Angioplasty fem/pop unilat 37224 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$6,084.05
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.
$34,766.00
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.
$2,643.65 with SUPERIOR vs $34,766.00 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $2,643.65 | ↓ -57% |
| UNITED | Medicaid|All Other Plans | $2,696.52 | ↓ -56% |
| UNITED | Medicaid|STARKIDS | $2,696.52 | ↓ -56% |
| SUPERIOR | Medicaid|All Other Plans | $2,775.83 | ↓ -54% |
| BCBS | Medicaid|STARKIDS | $2,775.83 | ↓ -54% |
| SUPERIOR | Medicaid|STAR | $3,833.29 | ↓ -37% |
| PGT | Medicare|All Plans | $4,429.19 | ↓ -27% |
| BCBS | Medicare|All Plans | $4,519.58 | ↓ -26% |
| AETNA | Medicare|All Plans | $4,519.58 | ↓ -26% |
| UNITED | Medicare|All Plans | $4,609.98 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $4,655.17 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $4,835.96 | ↓ -21% |
| Ambetter | Commercial|All Plans | $6,553.40 | ↑ +8% |
| SUPERIOR | Medicaid|STARPLUS | $6,556.25 | ↑ +8% |
| UNITED | Medicaid|STARPLUS | $6,688.43 | ↑ +10% |
| Wellpoint | Commercial|Exchange | $6,779.37 | ↑ +11% |
| BCBS-TX | Commercial|Blue Premier | $6,935.47 | ↑ +14% |
| BCBS-TX | Commercial|Blue Advantage HMO | $6,985.01 | ↑ +15% |
| BCBS-TX | Commercial|HMO | $7,430.87 | ↑ +22% |
| BCBS-TX | Commercial|PPO | $8,173.95 | ↑ +34% |
| Wellpoint | Medicaid|All Other Plans | $8,761.04 | ↑ +44% |
| United | Commercial|Exchange | $9,379.00 | ↑ +54% |
| Wellpoint | Medicaid|STAR | $12,046.42 | ↑ +98% |
| Bright Health | Commercial|All Plans | $12,995.54 | ↑ +114% |
| Ellwood | Commercial|All Plans | $13,558.74 | ↑ +123% |
| Entrust | Commercial|All Plans | $14,601.72 | ↑ +140% |
| NX Health | Commercial|All Plans | $14,688.64 | ↑ +141% |
| Cigna | Commercial|Local Plus | $17,035.34 | ↑ +180% |
| United | Commercial|All Other Plans | $18,403.00 | ↑ +202% |
| Health Smart | Commercial|All Plans | $19,121.30 | ↑ +214% |
| First Health | Commercial|All Plans | $20,859.60 | ↑ +243% |
| Humana | Commercial|All Plans | $21,207.26 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $22,250.24 | ↑ +266% |
| Aetna | Commercial|All Plans | $22,945.56 | ↑ +277% |
| PHCS | Commercial|All Plans | $29,551.10 | ↑ +386% |
| Multiplan | Commercial|All Plans | $31,289.40 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $34,766.00 | ↑ +471% |
Visitor-reported prices
Comments
Angioplasty fem/pop unilat 37224 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $16,874.52 | $4,781.11 – $23,905.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $11,517.60 | $71.00 – $17,276.40 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $13,419.17 | $71.00 – $16,773.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $16,874.52 | $4,499.87 – $23,905.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $11,517.60 | $85.00 – $17,276.40 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $11,517.60 | $5,950.76 – $17,276.40 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $13,419.17 | $71.00 – $20,128.76 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $16,874.52 | $4,499.87 – $23,905.57 |