Administration immunization intranasal/oral route each additional vaccine at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$2.98
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.
$17.00
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.
$2.17 with PGT vs $75.00 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 | $2.17 | ↓ -27% |
| BCBS | Medicare|All Plans | $2.21 | ↓ -26% |
| AETNA | Medicare|All Plans | $2.21 | ↓ -26% |
| UNITED | Medicare|All Plans | $2.26 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $2.28 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $2.37 | ↓ -20% |
| Ambetter | Commercial|All Plans | $3.21 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $3.32 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $4.29 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $5.90 | ↑ +98% |
| Bright Health | Commercial|All Plans | $6.36 | ↑ +113% |
| Ellwood | Commercial|All Plans | $6.63 | ↑ +122% |
| Entrust | Commercial|All Plans | $7.14 | ↑ +140% |
| NX Health | Commercial|All Plans | $7.19 | ↑ +141% |
| Cigna | Commercial|Local Plus | $8.33 | ↑ +180% |
| Health Smart | Commercial|All Plans | $9.35 | ↑ +214% |
| First Health | Commercial|All Plans | $10.20 | ↑ +242% |
| Humana | Commercial|All Plans | $10.37 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $10.88 | ↑ +265% |
| Aetna | Commercial|All Plans | $11.22 | ↑ +277% |
| PHCS | Commercial|All Plans | $14.45 | ↑ +385% |
| Multiplan | Commercial|All Plans | $15.30 | ↑ +413% |
| BCBS-TX | Commercial|Blue Advantage HMO | $17.00 | ↑ +470% |
| BCBS-TX | Commercial|Blue Premier | $17.00 | ↑ +470% |
| BCBS-TX | Commercial|PPO | $17.00 | ↑ +470% |
| BCBS-TX | Commercial|HMO | $17.00 | ↑ +470% |
| BCBS-TX | Commercial|Ref Lab | $17.00 | ↑ +470% |
| United | Commercial|Exchange | $38.00 | ↑ +1175% |
| United | Commercial|All Other Plans | $75.00 | ↑ +2417% |
Visitor-reported prices
Comments
Administration immunization intranasal/oral route each additional vaccine at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $33.60 | $4.25 – $39.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $33.60 | $3.09 – $22.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $35.28 | $3.00 – $39.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $33.60 | $4.00 – $30.35 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $33.60 | $4.82 – $47.86 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $33.60 | $7.75 – $22.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $35.28 | $5.00 – $39.17 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $33.60 | $4.00 – $39.82 |