Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$4,840.15
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.
$27,658.00
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.
$1,941.45 with PGT vs $15,239.00 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 | $1,941.45 | ↓ -60% |
| BCBS | Medicare|All Plans | $1,981.07 | ↓ -59% |
| AETNA | Medicare|All Plans | $1,981.07 | ↓ -59% |
| UNITED | Medicare|All Plans | $2,020.70 | ↓ -58% |
| AMERIVANTAGE | Medicare|All Plans | $2,040.51 | ↓ -58% |
| SCANHealth | Medicare|All Plans | $2,119.75 | ↓ -56% |
| Ambetter | Commercial|All Plans | $2,872.56 | ↓ -41% |
| Wellpoint | Commercial|Exchange | $2,971.61 | ↓ -39% |
| United | Commercial|Exchange | $3,047.80 | ↓ -37% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,352.58 | ↓ -31% |
| BCBS-TX | Commercial|Blue Premier | $3,809.75 | ↓ -21% |
| Wellpoint | Medicaid|All Other Plans | $3,840.23 | ↓ -21% |
| Bright Health | Commercial|All Plans | $3,962.14 | ↓ -18% |
| BCBS-TX | Commercial|HMO | $4,114.53 | ↓ -15% |
| BCBS-TX | Commercial|PPO | $4,419.31 | ↓ -9% |
| Cigna | Commercial|Local Plus | $4,724.09 | ↓ -2% |
| United | Commercial|All Other Plans | $5,028.87 | ↑ +4% |
| Wellpoint | Medicaid|STAR | $5,280.32 | ↑ +9% |
| Ellwood | Commercial|All Plans | $5,943.21 | ↑ +23% |
| Entrust | Commercial|All Plans | $6,400.38 | ↑ +32% |
| NX Health | Commercial|All Plans | $6,438.48 | ↑ +33% |
| Health Smart | Commercial|All Plans | $8,381.45 | ↑ +73% |
| First Health | Commercial|All Plans | $9,143.40 | ↑ +89% |
| Humana | Commercial|All Plans | $9,295.79 | ↑ +92% |
| Cigna | Commercial|All Other Plans | $9,752.96 | ↑ +102% |
| Aetna | Commercial|All Plans | $10,057.74 | ↑ +108% |
| PHCS | Commercial|All Plans | $12,953.15 | ↑ +168% |
| Multiplan | Commercial|All Plans | $13,715.10 | ↑ +183% |
| BCBS-TX | Commercial|Ref Lab | $15,239.00 | ↑ +215% |
Visitor-reported prices
Comments
Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $11,019.40 | $96.25 – $458.33 |
| St. Luke's Health Memorial Lufkin | Lufkin | $4,103.19 | $100.00 – $7,688.36 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $11,019.40 | $96.25 – $458.33 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $11,019.40 | $96.25 – $458.33 |
| St. Joseph Health College Station Hospital | College Station | $4,840.15 | $3,047.80 – $12,953.15 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $11,019.40 | $96.25 – $458.33 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $112.90 | $33.71 – $182.59 |
| St. Joseph Health Grimes Hospital | Navasota | $4,840.15 | $3,047.80 – $16,915.29 |