Allograft epieffect 2x3cm-q4186-cost per sq cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1,645.35
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.
$9,402.00
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.
$158.33 with United vs $3,973.00 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 |
|---|---|---|---|
| United | Commercial|Exchange | $158.33 | ↓ -90% |
| Cigna | Commercial|Local Plus | $179.09 | ↓ -89% |
| United | Commercial|All Other Plans | $261.24 | ↓ -84% |
| BCBS-TX | Commercial|Blue Advantage HMO | $315.06 | ↓ -81% |
| BCBS-TX | Commercial|Blue Premier | $365.38 | ↓ -78% |
| BCBS-TX | Commercial|HMO | $389.45 | ↓ -76% |
| BCBS-TX | Commercial|PPO | $431.02 | ↓ -74% |
| PGT | Medicare|All Plans | $506.17 | ↓ -69% |
| BCBS | Medicare|All Plans | $516.49 | ↓ -69% |
| AETNA | Medicare|All Plans | $516.49 | ↓ -69% |
| UNITED | Medicare|All Plans | $526.82 | ↓ -68% |
| AMERIVANTAGE | Medicare|All Plans | $531.99 | ↓ -68% |
| SCANHealth | Medicare|All Plans | $552.65 | ↓ -66% |
| Ambetter | Commercial|All Plans | $748.92 | ↓ -54% |
| Wellpoint | Commercial|Exchange | $774.74 | ↓ -53% |
| Wellpoint | Medicaid|All Other Plans | $1,001.20 | ↓ -39% |
| Bright Health | Commercial|All Plans | $1,311.09 | ↓ -20% |
| Wellpoint | Medicaid|STAR | $1,376.65 | ↓ -16% |
| Ellwood | Commercial|All Plans | $1,549.47 | ↓ -6% |
| Entrust | Commercial|All Plans | $1,668.66 | ↑ +1% |
| NX Health | Commercial|All Plans | $1,678.60 | ↑ +2% |
| Health Smart | Commercial|All Plans | $2,185.15 | ↑ +33% |
| First Health | Commercial|All Plans | $2,383.80 | ↑ +45% |
| Humana | Commercial|All Plans | $2,423.53 | ↑ +47% |
| Cigna | Commercial|All Other Plans | $2,542.72 | ↑ +55% |
| Aetna | Commercial|All Plans | $2,622.18 | ↑ +59% |
| PHCS | Commercial|All Plans | $3,377.05 | ↑ +105% |
| Multiplan | Commercial|All Plans | $3,575.70 | ↑ +117% |
| BCBS-TX | Commercial|Ref Lab | $3,973.00 | ↑ +141% |
Visitor-reported prices
Comments
Allograft epieffect 2x3cm-q4186-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,722.91 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $3,202.40 | $219.92 – $749.70 |
| Baylor St Luke's Medical Center | Houston | $877.10 | $194.72 – $1,113.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,028.25 | $179.09 – $6,169.50 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $877.10 | $226.10 – $1,113.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $877.10 | $226.10 – $1,113.00 |
| St. Joseph Health College Station Hospital | College Station | $1,645.35 | $158.33 – $6,581.40 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $877.10 | $226.10 – $1,113.00 |