Allograft dermis 20x25x1mm decell w/matracell arthroflex at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$6,788.78
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.
?
What you pay up front if you don't use insurance.
$38,793.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,447.65 with PGT vs $11,363.00 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 | $1,447.65 | ↓ -79% |
| BCBS | Medicare|All Plans | $1,477.19 | ↓ -78% |
| AETNA | Medicare|All Plans | $1,477.19 | ↓ -78% |
| UNITED | Medicare|All Plans | $1,506.74 | ↓ -78% |
| AMERIVANTAGE | Medicare|All Plans | $1,521.51 | ↓ -78% |
| SCANHealth | Medicare|All Plans | $1,580.60 | ↓ -77% |
| Cigna | Commercial|Local Plus | $1,931.71 | ↓ -72% |
| Ambetter | Commercial|All Plans | $2,141.93 | ↓ -68% |
| Wellpoint | Commercial|Exchange | $2,215.79 | ↓ -67% |
| United | Commercial|Exchange | $2,272.60 | ↓ -67% |
| Wellpoint | Medicaid|All Other Plans | $2,863.48 | ↓ -58% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,197.48 | ↓ -53% |
| BCBS-TX | Commercial|Blue Premier | $3,633.50 | ↓ -46% |
| Bright Health | Commercial|All Plans | $3,749.79 | ↓ -45% |
| BCBS-TX | Commercial|HMO | $3,924.18 | ↓ -42% |
| Wellpoint | Medicaid|STAR | $3,937.28 | ↓ -42% |
| United | Commercial|All Other Plans | $4,090.68 | ↓ -40% |
| BCBS-TX | Commercial|PPO | $4,214.86 | ↓ -38% |
| Ellwood | Commercial|All Plans | $4,431.57 | ↓ -35% |
| Entrust | Commercial|All Plans | $4,772.46 | ↓ -30% |
| NX Health | Commercial|All Plans | $4,800.87 | ↓ -29% |
| Health Smart | Commercial|All Plans | $6,249.65 | ↓ -8% |
| First Health | Commercial|All Plans | $6,817.80 | ↑ +0% |
| Humana | Commercial|All Plans | $6,931.43 | ↑ +2% |
| Cigna | Commercial|All Other Plans | $7,272.32 | ↑ +7% |
| Aetna | Commercial|All Plans | $7,499.58 | ↑ +10% |
| PHCS | Commercial|All Plans | $9,658.55 | ↑ +42% |
| Multiplan | Commercial|All Plans | $10,226.70 | ↑ +51% |
| BCBS-TX | Commercial|Ref Lab | $11,363.00 | ↑ +67% |
Visitor-reported prices
Comments
Allograft dermis 20x25x1mm decell w/matracell arthroflex at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $7,899.05 | $4,739.43 – $16,926.53 |
| St. Luke's Health Memorial Lufkin | Lufkin | $7,581.58 | $43.77 – $281.34 |
| St. Joseph Health College Station Hospital | College Station | $6,788.78 | $1,931.71 – $10,173.80 |
| St. Joseph Health Grimes Hospital | Navasota | $6,788.78 | $1,931.71 – $12,612.93 |
| St. Luke's Health Memorial Livingston | Livingston | $7,581.58 | $43.77 – $281.34 |
| St. Luke's Health Memorial San Augustine | San Augustine | $7,581.58 | $43.77 – $281.34 |
| St. Joseph Health Burleson Hospital | Caldwell | $6,788.78 | $1,931.71 – $10,226.70 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $209.78 – $209.78 |