Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$340.20
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.
$1,944.00
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.
$44.56 with SUPERIOR 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $44.56 | ↓ -87% |
| UNITED | Medicaid|STARKIDS | $45.45 | ↓ -87% |
| UNITED | Medicaid|All Other Plans | $45.45 | ↓ -87% |
| BCBS | Medicaid|STARKIDS | $46.79 | ↓ -86% |
| SUPERIOR | Medicaid|All Other Plans | $46.79 | ↓ -86% |
| SUPERIOR | Medicaid|STAR | $64.61 | ↓ -81% |
| BCBS-TX | Commercial|Blue Premier | $65.18 | ↓ -81% |
| BCBS-TX | Commercial|Blue Advantage HMO | $65.65 | ↓ -81% |
| BCBS-TX | Commercial|HMO | $69.84 | ↓ -79% |
| BCBS-TX | Commercial|PPO | $76.82 | ↓ -77% |
| SUPERIOR | Medicaid|STARPLUS | $110.51 | ↓ -68% |
| UNITED | Medicaid|STARPLUS | $112.74 | ↓ -67% |
| PGT | Medicare|All Plans | $208.43 | ↓ -39% |
| AETNA | Medicare|All Plans | $212.68 | ↓ -37% |
| BCBS | Medicare|All Plans | $212.68 | ↓ -37% |
| UNITED | Medicare|All Plans | $216.94 | ↓ -36% |
| AMERIVANTAGE | Medicare|All Plans | $219.07 | ↓ -36% |
| SCANHealth | Medicare|All Plans | $227.57 | ↓ -33% |
| Ambetter | Commercial|All Plans | $308.39 | ↓ -9% |
| Wellpoint | Commercial|Exchange | $319.02 | ↓ -6% |
| Wellpoint | Medicaid|All Other Plans | $412.28 | ↑ +21% |
| Wellpoint | Medicaid|STAR | $566.88 | ↑ +67% |
| Bright Health | Commercial|All Plans | $611.54 | ↑ +80% |
| Ellwood | Commercial|All Plans | $638.04 | ↑ +88% |
| Entrust | Commercial|All Plans | $687.12 | ↑ +102% |
| NX Health | Commercial|All Plans | $691.21 | ↑ +103% |
| Cigna | Commercial|Local Plus | $801.64 | ↑ +136% |
| Health Smart | Commercial|All Plans | $899.80 | ↑ +164% |
| First Health | Commercial|All Plans | $981.60 | ↑ +189% |
| Humana | Commercial|All Plans | $997.96 | ↑ +193% |
| Cigna | Commercial|All Other Plans | $1,047.04 | ↑ +208% |
| Aetna | Commercial|All Plans | $1,079.76 | ↑ +217% |
| PHCS | Commercial|All Plans | $1,390.60 | ↑ +309% |
| Multiplan | Commercial|All Plans | $1,472.40 | ↑ +333% |
| United | Commercial|Exchange | $1,508.00 | ↑ +343% |
| BCBS-TX | Commercial|Ref Lab | $1,636.00 | ↑ +381% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +770% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,107.19 | $42.36 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,088.05 | $45.33 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,008.92 | $42.36 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,107.19 | $42.36 – $1,713.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,088.05 | $45.33 – $1,713.14 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,088.05 | $42.36 – $1,713.14 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,008.92 | $42.36 – $1,713.14 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,107.19 | $42.36 – $1,713.14 |