Bladder irrigation tubing at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$5.78
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.
$33.00
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.
$4.21 with PGT vs $33.00 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 | $4.21 | ↓ -27% |
| AETNA | Medicare|All Plans | $4.29 | ↓ -26% |
| BCBS | Medicare|All Plans | $4.29 | ↓ -26% |
| UNITED | Medicare|All Plans | $4.38 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $4.42 | ↓ -24% |
| SCANHealth | Medicare|All Plans | $4.60 | ↓ -20% |
| Ambetter | Commercial|All Plans | $6.23 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $6.44 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $8.32 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $11.44 | ↑ +98% |
| Bright Health | Commercial|All Plans | $12.34 | ↑ +113% |
| Ellwood | Commercial|All Plans | $12.87 | ↑ +123% |
| Entrust | Commercial|All Plans | $13.86 | ↑ +140% |
| NX Health | Commercial|All Plans | $13.95 | ↑ +141% |
| BCBS-TX | Commercial|Blue Advantage HMO | $14.92 | ↑ +158% |
| Cigna | Commercial|Local Plus | $16.17 | ↑ +180% |
| BCBS-TX | Commercial|Blue Premier | $17.30 | ↑ +199% |
| Health Smart | Commercial|All Plans | $18.15 | ↑ +214% |
| BCBS-TX | Commercial|HMO | $18.44 | ↑ +219% |
| First Health | Commercial|All Plans | $19.80 | ↑ +243% |
| Humana | Commercial|All Plans | $20.13 | ↑ +248% |
| BCBS-TX | Commercial|PPO | $20.41 | ↑ +253% |
| Cigna | Commercial|All Other Plans | $21.12 | ↑ +265% |
| Aetna | Commercial|All Plans | $21.78 | ↑ +277% |
| PHCS | Commercial|All Plans | $28.05 | ↑ +385% |
| Multiplan | Commercial|All Plans | $29.70 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $33.00 | ↑ +471% |
Visitor-reported prices
Comments
Bladder irrigation tubing at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health College Station Hospital | College Station | $5.78 | $14.92 – $28.05 |
| St. Joseph Health Grimes Hospital | Navasota | $5.78 | $11.97 – $36.63 |
| St. Joseph Health Burleson Hospital | Caldwell | $5.78 | $7.26 – $29.70 |
| Ascension Providence | Waco | $9.72 | $11.60 – $12.95 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $12.46 – $27.33 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $12.46 – $27.33 |
| Covenant Children's Hospital | Lubbock | not published | $11.91 – $11.91 |
| HCA HOUSTON CONROE | CONROE | not published | $12.46 – $27.33 |