Phenobarbital therapeutic drug level at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$43.75
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.
$250.00
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.
$13.77 with United vs $225.00 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 | $13.77 | ↓ -69% |
| BCBS-TX | Commercial|Ref Lab | $14.99 | ↓ -66% |
| BCBS | Medicare|All Plans | $15.30 | ↓ -65% |
| AETNA | Medicare|All Plans | $15.30 | ↓ -65% |
| UNITED | Medicare|All Plans | $15.61 | ↓ -64% |
| AMERIVANTAGE | Medicare|All Plans | $15.76 | ↓ -64% |
| SCANHealth | Medicare|All Plans | $16.37 | ↓ -63% |
| SUPERIOR | Medicaid|CHIP | $20.96 | ↓ -52% |
| UNITED | Medicaid|All Other Plans | $21.38 | ↓ -51% |
| UNITED | Medicaid|STARKIDS | $21.38 | ↓ -51% |
| BCBS | Medicaid|STARKIDS | $22.01 | ↓ -50% |
| SUPERIOR | Medicaid|All Other Plans | $22.01 | ↓ -50% |
| Ambetter | Commercial|All Plans | $22.18 | ↓ -49% |
| Wellpoint | Commercial|Exchange | $22.95 | ↓ -48% |
| SUPERIOR | Medicaid|STAR | $26.41 | ↓ -40% |
| Bright Health | Commercial|All Plans | $27.23 | ↓ -38% |
| Entrust | Commercial|All Plans | $30.60 | ↓ -30% |
| Cigna | Commercial|Local Plus | $33.22 | ↓ -24% |
| Ellwood | Commercial|All Plans | $45.90 | ↑ +5% |
| SUPERIOR | Medicaid|STARPLUS | $48.84 | ↑ +12% |
| UNITED | Medicaid|STARPLUS | $49.88 | ↑ +14% |
| BCBS-TX | Commercial|Blue Advantage HMO | $53.70 | ↑ +23% |
| BCBS-TX | Commercial|Blue Premier | $53.70 | ↑ +23% |
| BCBS-TX | Commercial|HMO | $54.77 | ↑ +25% |
| BCBS-TX | Commercial|PPO | $63.19 | ↑ +44% |
| Wellpoint | Medicaid|All Other Plans | $73.50 | ↑ +68% |
| Wellpoint | Medicaid|STAR | $88.20 | ↑ +102% |
| Health Smart | Commercial|All Plans | $137.50 | ↑ +214% |
| First Health | Commercial|All Plans | $150.00 | ↑ +243% |
| Humana | Commercial|All Plans | $152.50 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $160.00 | ↑ +266% |
| Aetna | Commercial|All Plans | $160.00 | ↑ +266% |
| United | Commercial|All Other Plans | $195.00 | ↑ +346% |
| PHCS | Commercial|All Plans | $212.50 | ↑ +386% |
| Multiplan | Commercial|All Plans | $225.00 | ↑ +414% |
Visitor-reported prices
Comments
Phenobarbital therapeutic drug level at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $292.48 | $13.77 – $58.91 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $124.42 | $10.00 – $155.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $109.10 | $12.00 – $163.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $121.59 | $12.00 – $151.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $124.42 | $10.00 – $155.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $109.10 | $12.00 – $163.66 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $109.10 | $8.00 – $163.66 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $121.59 | $12.00 – $182.38 |