MRI breast c-+ w/cad uni at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$42.35
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.
?
What you pay up front if you don't use insurance.
$242.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$53.24 with BCBS vs $2,011.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $53.24 | ↑ +26% |
| UNITED | Medicare|All Plans | $54.31 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $54.84 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $56.97 | ↑ +35% |
| AETNA | Medicare|All Plans | $60.50 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $71.15 | ↑ +68% |
| Ambetter | Commercial|All Plans | $77.20 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $79.86 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $85.38 | ↑ +102% |
| Bright Health | Commercial|All Plans | $94.77 | ↑ +124% |
| Entrust | Commercial|All Plans | $116.16 | ↑ +174% |
| Health Smart | Commercial|All Plans | $133.10 | ↑ +214% |
| First Health | Commercial|All Plans | $145.20 | ↑ +243% |
| Cigna | Commercial|All Other Plans | $154.88 | ↑ +266% |
| Aetna | Commercial|All Plans | $154.88 | ↑ +266% |
| Ellwood | Commercial|All Plans | $159.72 | ↑ +277% |
| United | Commercial|All Other Plans | $188.76 | ↑ +346% |
| PHCS | Commercial|All Plans | $205.70 | ↑ +386% |
| Multiplan | Commercial|All Plans | $217.80 | ↑ +414% |
| BCBS-TX | Commercial|Blue Advantage HMO | $242.00 | ↑ +471% |
| BCBS-TX | Commercial|PPO | $242.00 | ↑ +471% |
| BCBS-TX | Commercial|HMO | $242.00 | ↑ +471% |
| BCBS-TX | Commercial|Blue Premier | $242.00 | ↑ +471% |
| BCBS-TX | Commercial|Ref Lab | $242.00 | ↑ +471% |
| Cigna | Commercial|Local Plus | $1,169.00 | ↑ +2660% |
| Humana | Commercial|All Plans | $1,450.00 | ↑ +3324% |
| United | Commercial|Exchange | $2,011.00 | ↑ +4649% |
Visitor-reported prices
Comments
MRI breast c-+ w/cad uni at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,003.54 | $567.67 – $2,838.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $346.24 | $71.27 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,645.45 | $329.09 – $2,149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,003.54 | $534.28 – $2,838.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $346.24 | $111.14 – $2,149.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $346.24 | $178.89 – $2,700.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,645.45 | $548.48 – $2,468.17 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,003.54 | $534.28 – $2,838.35 |