Ascenda two piece catheter at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$23,446.50

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$133,980.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5,250.92 with PGT vs $41,216.00 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 →

Payer
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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
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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 $5,250.92 ↓ -78%
BCBS Medicare|All Plans $5,358.08 ↓ -77%
AETNA Medicare|All Plans $5,358.08 ↓ -77%
UNITED Medicare|All Plans $5,465.25 ↓ -77%
AMERIVANTAGE Medicare|All Plans $5,518.83 ↓ -76%
SCANHealth Medicare|All Plans $5,733.15 ↓ -76%
Ambetter Commercial|All Plans $7,769.22 ↓ -67%
Wellpoint Commercial|Exchange $8,037.12 ↓ -66%
United Commercial|Exchange $8,243.20 ↓ -65%
BCBS-TX Commercial|Blue Advantage HMO $9,067.52 ↓ -61%
BCBS-TX Commercial|Blue Premier $10,304.00 ↓ -56%
Wellpoint Medicaid|All Other Plans $10,386.44 ↓ -56%
Bright Health Commercial|All Plans $10,716.16 ↓ -54%
BCBS-TX Commercial|HMO $11,128.32 ↓ -53%
BCBS-TX Commercial|PPO $11,952.64 ↓ -49%
Cigna Commercial|Local Plus $12,776.96 ↓ -46%
United Commercial|All Other Plans $13,601.28 ↓ -42%
Wellpoint Medicaid|STAR $14,281.35 ↓ -39%
Ellwood Commercial|All Plans $16,074.24 ↓ -31%
Entrust Commercial|All Plans $17,310.72 ↓ -26%
NX Health Commercial|All Plans $17,413.76 ↓ -26%
Health Smart Commercial|All Plans $22,668.80 ↓ -3%
First Health Commercial|All Plans $24,729.60 ↑ +5%
Humana Commercial|All Plans $25,141.76 ↑ +7%
Cigna Commercial|All Other Plans $26,378.24 ↑ +13%
Aetna Commercial|All Plans $27,202.56 ↑ +16%
PHCS Commercial|All Plans $35,033.60 ↑ +49%
Multiplan Commercial|All Plans $37,094.40 ↑ +58%
BCBS-TX Commercial|Ref Lab $41,216.00 ↑ +76%

Visitor-reported prices

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Ascenda two piece catheter at other Texas hospitals

Hospital City Cash price Negotiated range
St. Luke's Health - Patients Medical Center Pasadena $18,583.01 $8,030.61 – $28,680.75
Baylor St Luke's Medical Center Houston $63,744.10 $487.31 – $2,320.50
St. Luke's Health - Springwoods Village Hospital Spring $63,744.10 $487.31 – $2,320.50
St. Luke's Health - Sugar Land Hospital Sugar Land $63,744.10 $487.31 – $2,320.50
St. Joseph Health College Station Hospital College Station $23,446.50 $8,243.20 – $35,033.60
St. Luke's Health - Lakeside Hospital The Woodlands $63,744.10 $487.31 – $2,320.50
St. Joseph Health Grimes Hospital Navasota $23,446.50 $8,243.20 – $45,749.76
St. Luke's Health - The Vintage Hospital Houston $63,744.10 $487.31 – $2,320.50

All Texas hospitals for this procedure →