Ua w/micro/comp poc at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$2.63
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.
$15.00
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.
$3.62 with United vs $15.00 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 | $3.62 | ↑ +38% |
| BCBS-TX | Commercial|Ref Lab | $3.94 | ↑ +50% |
| BCBS | Medicare|All Plans | $4.02 | ↑ +53% |
| AETNA | Medicare|All Plans | $4.02 | ↑ +53% |
| UNITED | Medicare|All Plans | $4.10 | ↑ +56% |
| AMERIVANTAGE | Medicare|All Plans | $4.14 | ↑ +57% |
| SCANHealth | Medicare|All Plans | $4.30 | ↑ +63% |
| Wellpoint | Medicaid|All Other Plans | $4.41 | ↑ +68% |
| Wellpoint | Medicaid|STAR | $5.30 | ↑ +102% |
| SUPERIOR | Medicaid|CHIP | $5.51 | ↑ +110% |
| UNITED | Medicaid|All Other Plans | $5.62 | ↑ +114% |
| UNITED | Medicaid|STARKIDS | $5.62 | ↑ +114% |
| SUPERIOR | Medicaid|All Other Plans | $5.79 | ↑ +120% |
| BCBS | Medicaid|STARKIDS | $5.79 | ↑ +120% |
| Ambetter | Commercial|All Plans | $5.83 | ↑ +122% |
| Wellpoint | Commercial|Exchange | $6.03 | ↑ +129% |
| SUPERIOR | Medicaid|STAR | $6.94 | ↑ +164% |
| Bright Health | Commercial|All Plans | $7.16 | ↑ +172% |
| Entrust | Commercial|All Plans | $8.04 | ↑ +206% |
| Health Smart | Commercial|All Plans | $8.25 | ↑ +214% |
| First Health | Commercial|All Plans | $9.00 | ↑ +242% |
| Cigna | Commercial|Local Plus | $9.05 | ↑ +244% |
| Humana | Commercial|All Plans | $9.15 | ↑ +248% |
| Aetna | Commercial|All Plans | $9.60 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $9.60 | ↑ +265% |
| United | Commercial|All Other Plans | $11.70 | ↑ +345% |
| Ellwood | Commercial|All Plans | $12.06 | ↑ +359% |
| PHCS | Commercial|All Plans | $12.75 | ↑ +385% |
| SUPERIOR | Medicaid|STARPLUS | $12.84 | ↑ +388% |
| UNITED | Medicaid|STARPLUS | $13.11 | ↑ +398% |
| Multiplan | Commercial|All Plans | $13.50 | ↑ +413% |
| BCBS-TX | Commercial|Blue Advantage HMO | $14.11 | ↑ +437% |
| BCBS-TX | Commercial|Blue Premier | $14.11 | ↑ +437% |
| BCBS-TX | Commercial|HMO | $14.39 | ↑ +447% |
| BCBS-TX | Commercial|PPO | $15.00 | ↑ +470% |
Visitor-reported prices
Comments
Ua w/micro/comp poc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $39.33 | $3.38 – $49.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $34.20 | $5.90 – $51.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $33.17 | $3.38 – $41.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $39.33 | $3.38 – $49.16 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $34.20 | $3.62 – $51.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $34.20 | $3.38 – $51.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $33.17 | $3.38 – $49.76 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $39.33 | $3.38 – $49.16 |