Artificial larynx at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$398.65
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.
$2,278.00
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.
$124.73 with PGT vs $979.00 with BCBS-TX — 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 | $124.73 | ↓ -69% |
| BCBS | Medicare|All Plans | $127.27 | ↓ -68% |
| AETNA | Medicare|All Plans | $127.27 | ↓ -68% |
| UNITED | Medicare|All Plans | $129.82 | ↓ -67% |
| AMERIVANTAGE | Medicare|All Plans | $131.09 | ↓ -67% |
| SCANHealth | Medicare|All Plans | $136.18 | ↓ -66% |
| Ambetter | Commercial|All Plans | $184.55 | ↓ -54% |
| Wellpoint | Commercial|Exchange | $190.91 | ↓ -52% |
| United | Commercial|Exchange | $195.80 | ↓ -51% |
| BCBS-TX | Commercial|Blue Advantage HMO | $215.38 | ↓ -46% |
| BCBS-TX | Commercial|Blue Premier | $244.75 | ↓ -39% |
| Wellpoint | Medicaid|All Other Plans | $246.71 | ↓ -38% |
| BCBS-TX | Commercial|HMO | $264.33 | ↓ -34% |
| BCBS-TX | Commercial|PPO | $283.91 | ↓ -29% |
| Cigna | Commercial|Local Plus | $303.49 | ↓ -24% |
| United | Commercial|All Other Plans | $323.07 | ↓ -19% |
| Wellpoint | Medicaid|STAR | $339.23 | ↓ -15% |
| Bright Health | Commercial|All Plans | $365.96 | ↓ -8% |
| Ellwood | Commercial|All Plans | $381.81 | ↓ -4% |
| Entrust | Commercial|All Plans | $411.18 | ↑ +3% |
| NX Health | Commercial|All Plans | $413.63 | ↑ +4% |
| Health Smart | Commercial|All Plans | $538.45 | ↑ +35% |
| First Health | Commercial|All Plans | $587.40 | ↑ +47% |
| Humana | Commercial|All Plans | $597.19 | ↑ +50% |
| Cigna | Commercial|All Other Plans | $626.56 | ↑ +57% |
| Aetna | Commercial|All Plans | $646.14 | ↑ +62% |
| PHCS | Commercial|All Plans | $832.15 | ↑ +109% |
| Multiplan | Commercial|All Plans | $881.10 | ↑ +121% |
| BCBS-TX | Commercial|Ref Lab | $979.00 | ↑ +146% |
Visitor-reported prices
Comments
Artificial larynx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $76.20 | $21.59 – $101.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $76.20 | $15.68 – $114.30 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $76.20 | $15.24 – $101.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $76.20 | $20.32 – $101.60 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $76.20 | $24.46 – $114.30 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $76.20 | $39.37 – $114.30 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $76.20 | $25.40 – $114.30 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $76.20 | $20.32 – $101.60 |