Mayo factor v at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$76.30
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.
$436.00
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.
$15.89 with United vs $392.40 with Multiplan — 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 | $15.89 | ↓ -79% |
| BCBS | Medicare|All Plans | $17.65 | ↓ -77% |
| AETNA | Medicare|All Plans | $17.65 | ↓ -77% |
| UNITED | Medicare|All Plans | $18.00 | ↓ -76% |
| AMERIVANTAGE | Medicare|All Plans | $18.18 | ↓ -76% |
| SCANHealth | Medicare|All Plans | $18.89 | ↓ -75% |
| BCBS-TX | Commercial|Ref Lab | $19.22 | ↓ -75% |
| SUPERIOR | Medicaid|CHIP | $24.18 | ↓ -68% |
| UNITED | Medicaid|STARKIDS | $24.66 | ↓ -68% |
| UNITED | Medicaid|All Other Plans | $24.66 | ↓ -68% |
| BCBS | Medicaid|STARKIDS | $25.39 | ↓ -67% |
| SUPERIOR | Medicaid|All Other Plans | $25.39 | ↓ -67% |
| Ambetter | Commercial|All Plans | $25.59 | ↓ -66% |
| Wellpoint | Commercial|Exchange | $26.48 | ↓ -65% |
| SUPERIOR | Medicaid|STAR | $30.47 | ↓ -60% |
| Bright Health | Commercial|All Plans | $31.42 | ↓ -59% |
| Entrust | Commercial|All Plans | $35.30 | ↓ -54% |
| Cigna | Commercial|Local Plus | $38.50 | ↓ -50% |
| Ellwood | Commercial|All Plans | $52.95 | ↓ -31% |
| SUPERIOR | Medicaid|STARPLUS | $56.34 | ↓ -26% |
| UNITED | Medicaid|STARPLUS | $57.55 | ↓ -25% |
| BCBS-TX | Commercial|Blue Advantage HMO | $61.95 | ↓ -19% |
| BCBS-TX | Commercial|Blue Premier | $61.95 | ↓ -19% |
| BCBS-TX | Commercial|HMO | $63.19 | ↓ -17% |
| BCBS-TX | Commercial|PPO | $72.89 | ↓ -4% |
| Wellpoint | Medicaid|All Other Plans | $128.19 | ↑ +68% |
| Wellpoint | Medicaid|STAR | $153.83 | ↑ +102% |
| Health Smart | Commercial|All Plans | $239.80 | ↑ +214% |
| First Health | Commercial|All Plans | $261.60 | ↑ +243% |
| Humana | Commercial|All Plans | $265.96 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $279.04 | ↑ +266% |
| Aetna | Commercial|All Plans | $279.04 | ↑ +266% |
| United | Commercial|All Other Plans | $340.08 | ↑ +346% |
| PHCS | Commercial|All Plans | $370.60 | ↑ +386% |
| Multiplan | Commercial|All Plans | $392.40 | ↑ +414% |
Visitor-reported prices
Comments
Mayo factor v at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $530.23 | $15.89 – $67.95 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $220.03 | $10.00 – $275.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $221.11 | $12.00 – $331.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $208.24 | $12.00 – $260.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $220.03 | $10.00 – $275.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $221.11 | $12.00 – $331.67 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $221.11 | $8.00 – $331.67 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $208.24 | $12.00 – $312.35 |