Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im at St. Joseph Health Burleson Hospital

1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$5.08

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$29.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$4.93 with Cigna vs $29.00 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 →

Payer
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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
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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
Cigna Commercial|Local Plus $4.93 ↓ -3%
United Commercial|Exchange $5.80 ↑ +14%
BCBS Medicare|All Plans $6.38 ↑ +26%
UNITED Medicare|All Plans $6.51 ↑ +28%
AMERIVANTAGE Medicare|All Plans $6.58 ↑ +30%
SCANHealth Medicare|All Plans $6.83 ↑ +34%
AETNA Medicare|All Plans $7.25 ↑ +43%
Wellpoint Medicaid|All Other Plans $8.53 ↑ +68%
Ambetter Commercial|All Plans $9.26 ↑ +82%
Bright Health Commercial|All Plans $9.57 ↑ +88%
Wellpoint Commercial|Exchange $9.57 ↑ +88%
Wellpoint Medicaid|STAR $10.24 ↑ +102%
Entrust Commercial|All Plans $13.92 ↑ +174%
Health Smart Commercial|All Plans $15.95 ↑ +214%
First Health Commercial|All Plans $17.40 ↑ +243%
Humana Commercial|All Plans $17.69 ↑ +248%
Cigna Commercial|All Other Plans $18.56 ↑ +265%
Aetna Commercial|All Plans $18.56 ↑ +265%
Ellwood Commercial|All Plans $19.14 ↑ +277%
United Commercial|All Other Plans $22.62 ↑ +345%
PHCS Commercial|All Plans $24.65 ↑ +385%
BCBS-TX Commercial|Blue Advantage HMO $25.83 ↑ +408%
Multiplan Commercial|All Plans $26.10 ↑ +414%
BCBS-TX Commercial|Ref Lab $29.00 ↑ +471%
BCBS-TX Commercial|Blue Premier $29.00 ↑ +471%
BCBS-TX Commercial|HMO $29.00 ↑ +471%
BCBS-TX Commercial|PPO $29.00 ↑ +471%

Visitor-reported prices

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Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im at other Texas hospitals

Hospital City Cash price Negotiated range
St. Joseph Health Madison Hospital Madisonville $5.08 $3.70 – $26.10
St. Joseph Health College Station Hospital College Station $5.08 $2.85 – $25.83
St. Joseph Health Grimes Hospital Navasota $5.08 $4.93 – $32.19
Covenant Hospital Plainview Plainview $10.50 $69.45 – $69.45
Ascension Seton Cedar Park Hospital Cedar Park $31.03 $21.81 – $78.44
Ascension Seton Medical Center Austin (Ascension Seton) Austin $24.57 $21.81 – $78.44
Ascension Seton Northwest (Ascension Seton) Austin $24.57 $21.81 – $78.44
Ascension Seton Smithville (Ascension Seton) Smithville $24.57 $21.81 – $78.44

All Texas hospitals for this procedure →