Bln dil 900ml preperitnl at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$518.70
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.
$2,964.00
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.
$108.04 with PGT vs $848.00 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 | $108.04 | ↓ -79% |
| BCBS | Medicare|All Plans | $110.24 | ↓ -79% |
| AETNA | Medicare|All Plans | $110.24 | ↓ -79% |
| UNITED | Medicare|All Plans | $112.45 | ↓ -78% |
| AMERIVANTAGE | Medicare|All Plans | $113.55 | ↓ -78% |
| SCANHealth | Medicare|All Plans | $117.96 | ↓ -77% |
| Ambetter | Commercial|All Plans | $159.85 | ↓ -69% |
| Wellpoint | Commercial|Exchange | $165.36 | ↓ -68% |
| United | Commercial|Exchange | $169.60 | ↓ -67% |
| BCBS-TX | Commercial|Blue Advantage HMO | $186.56 | ↓ -64% |
| BCBS-TX | Commercial|Blue Premier | $212.00 | ↓ -59% |
| Wellpoint | Medicaid|All Other Plans | $213.70 | ↓ -59% |
| Bright Health | Commercial|All Plans | $220.48 | ↓ -57% |
| BCBS-TX | Commercial|HMO | $228.96 | ↓ -56% |
| BCBS-TX | Commercial|PPO | $245.92 | ↓ -53% |
| Cigna | Commercial|Local Plus | $262.88 | ↓ -49% |
| United | Commercial|All Other Plans | $279.84 | ↓ -46% |
| Wellpoint | Medicaid|STAR | $293.84 | ↓ -43% |
| Ellwood | Commercial|All Plans | $330.72 | ↓ -36% |
| Entrust | Commercial|All Plans | $356.16 | ↓ -31% |
| NX Health | Commercial|All Plans | $358.28 | ↓ -31% |
| Health Smart | Commercial|All Plans | $466.40 | ↓ -10% |
| First Health | Commercial|All Plans | $508.80 | ↓ -2% |
| Humana | Commercial|All Plans | $517.28 | ↓ -0% |
| Cigna | Commercial|All Other Plans | $542.72 | ↑ +5% |
| Aetna | Commercial|All Plans | $559.68 | ↑ +8% |
| PHCS | Commercial|All Plans | $720.80 | ↑ +39% |
| Multiplan | Commercial|All Plans | $763.20 | ↑ +47% |
| BCBS-TX | Commercial|Ref Lab | $848.00 | ↑ +63% |
Visitor-reported prices
Comments
Bln dil 900ml preperitnl at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,583.42 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $3,379.90 | $100.00 – $2,100.27 |
| Baylor St Luke's Medical Center | Houston | $780.57 | $100.00 – $1,593.90 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $780.57 | $100.00 – $1,593.90 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $780.57 | $100.00 – $1,593.90 |
| St. Joseph Health College Station Hospital | College Station | $518.70 | $169.60 – $720.80 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $780.57 | $100.00 – $1,593.90 |
| St. Joseph Health Grimes Hospital | Navasota | $518.70 | $169.60 – $941.28 |