Allograft graftjacket 2x12cm-q4107-cost per sq cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$4,898.43
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.
$27,991.00
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.
$97.13 with Cigna vs $6,540.00 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 |
|---|---|---|---|
| Cigna | Commercial|Local Plus | $97.13 | ↓ -98% |
| United | Commercial|Exchange | $136.47 | ↓ -97% |
| BCBS-TX | Commercial|Blue Advantage HMO | $142.24 | ↓ -97% |
| United | Commercial|All Other Plans | $225.18 | ↓ -95% |
| BCBS-TX | Commercial|Blue Premier | $231.91 | ↓ -95% |
| BCBS-TX | Commercial|HMO | $238.09 | ↓ -95% |
| BCBS-TX | Commercial|PPO | $272.10 | ↓ -94% |
| PGT | Medicare|All Plans | $833.20 | ↓ -83% |
| BCBS | Medicare|All Plans | $850.20 | ↓ -83% |
| AETNA | Medicare|All Plans | $850.20 | ↓ -83% |
| UNITED | Medicare|All Plans | $867.21 | ↓ -82% |
| AMERIVANTAGE | Medicare|All Plans | $875.71 | ↓ -82% |
| SCANHealth | Medicare|All Plans | $909.72 | ↓ -81% |
| Ambetter | Commercial|All Plans | $1,232.79 | ↓ -75% |
| Wellpoint | Commercial|Exchange | $1,275.30 | ↓ -74% |
| Wellpoint | Medicaid|All Other Plans | $1,648.08 | ↓ -66% |
| Bright Health | Commercial|All Plans | $1,700.40 | ↓ -65% |
| Wellpoint | Medicaid|STAR | $2,266.11 | ↓ -54% |
| Ellwood | Commercial|All Plans | $2,550.60 | ↓ -48% |
| Entrust | Commercial|All Plans | $2,746.80 | ↓ -44% |
| NX Health | Commercial|All Plans | $2,763.15 | ↓ -44% |
| Health Smart | Commercial|All Plans | $3,597.00 | ↓ -27% |
| First Health | Commercial|All Plans | $3,924.00 | ↓ -20% |
| Humana | Commercial|All Plans | $3,989.40 | ↓ -19% |
| Cigna | Commercial|All Other Plans | $4,185.60 | ↓ -15% |
| Aetna | Commercial|All Plans | $4,316.40 | ↓ -12% |
| PHCS | Commercial|All Plans | $5,559.00 | ↑ +13% |
| Multiplan | Commercial|All Plans | $5,886.00 | ↑ +20% |
| BCBS-TX | Commercial|Ref Lab | $6,540.00 | ↑ +34% |
Visitor-reported prices
Comments
Allograft graftjacket 2x12cm-q4107-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $5,639.00 | $202.02 – $852.15 |
| St. Luke's Health - Patients Medical Center | Pasadena | $5,419.16 | $91.02 – $310.28 |
| St. Luke's Health Memorial Lufkin | Lufkin | $2,167.02 | $97.13 – $2,621.90 |
| St. Joseph Health College Station Hospital | College Station | $4,898.43 | $97.13 – $5,559.00 |
| St. Joseph Health Grimes Hospital | Navasota | $4,898.43 | $97.13 – $7,259.40 |
| HCA HOUSTON WEST | HOUSTON | $1,650.00 | $202.02 – $852.15 |
| St. Luke's Health Memorial Livingston | Livingston | $2,167.02 | $97.13 – $2,621.90 |
| St. Luke's Health Memorial San Augustine | San Augustine | $2,167.02 | $97.13 – $2,621.90 |