Amikacin 4 mg/ml intravitreal injection - cnr at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1.48
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.
$8.42
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.
$0.50 with PGT vs $3.87 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 | $0.50 | ↓ -66% |
| BCBS | Medicare|All Plans | $0.51 | ↓ -66% |
| AETNA | Medicare|All Plans | $0.51 | ↓ -66% |
| UNITED | Medicare|All Plans | $0.52 | ↓ -65% |
| AMERIVANTAGE | Medicare|All Plans | $0.52 | ↓ -65% |
| SCANHealth | Medicare|All Plans | $0.54 | ↓ -64% |
| United | Commercial|Exchange | $0.54 | ↓ -64% |
| Cigna | Commercial|Local Plus | $0.66 | ↓ -55% |
| Ambetter | Commercial|All Plans | $0.73 | ↓ -51% |
| Wellpoint | Commercial|Exchange | $0.76 | ↓ -49% |
| United | Commercial|All Other Plans | $0.89 | ↓ -40% |
| Wellpoint | Medicaid|All Other Plans | $0.98 | ↓ -34% |
| Bright Health | Commercial|All Plans | $1.28 | ↓ -14% |
| Wellpoint | Medicaid|STAR | $1.35 | ↓ -9% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1.50 | ↑ +1% |
| Ellwood | Commercial|All Plans | $1.51 | ↑ +2% |
| Entrust | Commercial|All Plans | $1.63 | ↑ +10% |
| NX Health | Commercial|All Plans | $1.64 | ↑ +11% |
| Health Smart | Commercial|All Plans | $2.13 | ↑ +44% |
| First Health | Commercial|All Plans | $2.33 | ↑ +57% |
| Humana | Commercial|All Plans | $2.37 | ↑ +60% |
| BCBS-TX | Commercial|Blue Premier | $2.45 | ↑ +66% |
| Cigna | Commercial|All Other Plans | $2.48 | ↑ +68% |
| BCBS-TX | Commercial|HMO | $2.52 | ↑ +70% |
| Aetna | Commercial|All Plans | $2.56 | ↑ +73% |
| BCBS-TX | Commercial|PPO | $2.88 | ↑ +95% |
| PHCS | Commercial|All Plans | $3.29 | ↑ +122% |
| Multiplan | Commercial|All Plans | $3.49 | ↑ +136% |
| BCBS-TX | Commercial|Ref Lab | $3.87 | ↑ +161% |
Visitor-reported prices
Comments
Amikacin 4 mg/ml intravitreal injection - cnr at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $35.42 | $0.95 – $54.98 |
| St. Luke's Health Memorial Lufkin | Lufkin | $116.26 | $0.87 – $35.06 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $35.42 | $0.77 – $54.98 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $35.42 | $0.77 – $54.98 |
| HCA HOUSTON SOUTHEAST | PASADENA | $17.31 | $0.60 – $10.91 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $35.42 | $0.77 – $54.98 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $23.16 | $0.89 – $43.00 |
| HCA HOUSTON WEST | HOUSTON | $191.00 | $0.62 – $10.91 |