Anoscopy control bleeding 46614 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$333.90
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.
$1,908.00
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.
$116.20 with SUPERIOR vs $4,168.00 with United — 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 | $116.20 | ↓ -65% |
| UNITED | Medicaid|All Other Plans | $118.52 | ↓ -65% |
| UNITED | Medicaid|STARKIDS | $118.52 | ↓ -65% |
| BCBS | Medicaid|STARKIDS | $122.01 | ↓ -63% |
| SUPERIOR | Medicaid|All Other Plans | $122.01 | ↓ -63% |
| BCBS-TX | Commercial|Blue Premier | $154.60 | ↓ -54% |
| BCBS-TX | Commercial|Blue Advantage HMO | $155.71 | ↓ -53% |
| BCBS-TX | Commercial|HMO | $165.65 | ↓ -50% |
| SUPERIOR | Medicaid|STAR | $168.49 | ↓ -50% |
| BCBS-TX | Commercial|PPO | $182.21 | ↓ -45% |
| PGT | Medicare|All Plans | $243.08 | ↓ -27% |
| BCBS | Medicare|All Plans | $248.04 | ↓ -26% |
| AETNA | Medicare|All Plans | $248.04 | ↓ -26% |
| UNITED | Medicare|All Plans | $253.01 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $255.49 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $265.41 | ↓ -21% |
| SUPERIOR | Medicaid|STARPLUS | $288.18 | ↓ -14% |
| UNITED | Medicaid|STARPLUS | $293.99 | ↓ -12% |
| Ambetter | Commercial|All Plans | $359.66 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $372.06 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $480.82 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $661.13 | ↑ +98% |
| Bright Health | Commercial|All Plans | $713.22 | ↑ +114% |
| Ellwood | Commercial|All Plans | $744.12 | ↑ +123% |
| Entrust | Commercial|All Plans | $801.36 | ↑ +140% |
| NX Health | Commercial|All Plans | $806.13 | ↑ +141% |
| Cigna | Commercial|Local Plus | $934.92 | ↑ +180% |
| Health Smart | Commercial|All Plans | $1,049.40 | ↑ +214% |
| First Health | Commercial|All Plans | $1,144.80 | ↑ +243% |
| Humana | Commercial|All Plans | $1,163.88 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $1,221.12 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,259.28 | ↑ +277% |
| PHCS | Commercial|All Plans | $1,621.80 | ↑ +386% |
| Multiplan | Commercial|All Plans | $1,717.20 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $1,908.00 | ↑ +471% |
| United | Commercial|Exchange | $2,124.00 | ↑ +536% |
| United | Commercial|All Other Plans | $4,168.00 | ↑ +1148% |
Visitor-reported prices
Comments
Anoscopy control bleeding 46614 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health College Station Hospital | College Station | $333.90 | $934.92 – $1,908.00 |
| St. Joseph Health Grimes Hospital | Navasota | $333.90 | $691.85 – $2,117.88 |
| St. Joseph Health Burleson Hospital | Caldwell | $333.90 | $419.76 – $1,908.00 |
| Ascension Providence | Waco | $328.95 | $88.35 – $208.71 |
| Adventhealth Rollins Brook | Lampasas | not published | $138.04 – $4,826.69 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | not published | $110.46 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | not published | $110.46 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie | not published | $110.46 – $7,038.00 |