Apply short leg castambul type 29425 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$110.60
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.
$632.00
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.
$12.74 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 | $12.74 | ↓ -88% |
| BCBS | Medicare|All Plans | $13.00 | ↓ -88% |
| AETNA | Medicare|All Plans | $13.00 | ↓ -88% |
| UNITED | Medicare|All Plans | $13.26 | ↓ -88% |
| AMERIVANTAGE | Medicare|All Plans | $13.39 | ↓ -88% |
| SCANHealth | Medicare|All Plans | $13.91 | ↓ -87% |
| Ambetter | Commercial|All Plans | $18.85 | ↓ -83% |
| Wellpoint | Commercial|Exchange | $19.50 | ↓ -82% |
| Wellpoint | Medicaid|All Other Plans | $25.20 | ↓ -77% |
| Wellpoint | Medicaid|STAR | $34.65 | ↓ -69% |
| Bright Health | Commercial|All Plans | $37.38 | ↓ -66% |
| SUPERIOR | Medicaid|CHIP | $37.86 | ↓ -66% |
| UNITED | Medicaid|All Other Plans | $38.62 | ↓ -65% |
| UNITED | Medicaid|STARKIDS | $38.62 | ↓ -65% |
| Ellwood | Commercial|All Plans | $39.00 | ↓ -65% |
| SUPERIOR | Medicaid|All Other Plans | $39.75 | ↓ -64% |
| BCBS | Medicaid|STARKIDS | $39.75 | ↓ -64% |
| Entrust | Commercial|All Plans | $42.00 | ↓ -62% |
| NX Health | Commercial|All Plans | $42.25 | ↓ -62% |
| SUPERIOR | Medicaid|STAR | $54.90 | ↓ -50% |
| Health Smart | Commercial|All Plans | $55.00 | ↓ -50% |
| First Health | Commercial|All Plans | $60.00 | ↓ -46% |
| Humana | Commercial|All Plans | $61.00 | ↓ -45% |
| BCBS-TX | Commercial|Blue Premier | $63.66 | ↓ -42% |
| Cigna | Commercial|All Other Plans | $64.00 | ↓ -42% |
| BCBS-TX | Commercial|Blue Advantage HMO | $64.11 | ↓ -42% |
| Aetna | Commercial|All Plans | $66.00 | ↓ -40% |
| BCBS-TX | Commercial|HMO | $68.21 | ↓ -38% |
| BCBS-TX | Commercial|PPO | $75.03 | ↓ -32% |
| PHCS | Commercial|All Plans | $85.00 | ↓ -23% |
| Multiplan | Commercial|All Plans | $90.00 | ↓ -19% |
| SUPERIOR | Medicaid|STARPLUS | $93.89 | ↓ -15% |
| UNITED | Medicaid|STARPLUS | $95.79 | ↓ -13% |
| BCBS-TX | Commercial|Ref Lab | $100.00 | ↓ -10% |
| Cigna | Commercial|Local Plus | $309.68 | ↑ +180% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1263% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2576% |
Visitor-reported prices
Comments
Apply short leg castambul type 29425 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $486.39 | $35.99 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $486.39 | $38.51 – $729.59 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $404.74 | $35.99 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $486.39 | $35.99 – $665.29 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $486.39 | $38.51 – $729.59 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $486.39 | $35.99 – $729.59 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $404.74 | $35.99 – $665.29 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $486.39 | $35.99 – $665.29 |