Benign lesion paring 4+ 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

$86.28

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.

$493.00

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.

$58.54 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 →

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
SUPERIOR Medicaid|CHIP $58.54 ↓ -32%
UNITED Medicaid|STARKIDS $59.71 ↓ -31%
UNITED Medicaid|All Other Plans $59.71 ↓ -31%
BCBS Medicaid|STARKIDS $61.47 ↓ -29%
SUPERIOR Medicaid|All Other Plans $61.47 ↓ -29%
PGT Medicare|All Plans $62.81 ↓ -27%
BCBS Medicare|All Plans $64.09 ↓ -26%
AETNA Medicare|All Plans $64.09 ↓ -26%
UNITED Medicare|All Plans $65.38 ↓ -24%
AMERIVANTAGE Medicare|All Plans $66.02 ↓ -23%
SCANHealth Medicare|All Plans $68.58 ↓ -21%
BCBS-TX Commercial|Blue Premier $81.34 ↓ -6%
BCBS-TX Commercial|Blue Advantage HMO $81.92 ↓ -5%
SUPERIOR Medicaid|STAR $84.88 ↓ -2%
BCBS-TX Commercial|HMO $87.15 ↑ +1%
Ambetter Commercial|All Plans $92.94 ↑ +8%
BCBS-TX Commercial|PPO $95.87 ↑ +11%
Wellpoint Commercial|Exchange $96.14 ↑ +11%
Wellpoint Medicaid|All Other Plans $124.24 ↑ +44%
SUPERIOR Medicaid|STARPLUS $145.18 ↑ +68%
UNITED Medicaid|STARPLUS $148.11 ↑ +72%
Wellpoint Medicaid|STAR $170.83 ↑ +98%
Bright Health Commercial|All Plans $184.29 ↑ +114%
Ellwood Commercial|All Plans $192.27 ↑ +123%
Entrust Commercial|All Plans $207.06 ↑ +140%
NX Health Commercial|All Plans $208.30 ↑ +141%
Cigna Commercial|Local Plus $241.57 ↑ +180%
Health Smart Commercial|All Plans $271.15 ↑ +214%
First Health Commercial|All Plans $295.80 ↑ +243%
Humana Commercial|All Plans $300.73 ↑ +249%
Cigna Commercial|All Other Plans $315.52 ↑ +266%
Aetna Commercial|All Plans $325.38 ↑ +277%
PHCS Commercial|All Plans $419.05 ↑ +386%
Multiplan Commercial|All Plans $443.70 ↑ +414%
BCBS-TX Commercial|Ref Lab $493.00 ↑ +471%
United Commercial|Exchange $1,508.00 ↑ +1648%
United Commercial|All Other Plans $2,960.00 ↑ +3331%

Visitor-reported prices

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Benign lesion paring 4+ at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $258.65 $55.65 – $495.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $345.36 $59.55 – $518.04
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $320.23 $55.65 – $495.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $258.65 $55.65 – $495.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $345.36 $59.55 – $518.04
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $345.36 $55.65 – $518.04
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $320.23 $55.65 – $495.95
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $258.65 $55.65 – $495.95

All Texas hospitals for this procedure →