Application finger splntstatic 29130 at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$37.80

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$216.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$7.27 with PGT vs $2,960.00 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 →

Payer
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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
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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 $7.27 ↓ -81%
BCBS Medicare|All Plans $7.41 ↓ -80%
AETNA Medicare|All Plans $7.41 ↓ -80%
UNITED Medicare|All Plans $7.56 ↓ -80%
AMERIVANTAGE Medicare|All Plans $7.64 ↓ -80%
SCANHealth Medicare|All Plans $7.93 ↓ -79%
Ambetter Commercial|All Plans $10.75 ↓ -72%
Wellpoint Commercial|Exchange $11.12 ↓ -71%
Wellpoint Medicaid|All Other Plans $14.37 ↓ -62%
Wellpoint Medicaid|STAR $19.76 ↓ -48%
Bright Health Commercial|All Plans $21.31 ↓ -44%
Ellwood Commercial|All Plans $22.23 ↓ -41%
Entrust Commercial|All Plans $23.94 ↓ -37%
NX Health Commercial|All Plans $24.09 ↓ -36%
Health Smart Commercial|All Plans $31.35 ↓ -17%
First Health Commercial|All Plans $34.20 ↓ -10%
Humana Commercial|All Plans $34.77 ↓ -8%
Cigna Commercial|All Other Plans $36.48 ↓ -3%
Aetna Commercial|All Plans $37.62 ↓ -0%
PHCS Commercial|All Plans $48.45 ↑ +28%
Multiplan Commercial|All Plans $51.30 ↑ +36%
SUPERIOR Medicaid|CHIP $51.84 ↑ +37%
UNITED Medicaid|STARKIDS $52.88 ↑ +40%
UNITED Medicaid|All Other Plans $52.88 ↑ +40%
BCBS Medicaid|STARKIDS $54.44 ↑ +44%
SUPERIOR Medicaid|All Other Plans $54.44 ↑ +44%
BCBS-TX Commercial|Ref Lab $57.00 ↑ +51%
SUPERIOR Medicaid|STAR $75.17 ↑ +99%
BCBS-TX Commercial|Blue Premier $77.01 ↑ +104%
BCBS-TX Commercial|Blue Advantage HMO $77.56 ↑ +105%
BCBS-TX Commercial|HMO $82.52 ↑ +118%
BCBS-TX Commercial|PPO $90.77 ↑ +140%
Cigna Commercial|Local Plus $105.84 ↑ +180%
SUPERIOR Medicaid|STARPLUS $128.57 ↑ +240%
UNITED Medicaid|STARPLUS $131.16 ↑ +247%
United Commercial|Exchange $1,508.00 ↑ +3889%
United Commercial|All Other Plans $2,960.00 ↑ +7731%

Visitor-reported prices

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Application finger splntstatic 29130 at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $735.49 $68.76 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $319.57 $90.54 – $399.46
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $302.39 $62.24 – $453.59
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $358.57 $71.00 – $448.21
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $319.57 $85.22 – $399.46
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $302.39 $85.00 – $453.59
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $302.39 $155.00 – $453.59
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $358.57 $71.00 – $537.86

All Texas hospitals for this procedure →