Application of forearm cast 29075 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$67.55
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.
$386.00
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.
$15.80 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 →
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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 | $15.80 | ↓ -77% |
| BCBS | Medicare|All Plans | $16.12 | ↓ -76% |
| AETNA | Medicare|All Plans | $16.12 | ↓ -76% |
| UNITED | Medicare|All Plans | $16.45 | ↓ -76% |
| AMERIVANTAGE | Medicare|All Plans | $16.61 | ↓ -75% |
| SCANHealth | Medicare|All Plans | $17.25 | ↓ -74% |
| Ambetter | Commercial|All Plans | $23.38 | ↓ -65% |
| Wellpoint | Commercial|Exchange | $24.18 | ↓ -64% |
| Wellpoint | Medicaid|All Other Plans | $31.25 | ↓ -54% |
| Wellpoint | Medicaid|STAR | $42.97 | ↓ -36% |
| Bright Health | Commercial|All Plans | $46.36 | ↓ -31% |
| SUPERIOR | Medicaid|CHIP | $47.48 | ↓ -30% |
| Ellwood | Commercial|All Plans | $48.36 | ↓ -28% |
| UNITED | Medicaid|All Other Plans | $48.43 | ↓ -28% |
| UNITED | Medicaid|STARKIDS | $48.43 | ↓ -28% |
| SUPERIOR | Medicaid|All Other Plans | $49.85 | ↓ -26% |
| BCBS | Medicaid|STARKIDS | $49.85 | ↓ -26% |
| Entrust | Commercial|All Plans | $52.08 | ↓ -23% |
| NX Health | Commercial|All Plans | $52.39 | ↓ -22% |
| Health Smart | Commercial|All Plans | $68.20 | ↑ +1% |
| SUPERIOR | Medicaid|STAR | $68.85 | ↑ +2% |
| First Health | Commercial|All Plans | $74.40 | ↑ +10% |
| Humana | Commercial|All Plans | $75.64 | ↑ +12% |
| BCBS-TX | Commercial|Blue Premier | $77.31 | ↑ +14% |
| BCBS-TX | Commercial|Blue Advantage HMO | $77.86 | ↑ +15% |
| Cigna | Commercial|All Other Plans | $79.36 | ↑ +17% |
| Aetna | Commercial|All Plans | $81.84 | ↑ +21% |
| BCBS-TX | Commercial|HMO | $82.83 | ↑ +23% |
| BCBS-TX | Commercial|PPO | $91.11 | ↑ +35% |
| PHCS | Commercial|All Plans | $105.40 | ↑ +56% |
| Multiplan | Commercial|All Plans | $111.60 | ↑ +65% |
| SUPERIOR | Medicaid|STARPLUS | $117.75 | ↑ +74% |
| UNITED | Medicaid|STARPLUS | $120.12 | ↑ +78% |
| BCBS-TX | Commercial|Ref Lab | $124.00 | ↑ +84% |
| Cigna | Commercial|Local Plus | $189.14 | ↑ +180% |
| United | Commercial|Exchange | $1,508.00 | ↑ +2132% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +4282% |
Visitor-reported prices
Comments
Application of forearm cast 29075 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,578.53 | $69.03 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $331.13 | $45.13 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $386.61 | $48.29 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $408.97 | $45.13 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $331.13 | $45.13 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $386.61 | $48.29 – $665.29 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $386.61 | $45.13 – $665.29 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $408.97 | $45.13 – $665.29 |