Abdominal MRI (without contrast) at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$747.78
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.
$4,273.00
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.
$77.08 with PGT vs $3,947.00 with United — 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $77.08 | ↓ -90% |
| BCBS | Medicare|All Plans | $78.65 | ↓ -89% |
| AETNA | Medicare|All Plans | $78.65 | ↓ -89% |
| UNITED | Medicare|All Plans | $80.23 | ↓ -89% |
| AMERIVANTAGE | Medicare|All Plans | $81.01 | ↓ -89% |
| SCANHealth | Medicare|All Plans | $84.16 | ↓ -89% |
| Ambetter | Commercial|All Plans | $114.05 | ↓ -85% |
| Wellpoint | Commercial|Exchange | $117.98 | ↓ -84% |
| Wellpoint | Medicaid|All Other Plans | $152.46 | ↓ -80% |
| Wellpoint | Medicaid|STAR | $209.64 | ↓ -72% |
| Bright Health | Commercial|All Plans | $226.15 | ↓ -70% |
| Ellwood | Commercial|All Plans | $235.95 | ↓ -68% |
| Entrust | Commercial|All Plans | $254.10 | ↓ -66% |
| NX Health | Commercial|All Plans | $255.62 | ↓ -66% |
| SUPERIOR | Medicaid|CHIP | $294.17 | ↓ -61% |
| UNITED | Medicaid|All Other Plans | $300.05 | ↓ -60% |
| UNITED | Medicaid|STARKIDS | $300.05 | ↓ -60% |
| BCBS | Medicaid|STARKIDS | $308.88 | ↓ -59% |
| SUPERIOR | Medicaid|All Other Plans | $308.88 | ↓ -59% |
| Health Smart | Commercial|All Plans | $332.75 | ↓ -56% |
| First Health | Commercial|All Plans | $363.00 | ↓ -51% |
| Cigna | Commercial|All Other Plans | $387.20 | ↓ -48% |
| Aetna | Commercial|All Plans | $399.30 | ↓ -47% |
| SUPERIOR | Medicaid|STAR | $426.55 | ↓ -43% |
| PHCS | Commercial|All Plans | $514.25 | ↓ -31% |
| Multiplan | Commercial|All Plans | $544.50 | ↓ -27% |
| BCBS-TX | Commercial|Blue Premier | $605.00 | ↓ -19% |
| BCBS-TX | Commercial|PPO | $605.00 | ↓ -19% |
| BCBS-TX | Commercial|HMO | $605.00 | ↓ -19% |
| BCBS-TX | Commercial|Blue Advantage HMO | $605.00 | ↓ -19% |
| BCBS-TX | Commercial|Ref Lab | $605.00 | ↓ -19% |
| SUPERIOR | Medicaid|STARPLUS | $729.54 | ↓ -2% |
| UNITED | Medicaid|STARPLUS | $744.25 | ↓ -0% |
| Cigna | Commercial|Local Plus | $1,169.00 | ↑ +56% |
| Humana | Commercial|All Plans | $1,450.00 | ↑ +94% |
| United | Commercial|Exchange | $2,011.00 | ↑ +169% |
| United | Commercial|All Other Plans | $3,947.00 | ↑ +428% |
Visitor-reported prices
Comments
Abdominal MRI (without contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,197.95 | $201.81 – $2,747.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,048.36 | $314.76 – $3,072.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,742.65 | $201.81 – $3,428.32 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,197.95 | $201.81 – $2,747.44 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,048.36 | $215.94 – $3,072.54 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,048.36 | $201.81 – $3,072.54 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,742.65 | $201.81 – $4,113.98 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,197.95 | $201.81 – $2,747.44 |