Rmvl pm gen w/rplc pm gen sgl lead sys at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$5,059.95
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.
?
What you pay up front if you don't use insurance.
$28,914.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$875.00 with United vs $28,914.00 with BCBS-TX — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ↓ -83% |
| United | Commercial|Exchange | $5,085.00 | ↑ +0% |
| SUPERIOR | Medicaid|CHIP | $5,532.50 | ↑ +9% |
| UNITED | Medicaid|All Other Plans | $5,643.15 | ↑ +12% |
| UNITED | Medicaid|STARKIDS | $5,643.15 | ↑ +12% |
| SUPERIOR | Medicaid|All Other Plans | $5,809.13 | ↑ +15% |
| BCBS | Medicaid|STARKIDS | $5,809.13 | ↑ +15% |
| BCBS | Medicare|All Plans | $6,361.08 | ↑ +26% |
| UNITED | Medicare|All Plans | $6,488.31 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $6,551.92 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $6,806.36 | ↑ +35% |
| SUPERIOR | Medicaid|STAR | $6,970.95 | ↑ +38% |
| AETNA | Medicare|All Plans | $7,228.50 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $8,500.72 | ↑ +68% |
| Ambetter | Commercial|All Plans | $9,223.57 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $9,541.62 | ↑ +89% |
| Cigna | Commercial|Local Plus | $9,871.00 | ↑ +95% |
| Wellpoint | Medicaid|STAR | $10,200.86 | ↑ +102% |
| BCBS-TX | Commercial|Blue Premier | $10,698.59 | ↑ +111% |
| BCBS-TX | Commercial|Blue Advantage HMO | $10,775.01 | ↑ +113% |
| Bright Health | Commercial|All Plans | $11,322.73 | ↑ +124% |
| BCBS-TX | Commercial|HMO | $11,462.78 | ↑ +127% |
| BCBS-TX | Commercial|PPO | $12,609.05 | ↑ +149% |
| SUPERIOR | Medicaid|STARPLUS | $12,890.73 | ↑ +155% |
| UNITED | Medicaid|STARPLUS | $13,167.35 | ↑ +160% |
| Entrust | Commercial|All Plans | $13,878.72 | ↑ +174% |
| Health Smart | Commercial|All Plans | $15,902.70 | ↑ +214% |
| First Health | Commercial|All Plans | $17,348.40 | ↑ +243% |
| Humana | Commercial|All Plans | $17,637.54 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $18,504.96 | ↑ +266% |
| Aetna | Commercial|All Plans | $18,504.96 | ↑ +266% |
| Ellwood | Commercial|All Plans | $19,083.24 | ↑ +277% |
| PHCS | Commercial|All Plans | $24,576.90 | ↑ +386% |
| Multiplan | Commercial|All Plans | $26,022.60 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $28,914.00 | ↑ +471% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen sgl lead sys at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $18,220.94 | $5,259.03 – $22,776.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $15,676.55 | $3,226.76 – $23,514.83 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $11,293.45 | $5,259.03 – $21,045.99 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $18,220.94 | $5,259.03 – $22,776.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $15,676.55 | $5,627.16 – $23,514.83 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $15,676.55 | $5,259.03 – $23,514.83 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $11,293.45 | $5,259.03 – $21,045.99 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $18,220.94 | $5,259.03 – $22,776.18 |