Rmvl icd gen w/rplc icd gen mlt lead sys at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$9,861.78
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.
$56,353.00
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 $56,353.00 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 | ↓ -91% |
| Cigna | Commercial|Local Plus | $9,871.00 | ↑ +0% |
| BCBS | Medicare|All Plans | $12,397.66 | ↑ +26% |
| UNITED | Medicare|All Plans | $12,645.62 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $12,769.59 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $13,265.50 | ↑ +35% |
| AETNA | Medicare|All Plans | $14,088.25 | ↑ +43% |
| United | Commercial|Exchange | $14,480.00 | ↑ +47% |
| Wellpoint | Medicaid|All Other Plans | $16,567.79 | ↑ +68% |
| Ambetter | Commercial|All Plans | $17,976.61 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $18,596.49 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $19,881.34 | ↑ +102% |
| Bright Health | Commercial|All Plans | $22,067.84 | ↑ +124% |
| SUPERIOR | Medicaid|CHIP | $22,898.31 | ↑ +132% |
| UNITED | Medicaid|All Other Plans | $23,356.28 | ↑ +137% |
| UNITED | Medicaid|STARKIDS | $23,356.28 | ↑ +137% |
| SUPERIOR | Medicaid|All Other Plans | $24,043.23 | ↑ +144% |
| BCBS | Medicaid|STARKIDS | $24,043.23 | ↑ +144% |
| Entrust | Commercial|All Plans | $27,049.44 | ↑ +174% |
| SUPERIOR | Medicaid|STAR | $28,851.87 | ↑ +193% |
| Health Smart | Commercial|All Plans | $30,994.15 | ↑ +214% |
| First Health | Commercial|All Plans | $33,811.80 | ↑ +243% |
| Humana | Commercial|All Plans | $34,375.33 | ↑ +249% |
| Aetna | Commercial|All Plans | $36,065.92 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $36,065.92 | ↑ +266% |
| Ellwood | Commercial|All Plans | $37,192.98 | ↑ +277% |
| BCBS-TX | Commercial|Blue Premier | $45,195.70 | ↑ +358% |
| BCBS-TX | Commercial|Blue Advantage HMO | $45,518.52 | ↑ +362% |
| PHCS | Commercial|All Plans | $47,900.05 | ↑ +386% |
| BCBS-TX | Commercial|HMO | $48,423.96 | ↑ +391% |
| Multiplan | Commercial|All Plans | $50,717.70 | ↑ +414% |
| BCBS-TX | Commercial|PPO | $53,266.36 | ↑ +440% |
| SUPERIOR | Medicaid|STARPLUS | $53,353.06 | ↑ +441% |
| UNITED | Medicaid|STARPLUS | $54,497.98 | ↑ +453% |
| BCBS-TX | Commercial|Ref Lab | $56,353.00 | ↑ +471% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen mlt lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $44,390.75 | $6,299.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $43,215.38 | $8,895.17 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $40,970.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $44,390.75 | $19,034.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $43,215.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $43,215.38 | $13,462.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $40,970.38 | $15,811.00 – $81,499.55 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $44,390.75 | $19,034.00 – $81,499.55 |