Tc-99m disofenin at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$85.40
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.
$488.00
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.
$59.84 with United vs $488.00 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|Exchange | $59.84 | ↓ -30% |
| BCBS-TX | Commercial|Blue Advantage HMO | $96.21 | ↑ +13% |
| BCBS | Medicare|All Plans | $107.36 | ↑ +26% |
| UNITED | Medicare|All Plans | $109.51 | ↑ +28% |
| AMERIVANTAGE | Medicare|All Plans | $110.59 | ↑ +29% |
| SCANHealth | Medicare|All Plans | $114.88 | ↑ +35% |
| AETNA | Medicare|All Plans | $122.00 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $143.48 | ↑ +68% |
| Ambetter | Commercial|All Plans | $155.68 | ↑ +82% |
| BCBS-TX | Commercial|Blue Premier | $156.87 | ↑ +84% |
| Wellpoint | Commercial|Exchange | $161.04 | ↑ +89% |
| BCBS-TX | Commercial|HMO | $161.05 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $172.17 | ↑ +102% |
| BCBS-TX | Commercial|PPO | $184.06 | ↑ +116% |
| Bright Health | Commercial|All Plans | $191.11 | ↑ +124% |
| Entrust | Commercial|All Plans | $234.24 | ↑ +174% |
| Cigna | Commercial|Local Plus | $239.12 | ↑ +180% |
| Health Smart | Commercial|All Plans | $268.40 | ↑ +214% |
| First Health | Commercial|All Plans | $292.80 | ↑ +243% |
| Humana | Commercial|All Plans | $297.68 | ↑ +249% |
| Aetna | Commercial|All Plans | $312.32 | ↑ +266% |
| Cigna | Commercial|All Other Plans | $312.32 | ↑ +266% |
| Ellwood | Commercial|All Plans | $322.08 | ↑ +277% |
| United | Commercial|All Other Plans | $380.64 | ↑ +346% |
| PHCS | Commercial|All Plans | $414.80 | ↑ +386% |
| Multiplan | Commercial|All Plans | $439.20 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $488.00 | ↑ +471% |
Visitor-reported prices
Comments
Tc-99m disofenin at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $893.78 | $101.95 – $818.16 |
| Baylor St Luke's Medical Center | Houston | $63.70 | $49.14 – $182.00 |
| St. Joseph Health Madison Hospital | Madisonville | $85.40 | $59.84 – $439.20 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $63.70 | $47.32 – $182.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $63.70 | $47.32 – $182.00 |
| St. Joseph Health College Station Hospital | College Station | $85.40 | $59.84 – $414.80 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $63.70 | $47.32 – $182.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $239.72 | $102.74 – $342.45 |