Application of long arm cast 29065 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$82.60
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.
$472.00
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.
$15.55 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 | $15.55 | ↓ -81% |
| BCBS | Medicare|All Plans | $15.86 | ↓ -81% |
| AETNA | Medicare|All Plans | $15.86 | ↓ -81% |
| UNITED | Medicare|All Plans | $16.18 | ↓ -80% |
| AMERIVANTAGE | Medicare|All Plans | $16.34 | ↓ -80% |
| SCANHealth | Medicare|All Plans | $16.98 | ↓ -79% |
| Ambetter | Commercial|All Plans | $23.00 | ↓ -72% |
| Wellpoint | Commercial|Exchange | $23.79 | ↓ -71% |
| Wellpoint | Medicaid|All Other Plans | $30.75 | ↓ -63% |
| Wellpoint | Medicaid|STAR | $42.28 | ↓ -49% |
| Bright Health | Commercial|All Plans | $45.61 | ↓ -45% |
| Ellwood | Commercial|All Plans | $47.58 | ↓ -42% |
| Entrust | Commercial|All Plans | $51.24 | ↓ -38% |
| NX Health | Commercial|All Plans | $51.55 | ↓ -38% |
| SUPERIOR | Medicaid|CHIP | $51.84 | ↓ -37% |
| UNITED | Medicaid|STARKIDS | $52.88 | ↓ -36% |
| UNITED | Medicaid|All Other Plans | $52.88 | ↓ -36% |
| SUPERIOR | Medicaid|All Other Plans | $54.43 | ↓ -34% |
| BCBS | Medicaid|STARKIDS | $54.43 | ↓ -34% |
| Health Smart | Commercial|All Plans | $67.10 | ↓ -19% |
| First Health | Commercial|All Plans | $73.20 | ↓ -11% |
| Humana | Commercial|All Plans | $74.42 | ↓ -10% |
| SUPERIOR | Medicaid|STAR | $75.17 | ↓ -9% |
| Cigna | Commercial|All Other Plans | $78.08 | ↓ -5% |
| Aetna | Commercial|All Plans | $80.52 | ↓ -3% |
| BCBS-TX | Commercial|Blue Premier | $84.38 | ↑ +2% |
| BCBS-TX | Commercial|Blue Advantage HMO | $84.98 | ↑ +3% |
| BCBS-TX | Commercial|HMO | $90.41 | ↑ +9% |
| BCBS-TX | Commercial|PPO | $99.45 | ↑ +20% |
| PHCS | Commercial|All Plans | $103.70 | ↑ +26% |
| Multiplan | Commercial|All Plans | $109.80 | ↑ +33% |
| BCBS-TX | Commercial|Ref Lab | $122.00 | ↑ +48% |
| SUPERIOR | Medicaid|STARPLUS | $128.56 | ↑ +56% |
| UNITED | Medicaid|STARPLUS | $131.16 | ↑ +59% |
| Cigna | Commercial|Local Plus | $231.28 | ↑ +180% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1726% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +3484% |
Visitor-reported prices
Comments
Application of long arm cast 29065 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $401.40 | $49.28 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $477.08 | $52.73 – $715.63 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $464.50 | $49.28 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $401.40 | $49.28 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $477.08 | $52.73 – $715.63 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $477.08 | $49.28 – $715.63 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $464.50 | $49.28 – $696.75 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $401.40 | $49.28 – $665.29 |