Amniocentesis therapeutic at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$130.38
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.
$745.00
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.
$94.92 with PGT vs $2,960.00 with United — 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 | $94.92 | ↓ -27% |
| AETNA | Medicare|All Plans | $96.85 | ↓ -26% |
| BCBS | Medicare|All Plans | $96.85 | ↓ -26% |
| UNITED | Medicare|All Plans | $98.79 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $99.76 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $103.63 | ↓ -21% |
| SUPERIOR | Medicaid|CHIP | $122.81 | ↓ -6% |
| UNITED | Medicaid|STARKIDS | $125.27 | ↓ -4% |
| UNITED | Medicaid|All Other Plans | $125.27 | ↓ -4% |
| BCBS | Medicaid|STARKIDS | $128.95 | ↓ -1% |
| SUPERIOR | Medicaid|All Other Plans | $128.95 | ↓ -1% |
| Ambetter | Commercial|All Plans | $140.44 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $145.28 | ↑ +11% |
| SUPERIOR | Medicaid|STAR | $178.07 | ↑ +37% |
| Wellpoint | Medicaid|All Other Plans | $187.74 | ↑ +44% |
| BCBS-TX | Commercial|Blue Premier | $191.51 | ↑ +47% |
| BCBS-TX | Commercial|Blue Advantage HMO | $192.87 | ↑ +48% |
| BCBS-TX | Commercial|HMO | $205.19 | ↑ +57% |
| BCBS-TX | Commercial|PPO | $225.70 | ↑ +73% |
| Wellpoint | Medicaid|STAR | $258.15 | ↑ +98% |
| Bright Health | Commercial|All Plans | $278.49 | ↑ +114% |
| Ellwood | Commercial|All Plans | $290.55 | ↑ +123% |
| SUPERIOR | Medicaid|STARPLUS | $304.57 | ↑ +134% |
| UNITED | Medicaid|STARPLUS | $310.71 | ↑ +138% |
| Entrust | Commercial|All Plans | $312.90 | ↑ +140% |
| NX Health | Commercial|All Plans | $314.77 | ↑ +141% |
| Cigna | Commercial|Local Plus | $350.15 | ↑ +169% |
| Health Smart | Commercial|All Plans | $409.75 | ↑ +214% |
| First Health | Commercial|All Plans | $447.00 | ↑ +243% |
| Humana | Commercial|All Plans | $454.45 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $476.80 | ↑ +266% |
| Aetna | Commercial|All Plans | $491.70 | ↑ +277% |
| PHCS | Commercial|All Plans | $633.25 | ↑ +386% |
| Multiplan | Commercial|All Plans | $670.50 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $745.00 | ↑ +471% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1057% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2170% |
Visitor-reported prices
Comments
Amniocentesis therapeutic at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $672.92 | $116.74 – $841.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,170.42 | $71.00 – $1,755.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,034.46 | $71.00 – $1,293.08 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $672.92 | $116.74 – $841.15 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,170.42 | $85.00 – $1,755.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,170.42 | $116.74 – $1,755.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,034.46 | $71.00 – $1,551.69 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $672.92 | $116.74 – $841.15 |