Ado-trastuzumab emtansine 100 mg intravenous solution at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$857.54
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.
$4,900.18
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.
$40.97 with United vs $3,296.44 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 | $40.97 | ↓ -95% |
| BCBS-TX | Commercial|Blue Advantage HMO | $41.97 | ↓ -95% |
| Cigna | Commercial|Local Plus | $57.03 | ↓ -93% |
| United | Commercial|All Other Plans | $67.60 | ↓ -92% |
| BCBS-TX | Commercial|Blue Premier | $68.42 | ↓ -92% |
| BCBS-TX | Commercial|HMO | $70.25 | ↓ -92% |
| BCBS-TX | Commercial|PPO | $80.28 | ↓ -91% |
| PGT | Medicare|All Plans | $419.97 | ↓ -51% |
| BCBS | Medicare|All Plans | $428.54 | ↓ -50% |
| AETNA | Medicare|All Plans | $428.54 | ↓ -50% |
| UNITED | Medicare|All Plans | $437.11 | ↓ -49% |
| AMERIVANTAGE | Medicare|All Plans | $441.40 | ↓ -49% |
| SCANHealth | Medicare|All Plans | $458.54 | ↓ -47% |
| Ambetter | Commercial|All Plans | $621.38 | ↓ -28% |
| Wellpoint | Commercial|Exchange | $642.81 | ↓ -25% |
| Wellpoint | Medicaid|All Other Plans | $830.71 | ↓ -3% |
| Bright Health | Commercial|All Plans | $1,087.83 | ↑ +27% |
| Wellpoint | Medicaid|STAR | $1,142.22 | ↑ +33% |
| Ellwood | Commercial|All Plans | $1,285.62 | ↑ +50% |
| Entrust | Commercial|All Plans | $1,384.51 | ↑ +61% |
| NX Health | Commercial|All Plans | $1,392.75 | ↑ +62% |
| Health Smart | Commercial|All Plans | $1,813.05 | ↑ +111% |
| First Health | Commercial|All Plans | $1,977.87 | ↑ +131% |
| Humana | Commercial|All Plans | $2,010.83 | ↑ +134% |
| Cigna | Commercial|All Other Plans | $2,109.73 | ↑ +146% |
| Aetna | Commercial|All Plans | $2,175.66 | ↑ +154% |
| PHCS | Commercial|All Plans | $2,801.98 | ↑ +227% |
| Multiplan | Commercial|All Plans | $2,966.80 | ↑ +246% |
| BCBS-TX | Commercial|Ref Lab | $3,296.44 | ↑ +284% |
Visitor-reported prices
Comments
Ado-trastuzumab emtansine 100 mg intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $17,506.29 | $113.73 – $146.49 |
| Baylor St Luke's Medical Center | Houston | $10,135.90 | $27.37 – $28,959.71 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $10,135.90 | $33.15 – $28,959.71 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $10,135.90 | $33.15 – $28,959.71 |
| St. Joseph Health College Station Hospital | College Station | $857.54 | $40.97 – $2,801.98 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $10,135.90 | $33.15 – $28,959.71 |
| St. Joseph Health Grimes Hospital | Navasota | $857.54 | $40.97 – $3,659.05 |
| St. Luke's Health - The Vintage Hospital | Houston | $10,135.90 | $33.15 – $28,959.71 |