Bln inpact admiral 4x150x130cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$3,123.75
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.
$17,850.00
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.
$736.25 with PGT vs $5,779.00 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 | $736.25 | ↓ -76% |
| AETNA | Medicare|All Plans | $751.27 | ↓ -76% |
| BCBS | Medicare|All Plans | $751.27 | ↓ -76% |
| UNITED | Medicare|All Plans | $766.30 | ↓ -75% |
| AMERIVANTAGE | Medicare|All Plans | $773.81 | ↓ -75% |
| SCANHealth | Medicare|All Plans | $803.86 | ↓ -74% |
| Ambetter | Commercial|All Plans | $1,089.35 | ↓ -65% |
| Wellpoint | Commercial|Exchange | $1,126.91 | ↓ -64% |
| Wellpoint | Medicaid|All Other Plans | $1,456.31 | ↓ -53% |
| United | Commercial|Exchange | $1,966.80 | ↓ -37% |
| Wellpoint | Medicaid|STAR | $2,002.43 | ↓ -36% |
| Bright Health | Commercial|All Plans | $2,160.20 | ↓ -31% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,163.48 | ↓ -31% |
| Ellwood | Commercial|All Plans | $2,253.81 | ↓ -28% |
| Entrust | Commercial|All Plans | $2,427.18 | ↓ -22% |
| NX Health | Commercial|All Plans | $2,441.63 | ↓ -22% |
| BCBS-TX | Commercial|Blue Premier | $2,458.50 | ↓ -21% |
| BCBS-TX | Commercial|HMO | $2,655.18 | ↓ -15% |
| Cigna | Commercial|Local Plus | $2,831.71 | ↓ -9% |
| BCBS-TX | Commercial|PPO | $2,851.86 | ↓ -9% |
| Health Smart | Commercial|All Plans | $3,178.45 | ↑ +2% |
| United | Commercial|All Other Plans | $3,245.22 | ↑ +4% |
| First Health | Commercial|All Plans | $3,467.40 | ↑ +11% |
| Humana | Commercial|All Plans | $3,525.19 | ↑ +13% |
| Cigna | Commercial|All Other Plans | $3,698.56 | ↑ +18% |
| Aetna | Commercial|All Plans | $3,814.14 | ↑ +22% |
| PHCS | Commercial|All Plans | $4,912.15 | ↑ +57% |
| Multiplan | Commercial|All Plans | $5,201.10 | ↑ +67% |
| BCBS-TX | Commercial|Ref Lab | $5,779.00 | ↑ +85% |
Visitor-reported prices
Comments
Bln inpact admiral 4x150x130cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $6,967.44 | $100.00 – $4,128.87 |
| Baylor St Luke's Medical Center | Houston | $6,634.11 | $100.00 – $5,415.90 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,222.20 | $100.00 – $6,151.01 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $6,634.11 | $100.00 – $5,415.90 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $6,634.11 | $100.00 – $5,415.90 |
| St. Joseph Health College Station Hospital | College Station | $3,123.75 | $1,966.80 – $6,883.80 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $6,634.11 | $100.00 – $5,415.90 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $4,390.89 | $1,463.65 – $4,878.83 |