
| Entrust | Commercial|All Plans | $386.40 | ↑ +174% |
| Health Smart | Commercial|All Plans | $442.75 | ↑ +214% |
| First Health | Commercial|All Plans | $483.00 | ↑ +243% |
| Humana | Commercial|All Plans | $491.05 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $515.20 | ↑ +266% |
| Aetna | Commercial|All Plans | $515.20 | ↑ +266% |
| SUPERIOR | Medicaid|STARPLUS | $525.19 | ↑ +273% |
| Ellwood | Commercial|All Plans | $531.30 | ↑ +277% |
| UNITED | Medicaid|STARPLUS | $536.46 | ↑ +281% |
| United | Commercial|All Other Plans | $603.75 | ↑ +329% |
| PHCS | Commercial|All Plans | $684.25 | ↑ +386% |
| BCBS-TX | Commercial|Blue Premier | $695.83 | ↑ +394% |
| BCBS-TX | Commercial|Blue Advantage HMO | $700.80 | ↑ +397% |
| Multiplan | Commercial|All Plans | $724.50 | ↑ +414% |
| BCBS-TX | Commercial|HMO | $745.53 | ↑ +429% |
| BCBS-TX | Commercial|Ref Lab | $805.00 | ↑ +471% |
| BCBS-TX | Commercial|PPO | $820.08 | ↑ +482% |
| United | Commercial|Exchange | $1,508.00 | ↑ +970% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +1950% |
Visitor-reported prices
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Low cost skin substitute app at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $818.58 | $507.58 – $4,524.00 |
| St. Joseph Health Madison Hospital | Madisonville | $140.88 | $102.56 – $805.00 |
| St. Joseph Health College Station Hospital | College Station | $140.88 | $442.75 – $805.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $208.95 | $89.55 – $298.50 |
| St. Joseph Health Grimes Hospital | Navasota | $140.88 | $291.90 – $893.55 |
| Covenant Medical Center | Lubbock | $818.58 | $516.15 – $2,875.00 |
| Covenant Hospital Plainview | Plainview | $774.90 | $999.01 – $4,837.00 |
| Covenant Hospital Levelland | Levelland | $772.80 | $1,779.33 – $4,837.00 |