Albumin (human), 25%, 50ml at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$18.20
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.
?
What you pay up front if you don't use insurance.
$103.98
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.25 with PGT vs $103.98 with BCBS-TX — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $13.25 | ↓ -27% |
| BCBS | Medicare|All Plans | $13.52 | ↓ -26% |
| AETNA | Medicare|All Plans | $13.52 | ↓ -26% |
| UNITED | Medicare|All Plans | $13.79 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $13.93 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $14.47 | ↓ -20% |
| Cigna | Commercial|Local Plus | $17.68 | ↓ -3% |
| Ambetter | Commercial|All Plans | $19.61 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $20.28 | ↑ +11% |
| United | Commercial|Exchange | $20.80 | ↑ +14% |
| Wellpoint | Medicaid|All Other Plans | $26.21 | ↑ +44% |
| Bright Health | Commercial|All Plans | $34.32 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $36.03 | ↑ +98% |
| United | Commercial|All Other Plans | $37.44 | ↑ +106% |
| Ellwood | Commercial|All Plans | $40.56 | ↑ +123% |
| Entrust | Commercial|All Plans | $43.68 | ↑ +140% |
| NX Health | Commercial|All Plans | $43.94 | ↑ +141% |
| Health Smart | Commercial|All Plans | $57.19 | ↑ +214% |
| First Health | Commercial|All Plans | $62.39 | ↑ +243% |
| Humana | Commercial|All Plans | $63.43 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $66.55 | ↑ +266% |
| Aetna | Commercial|All Plans | $68.63 | ↑ +277% |
| BCBS-TX | Commercial|Blue Advantage HMO | $85.85 | ↑ +372% |
| PHCS | Commercial|All Plans | $88.39 | ↑ +386% |
| Multiplan | Commercial|All Plans | $93.59 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $103.98 | ↑ +471% |
| BCBS-TX | Commercial|Blue Premier | $103.98 | ↑ +471% |
| BCBS-TX | Commercial|HMO | $103.98 | ↑ +471% |
| BCBS-TX | Commercial|PPO | $103.98 | ↑ +471% |
Visitor-reported prices
Comments
Albumin (human), 25%, 50ml at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,217.81 | $239.51 – $4,826.69 |
| St. Luke's Health - Patients Medical Center | Pasadena | $275.26 | $67.81 – $288.23 |
| Baylor St Luke's Medical Center | Houston | $142.90 | $42.54 – $193.35 |
| St. Luke's Health Memorial Lufkin | Lufkin | $763.44 | $5.46 – $47.77 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $142.90 | $42.54 – $193.35 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $142.90 | $42.54 – $193.35 |
| St. Joseph Health College Station Hospital | College Station | $18.20 | $17.68 – $88.39 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $142.90 | $42.54 – $193.35 |