Albumin (human), 5%, 250 ml 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$4.21 with PGT vs $33.00 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $4.21 | ↓ -77% |
| BCBS | Medicare|All Plans | $4.29 | ↓ -76% |
| AETNA | Medicare|All Plans | $4.29 | ↓ -76% |
| UNITED | Medicare|All Plans | $4.38 | ↓ -76% |
| AMERIVANTAGE | Medicare|All Plans | $4.42 | ↓ -76% |
| SCANHealth | Medicare|All Plans | $4.60 | ↓ -75% |
| Cigna | Commercial|Local Plus | $5.61 | ↓ -69% |
| Ambetter | Commercial|All Plans | $6.23 | ↓ -66% |
| Wellpoint | Commercial|Exchange | $6.44 | ↓ -65% |
| United | Commercial|Exchange | $6.60 | ↓ -64% |
| Wellpoint | Medicaid|All Other Plans | $8.32 | ↓ -54% |
| Bright Health | Commercial|All Plans | $10.89 | ↓ -40% |
| Wellpoint | Medicaid|STAR | $11.44 | ↓ -37% |
| United | Commercial|All Other Plans | $11.88 | ↓ -35% |
| Ellwood | Commercial|All Plans | $12.87 | ↓ -29% |
| Entrust | Commercial|All Plans | $13.86 | ↓ -24% |
| NX Health | Commercial|All Plans | $13.95 | ↓ -23% |
| Health Smart | Commercial|All Plans | $18.15 | ↓ -0% |
| First Health | Commercial|All Plans | $19.80 | ↑ +9% |
| Humana | Commercial|All Plans | $20.13 | ↑ +11% |
| Cigna | Commercial|All Other Plans | $21.12 | ↑ +16% |
| Aetna | Commercial|All Plans | $21.78 | ↑ +20% |
| PHCS | Commercial|All Plans | $28.05 | ↑ +54% |
| Multiplan | Commercial|All Plans | $29.70 | ↑ +63% |
| BCBS-TX | Commercial|Ref Lab | $33.00 | ↑ +81% |
| BCBS-TX | Commercial|Blue Premier | $33.00 | ↑ +81% |
| BCBS-TX | Commercial|Blue Advantage HMO | $33.00 | ↑ +81% |
| BCBS-TX | Commercial|HMO | $33.00 | ↑ +81% |
| BCBS-TX | Commercial|PPO | $33.00 | ↑ +81% |
Visitor-reported prices
Comments
Albumin (human), 5%, 250 ml at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,229.57 | $239.51 – $4,826.69 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $145.15 | $52.45 – $510.86 |
| HCA HOUSTON CONROE | CONROE | $2,717.27 | $52.45 – $510.86 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,587.43 | $52.45 – $510.86 |
| HCA HOUSTON PEARLAND | Pearland | $2,269.56 | $52.45 – $510.86 |
| St. Joseph Health College Station Hospital | College Station | $18.20 | $5.61 – $33.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $97.92 | $41.97 – $181.84 |
| St. Joseph Health Grimes Hospital | Navasota | $18.20 | $5.61 – $36.63 |