Off/op cnsltj new/est mod 40 at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$100.80
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.
$576.00
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.
$77.00 with United vs $576.00 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 | $77.00 | ↓ -24% |
| BCBS | Medicare|All Plans | $126.72 | ↑ +26% |
| UNITED | Medicare|All Plans | $129.26 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $130.53 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $135.60 | ↑ +35% |
| AETNA | Medicare|All Plans | $144.00 | ↑ +43% |
| SUPERIOR | Medicaid|CHIP | $161.28 | ↑ +60% |
| UNITED | Medicaid|STARKIDS | $164.51 | ↑ +63% |
| UNITED | Medicaid|All Other Plans | $164.51 | ↑ +63% |
| BCBS | Medicaid|STARKIDS | $169.35 | ↑ +68% |
| SUPERIOR | Medicaid|All Other Plans | $169.35 | ↑ +68% |
| Wellpoint | Medicaid|All Other Plans | $169.35 | ↑ +68% |
| Ambetter | Commercial|All Plans | $183.75 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $190.08 | ↑ +89% |
| SUPERIOR | Medicaid|STAR | $203.22 | ↑ +102% |
| Wellpoint | Medicaid|STAR | $203.22 | ↑ +102% |
| Bright Health | Commercial|All Plans | $225.57 | ↑ +124% |
| Entrust | Commercial|All Plans | $276.48 | ↑ +174% |
| Cigna | Commercial|Local Plus | $282.24 | ↑ +180% |
| BCBS-TX | Commercial|Blue Advantage HMO | $311.26 | ↑ +209% |
| Health Smart | Commercial|All Plans | $316.80 | ↑ +214% |
| First Health | Commercial|All Plans | $345.60 | ↑ +243% |
| Humana | Commercial|All Plans | $351.36 | ↑ +249% |
| BCBS-TX | Commercial|Blue Premier | $366.00 | ↑ +263% |
| Aetna | Commercial|All Plans | $368.64 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $368.64 | ↑ +266% |
| SUPERIOR | Medicaid|STARPLUS | $375.79 | ↑ +273% |
| Ellwood | Commercial|All Plans | $380.16 | ↑ +277% |
| UNITED | Medicaid|STARPLUS | $383.85 | ↑ +281% |
| BCBS-TX | Commercial|HMO | $387.90 | ↑ +285% |
| BCBS-TX | Commercial|PPO | $431.69 | ↑ +328% |
| United | Commercial|All Other Plans | $432.00 | ↑ +329% |
| PHCS | Commercial|All Plans | $489.60 | ↑ +386% |
| Multiplan | Commercial|All Plans | $518.40 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $576.00 | ↑ +471% |
Visitor-reported prices
Comments
Off/op cnsltj new/est mod 40 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville | $100.80 | $73.39 – $518.40 |
| St. Joseph Health College Station Hospital | College Station | $100.80 | $77.00 – $489.60 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $300.65 | $128.85 – $429.50 |
| St. Joseph Health Grimes Hospital | Navasota | $100.80 | $77.00 – $639.36 |
| Covenant Hospital Plainview | Plainview | $106.68 | $330.03 – $339.41 |
| Texas Health Hospital Mansfield | Mansfield | $359.53 | $214.44 – $214.44 |
| Texas Health Huguley Hospital Fort Worth South | Burleson | $359.53 | $214.44 – $214.44 |
| Adventhealth Rollins Brook | Lampasas | not published | $602.18 – $602.18 |