Sm-153 lexidron ther at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$5,363.75
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.
$30,650.00
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.
$4,314.91 with United vs $30,650.00 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|Exchange | $4,314.91 | ↓ -20% |
| BCBS | Medicare|All Plans | $6,743.00 | ↑ +26% |
| UNITED | Medicare|All Plans | $6,877.86 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $6,945.29 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $7,215.01 | ↑ +35% |
| AETNA | Medicare|All Plans | $7,662.50 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $9,011.10 | ↑ +68% |
| Ambetter | Commercial|All Plans | $9,777.35 | ↑ +82% |
| Wellpoint | Commercial|Exchange | $10,114.50 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $10,813.32 | ↑ +102% |
| Bright Health | Commercial|All Plans | $12,002.54 | ↑ +124% |
| Entrust | Commercial|All Plans | $14,712.00 | ↑ +174% |
| Health Smart | Commercial|All Plans | $16,857.50 | ↑ +214% |
| First Health | Commercial|All Plans | $18,390.00 | ↑ +243% |
| Humana | Commercial|All Plans | $18,696.50 | ↑ +249% |
| Cigna | Commercial|Local Plus | $18,767.65 | ↑ +250% |
| Cigna | Commercial|All Other Plans | $19,616.00 | ↑ +266% |
| Aetna | Commercial|All Plans | $19,616.00 | ↑ +266% |
| Ellwood | Commercial|All Plans | $20,229.00 | ↑ +277% |
| BCBS-TX | Commercial|Blue Advantage HMO | $20,916.34 | ↑ +290% |
| United | Commercial|All Other Plans | $23,907.00 | ↑ +346% |
| PHCS | Commercial|All Plans | $26,052.50 | ↑ +386% |
| Multiplan | Commercial|All Plans | $27,585.00 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $30,650.00 | ↑ +471% |
| BCBS-TX | Commercial|Blue Premier | $30,650.00 | ↑ +471% |
| BCBS-TX | Commercial|HMO | $30,650.00 | ↑ +471% |
| BCBS-TX | Commercial|PPO | $30,650.00 | ↑ +471% |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $30,877.91 | $5,213.67 – $146,997.15 |
| HCA HOUSTON MEDICAL CENTER | Houston | $25,584.87 | $5,213.67 – $146,997.15 |
| Baylor St Luke's Medical Center | Houston | $11,563.30 | $7,551.09 – $33,038.00 |
| St. Joseph Health Madison Hospital | Madisonville | $5,363.75 | $3,904.81 – $27,585.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,543.50 | $3,883.42 – $10,290.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $11,563.30 | $6,161.69 – $33,038.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $11,563.30 | $6,161.69 – $33,038.00 |
| St. Joseph Health College Station Hospital | College Station | $5,363.75 | $4,314.91 – $26,052.50 |