Perq plmt bile duct stent at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$3,167.15
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.
$18,098.00
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.
$875.00 with United vs $18,098.00 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|All Other Plans | $875.00 | ↓ -72% |
| SUPERIOR | Medicaid|CHIP | $3,007.15 | ↓ -5% |
| UNITED | Medicaid|STARKIDS | $3,067.29 | ↓ -3% |
| UNITED | Medicaid|All Other Plans | $3,067.29 | ↓ -3% |
| SUPERIOR | Medicaid|All Other Plans | $3,157.51 | ↓ -0% |
| BCBS | Medicaid|STARKIDS | $3,157.51 | ↓ -0% |
| SUPERIOR | Medicaid|STAR | $3,789.01 | ↑ +20% |
| BCBS | Medicare|All Plans | $3,981.56 | ↑ +26% |
| UNITED | Medicare|All Plans | $4,061.20 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $4,101.01 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $4,260.27 | ↑ +35% |
| AETNA | Medicare|All Plans | $4,524.50 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $5,320.82 | ↑ +68% |
| Ambetter | Commercial|All Plans | $5,773.27 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $5,972.34 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $6,384.98 | ↑ +102% |
| BCBS-TX | Commercial|Blue Premier | $6,767.19 | ↑ +114% |
| BCBS-TX | Commercial|Blue Advantage HMO | $6,815.53 | ↑ +115% |
| SUPERIOR | Medicaid|STARPLUS | $7,006.66 | ↑ +121% |
| Bright Health | Commercial|All Plans | $7,087.18 | ↑ +124% |
| UNITED | Medicaid|STARPLUS | $7,157.02 | ↑ +126% |
| BCBS-TX | Commercial|HMO | $7,250.57 | ↑ +129% |
| Cigna | Commercial|Local Plus | $7,855.00 | ↑ +148% |
| BCBS-TX | Commercial|PPO | $7,975.62 | ↑ +152% |
| Entrust | Commercial|All Plans | $8,687.04 | ↑ +174% |
| United | Commercial|Exchange | $9,379.00 | ↑ +196% |
| Health Smart | Commercial|All Plans | $9,953.90 | ↑ +214% |
| First Health | Commercial|All Plans | $10,858.80 | ↑ +243% |
| Humana | Commercial|All Plans | $11,039.78 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $11,582.72 | ↑ +266% |
| Aetna | Commercial|All Plans | $11,582.72 | ↑ +266% |
| Ellwood | Commercial|All Plans | $11,944.68 | ↑ +277% |
| PHCS | Commercial|All Plans | $15,383.30 | ↑ +386% |
| Multiplan | Commercial|All Plans | $16,288.20 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $18,098.00 | ↑ +471% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,164.80 | $2,858.51 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $9,185.40 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,505.00 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,164.80 | $2,858.51 – $14,293.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $9,185.40 | $85.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $9,185.40 | $2,858.51 – $14,293.73 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,505.00 | $71.00 – $14,293.73 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,164.80 | $2,858.51 – $14,293.73 |