Skin Biopsy at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$83.30
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.
$476.00
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.
$67.57 with SUPERIOR vs $1,508.00 with United — 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $67.57 | ↓ -19% |
| UNITED | Medicaid|STARKIDS | $68.92 | ↓ -17% |
| UNITED | Medicaid|All Other Plans | $68.92 | ↓ -17% |
| BCBS | Medicaid|STARKIDS | $70.95 | ↓ -15% |
| SUPERIOR | Medicaid|All Other Plans | $70.95 | ↓ -15% |
| SUPERIOR | Medicaid|STAR | $85.14 | ↑ +2% |
| BCBS | Medicare|All Plans | $87.34 | ↑ +5% |
| UNITED | Medicare|All Plans | $89.09 | ↑ +7% |
| AMERIVANTAGE | Medicare|All Plans | $89.97 | ↑ +8% |
| SCANHealth | Medicare|All Plans | $93.46 | ↑ +12% |
| AETNA | Medicare|All Plans | $99.25 | ↑ +19% |
| BCBS-TX | Commercial|Blue Premier | $106.11 | ↑ +27% |
| BCBS-TX | Commercial|Blue Advantage HMO | $106.86 | ↑ +28% |
| BCBS-TX | Commercial|HMO | $113.69 | ↑ +36% |
| Wellpoint | Medicaid|All Other Plans | $116.72 | ↑ +40% |
| BCBS-TX | Commercial|PPO | $125.05 | ↑ +50% |
| Ambetter | Commercial|All Plans | $126.65 | ↑ +52% |
| Wellpoint | Commercial|Exchange | $131.01 | ↑ +57% |
| Wellpoint | Medicaid|STAR | $140.07 | ↑ +68% |
| Bright Health | Commercial|All Plans | $155.47 | ↑ +87% |
| SUPERIOR | Medicaid|STARPLUS | $157.44 | ↑ +89% |
| UNITED | Medicaid|STARPLUS | $160.82 | ↑ +93% |
| United | Commercial|All Other Plans | $188.00 | ↑ +126% |
| Entrust | Commercial|All Plans | $190.56 | ↑ +129% |
| Cigna | Commercial|Local Plus | $194.53 | ↑ +134% |
| Health Smart | Commercial|All Plans | $218.35 | ↑ +162% |
| First Health | Commercial|All Plans | $238.20 | ↑ +186% |
| Humana | Commercial|All Plans | $242.17 | ↑ +191% |
| Aetna | Commercial|All Plans | $254.08 | ↑ +205% |
| Cigna | Commercial|All Other Plans | $254.08 | ↑ +205% |
| Ellwood | Commercial|All Plans | $262.02 | ↑ +215% |
| PHCS | Commercial|All Plans | $337.45 | ↑ +305% |
| Multiplan | Commercial|All Plans | $357.30 | ↑ +329% |
| BCBS-TX | Commercial|Ref Lab | $397.00 | ↑ +377% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1710% |
Visitor-reported prices
Comments
Skin Biopsy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $269.02 | $64.23 – $878.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $360.34 | $68.73 – $540.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $360.34 | $64.23 – $495.95 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $269.02 | $64.23 – $878.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $360.34 | $68.73 – $610.51 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $360.34 | $64.23 – $540.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $360.34 | $64.23 – $610.51 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $269.02 | $64.23 – $878.00 |