Abatacept (with maltose) 250 mg intravenous solution at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$191.58
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.
$1,094.70
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.
$43.80 with United vs $1,094.70 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 | $43.80 | ↓ -77% |
| Cigna | Commercial|Local Plus | $49.09 | ↓ -74% |
| BCBS-TX | Commercial|Blue Advantage HMO | $59.51 | ↓ -69% |
| United | Commercial|All Other Plans | $72.27 | ↓ -62% |
| BCBS-TX | Commercial|Blue Premier | $97.02 | ↓ -49% |
| BCBS-TX | Commercial|HMO | $99.61 | ↓ -48% |
| BCBS-TX | Commercial|PPO | $113.84 | ↓ -41% |
| PGT | Medicare|All Plans | $139.47 | ↓ -27% |
| BCBS | Medicare|All Plans | $142.32 | ↓ -26% |
| AETNA | Medicare|All Plans | $142.32 | ↓ -26% |
| UNITED | Medicare|All Plans | $145.16 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $146.59 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $152.28 | ↓ -21% |
| Ambetter | Commercial|All Plans | $206.36 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $213.47 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $275.87 | ↑ +44% |
| Bright Health | Commercial|All Plans | $361.26 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $379.32 | ↑ +98% |
| Ellwood | Commercial|All Plans | $426.94 | ↑ +123% |
| Entrust | Commercial|All Plans | $459.78 | ↑ +140% |
| NX Health | Commercial|All Plans | $462.52 | ↑ +141% |
| Health Smart | Commercial|All Plans | $602.09 | ↑ +214% |
| First Health | Commercial|All Plans | $656.82 | ↑ +243% |
| Humana | Commercial|All Plans | $667.77 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $700.61 | ↑ +266% |
| Aetna | Commercial|All Plans | $722.51 | ↑ +277% |
| PHCS | Commercial|All Plans | $930.50 | ↑ +386% |
| Multiplan | Commercial|All Plans | $985.23 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $1,094.70 | ↑ +471% |
Visitor-reported prices
Comments
Abatacept (with maltose) 250 mg intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $6,587.41 | $43.38 – $515.54 |
| HCA HOUSTON KINGWOOD | HUMBLE | $8,104.56 | $44.77 – $515.54 |
| Baylor St Luke's Medical Center | Houston | $3,615.67 | $38.81 – $6,188.37 |
| St. Luke's Health Memorial Lufkin | Lufkin | $4,676.57 | $49.09 – $28,059.40 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $3,615.67 | $47.00 – $6,188.37 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $3,615.67 | $47.00 – $6,188.37 |
| St. Joseph Health College Station Hospital | College Station | $191.58 | $43.80 – $930.50 |
| HCA HOUSTON SOUTHEAST | PASADENA | $9,100.88 | $43.38 – $515.54 |