Punc of shunt for asp or inj at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$107.28
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.
$613.00
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.
$16.50 with BCBS vs $2,888.00 with Cigna — 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 | $16.50 | ↓ -85% |
| UNITED | Medicare|All Plans | $16.83 | ↓ -84% |
| AMERIVANTAGE | Medicare|All Plans | $17.00 | ↓ -84% |
| SCANHealth | Medicare|All Plans | $17.66 | ↓ -84% |
| AETNA | Medicare|All Plans | $18.75 | ↓ -83% |
| Wellpoint | Medicaid|All Other Plans | $22.05 | ↓ -79% |
| Ambetter | Commercial|All Plans | $23.93 | ↓ -78% |
| Wellpoint | Commercial|Exchange | $24.75 | ↓ -77% |
| Wellpoint | Medicaid|STAR | $26.46 | ↓ -75% |
| Bright Health | Commercial|All Plans | $29.37 | ↓ -73% |
| Entrust | Commercial|All Plans | $36.00 | ↓ -66% |
| Health Smart | Commercial|All Plans | $41.25 | ↓ -62% |
| First Health | Commercial|All Plans | $45.00 | ↓ -58% |
| Humana | Commercial|All Plans | $45.75 | ↓ -57% |
| Cigna | Commercial|All Other Plans | $48.00 | ↓ -55% |
| Aetna | Commercial|All Plans | $48.00 | ↓ -55% |
| Ellwood | Commercial|All Plans | $49.50 | ↓ -54% |
| United | Commercial|All Other Plans | $58.50 | ↓ -45% |
| PHCS | Commercial|All Plans | $63.75 | ↓ -41% |
| Multiplan | Commercial|All Plans | $67.50 | ↓ -37% |
| BCBS-TX | Commercial|Ref Lab | $75.00 | ↓ -30% |
| SUPERIOR | Medicaid|CHIP | $276.53 | ↑ +158% |
| UNITED | Medicaid|All Other Plans | $282.06 | ↑ +163% |
| UNITED | Medicaid|STARKIDS | $282.06 | ↑ +163% |
| BCBS | Medicaid|STARKIDS | $290.36 | ↑ +171% |
| SUPERIOR | Medicaid|All Other Plans | $290.36 | ↑ +171% |
| SUPERIOR | Medicaid|STAR | $348.43 | ↑ +225% |
| SUPERIOR | Medicaid|STARPLUS | $644.31 | ↑ +501% |
| UNITED | Medicaid|STARPLUS | $658.14 | ↑ +513% |
| BCBS-TX | Commercial|Blue Premier | $875.07 | ↑ +716% |
| BCBS-TX | Commercial|Blue Advantage HMO | $881.32 | ↑ +722% |
| BCBS-TX | Commercial|HMO | $937.58 | ↑ +774% |
| BCBS-TX | Commercial|PPO | $1,031.33 | ↑ +861% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1306% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +2592% |
Visitor-reported prices
Comments
Punc of shunt for asp or inj at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,041.57 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,148.68 | $71.00 – $1,723.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $994.24 | $71.00 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,041.57 | $262.86 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,148.68 | $85.00 – $1,723.02 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,148.68 | $262.86 – $1,723.02 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $994.24 | $71.00 – $1,713.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,041.57 | $262.86 – $1,713.14 |