Radphm lcl tumor plr sgl day at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$405.83
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.
$2,319.00
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.
$379.59 with BCBS-TX vs $2,318.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $379.59 | ↓ -6% |
| BCBS-TX | Commercial|Blue Premier | $421.39 | ↑ +4% |
| BCBS-TX | Commercial|HMO | $448.15 | ↑ +10% |
| SUPERIOR | Medicaid|CHIP | $489.74 | ↑ +21% |
| BCBS-TX | Commercial|PPO | $494.97 | ↑ +22% |
| UNITED | Medicaid|All Other Plans | $499.53 | ↑ +23% |
| UNITED | Medicaid|STARKIDS | $499.53 | ↑ +23% |
| BCBS | Medicare|All Plans | $509.96 | ↑ +26% |
| SUPERIOR | Medicaid|All Other Plans | $514.23 | ↑ +27% |
| BCBS | Medicaid|STARKIDS | $514.23 | ↑ +27% |
| UNITED | Medicare|All Plans | $520.16 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $525.26 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $545.66 | ↑ +34% |
| AETNA | Medicare|All Plans | $579.50 | ↑ +43% |
| SUPERIOR | Medicaid|STAR | $617.07 | ↑ +52% |
| Wellpoint | Medicaid|All Other Plans | $681.50 | ↑ +68% |
| Ambetter | Commercial|All Plans | $739.45 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $764.94 | ↑ +88% |
| Wellpoint | Medicaid|STAR | $817.80 | ↑ +102% |
| Bright Health | Commercial|All Plans | $907.73 | ↑ +124% |
| Cigna | Commercial|Local Plus | $1,089.46 | ↑ +168% |
| Entrust | Commercial|All Plans | $1,112.64 | ↑ +174% |
| United | Commercial|Exchange | $1,117.00 | ↑ +175% |
| SUPERIOR | Medicaid|STARPLUS | $1,141.09 | ↑ +181% |
| UNITED | Medicaid|STARPLUS | $1,165.58 | ↑ +187% |
| Health Smart | Commercial|All Plans | $1,274.90 | ↑ +214% |
| First Health | Commercial|All Plans | $1,390.80 | ↑ +243% |
| Humana | Commercial|All Plans | $1,413.98 | ↑ +248% |
| Aetna | Commercial|All Plans | $1,483.52 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $1,483.52 | ↑ +266% |
| Ellwood | Commercial|All Plans | $1,529.88 | ↑ +277% |
| United | Commercial|All Other Plans | $1,808.04 | ↑ +346% |
| PHCS | Commercial|All Plans | $1,970.30 | ↑ +385% |
| Multiplan | Commercial|All Plans | $2,086.20 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $2,318.00 | ↑ +471% |
Visitor-reported prices
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Radphm lcl tumor plr sgl day at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,494.49 | $228.55 – $1,868.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,147.41 | $236.18 – $1,721.12 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,185.84 | $228.55 – $1,482.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,494.49 | $228.55 – $1,868.11 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,147.41 | $244.55 – $1,721.12 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,147.41 | $228.55 – $1,721.12 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,185.84 | $228.55 – $1,778.76 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,494.49 | $228.55 – $1,868.11 |