New Patient Office Visit (level 4) at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$261.63
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.
$1,495.00
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 $703.72 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 | ↓ -77% |
| UNITED | Medicare|All Plans | $60.82 | ↓ -77% |
| AMERIVANTAGE | Medicare|All Plans | $61.41 | ↓ -77% |
| SCANHealth | Medicare|All Plans | $63.80 | ↓ -76% |
| AETNA | Medicare|All Plans | $67.75 | ↓ -74% |
| United | Commercial|Exchange | $77.00 | ↓ -71% |
| Wellpoint | Medicaid|All Other Plans | $79.68 | ↓ -70% |
| Ambetter | Commercial|All Plans | $86.45 | ↓ -67% |
| Wellpoint | Commercial|Exchange | $89.43 | ↓ -66% |
| Wellpoint | Medicaid|STAR | $95.61 | ↓ -63% |
| Bright Health | Commercial|All Plans | $106.13 | ↓ -59% |
| Entrust | Commercial|All Plans | $130.08 | ↓ -50% |
| Health Smart | Commercial|All Plans | $149.05 | ↓ -43% |
| First Health | Commercial|All Plans | $162.60 | ↓ -38% |
| Humana | Commercial|All Plans | $165.31 | ↓ -37% |
| Aetna | Commercial|All Plans | $173.44 | ↓ -34% |
| Cigna | Commercial|All Other Plans | $173.44 | ↓ -34% |
| Ellwood | Commercial|All Plans | $178.86 | ↓ -32% |
| United | Commercial|All Other Plans | $211.38 | ↓ -19% |
| PHCS | Commercial|All Plans | $230.35 | ↓ -12% |
| Multiplan | Commercial|All Plans | $243.90 | ↓ -7% |
| BCBS-TX | Commercial|Blue Advantage HMO | $261.05 | ↓ -0% |
| BCBS-TX | Commercial|Blue Premier | $271.00 | ↑ +4% |
| BCBS-TX | Commercial|PPO | $271.00 | ↑ +4% |
| BCBS-TX | Commercial|HMO | $271.00 | ↑ +4% |
| BCBS-TX | Commercial|Ref Lab | $271.00 | ↑ +4% |
| SUPERIOR | Medicaid|CHIP | $295.68 | ↑ +13% |
| UNITED | Medicaid|All Other Plans | $301.60 | ↑ +15% |
| UNITED | Medicaid|STARKIDS | $301.60 | ↑ +15% |
| BCBS | Medicaid|STARKIDS | $310.47 | ↑ +19% |
| SUPERIOR | Medicaid|All Other Plans | $310.47 | ↑ +19% |
| SUPERIOR | Medicaid|STAR | $372.56 | ↑ +42% |
| Cigna | Commercial|Local Plus | $517.44 | ↑ +98% |
| SUPERIOR | Medicaid|STARPLUS | $688.94 | ↑ +163% |
| UNITED | Medicaid|STARPLUS | $703.72 | ↑ +169% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $820.97 | $505.04 – $505.04 |
| Baylor St Luke's Medical Center | Houston | $238.35 | $82.00 – $681.00 |
| St. Joseph Health Madison Hospital | Madisonville | $261.63 | $34.53 – $261.05 |
| St. Luke's Health Memorial Lufkin | Lufkin | $102.36 | $94.25 – $565.49 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $238.35 | $74.00 – $681.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $238.35 | $74.00 – $681.00 |
| St. Joseph Health College Station Hospital | College Station | $261.63 | $77.00 – $517.44 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $238.35 | $74.00 – $681.00 |