Brace oths wrist hnd fngr without at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$10.68
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.
?
What you pay up front if you don't use insurance.
$61.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7.78 with PGT vs $61.00 with BCBS-TX — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $7.78 | ↓ -27% |
| BCBS | Medicare|All Plans | $7.93 | ↓ -26% |
| AETNA | Medicare|All Plans | $7.93 | ↓ -26% |
| UNITED | Medicare|All Plans | $8.09 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $8.17 | ↓ -24% |
| SCANHealth | Medicare|All Plans | $8.49 | ↓ -21% |
| Ambetter | Commercial|All Plans | $11.50 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $11.90 | ↑ +11% |
| United | Commercial|Exchange | $12.20 | ↑ +14% |
| BCBS-TX | Commercial|Blue Advantage HMO | $13.42 | ↑ +26% |
| BCBS-TX | Commercial|Blue Premier | $15.25 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $15.38 | ↑ +44% |
| BCBS-TX | Commercial|HMO | $16.47 | ↑ +54% |
| BCBS-TX | Commercial|PPO | $17.69 | ↑ +66% |
| Cigna | Commercial|Local Plus | $18.91 | ↑ +77% |
| United | Commercial|All Other Plans | $20.13 | ↑ +88% |
| Wellpoint | Medicaid|STAR | $21.14 | ↑ +98% |
| Bright Health | Commercial|All Plans | $22.81 | ↑ +114% |
| Ellwood | Commercial|All Plans | $23.79 | ↑ +123% |
| Entrust | Commercial|All Plans | $25.62 | ↑ +140% |
| NX Health | Commercial|All Plans | $25.78 | ↑ +141% |
| Health Smart | Commercial|All Plans | $33.55 | ↑ +214% |
| First Health | Commercial|All Plans | $36.60 | ↑ +243% |
| Humana | Commercial|All Plans | $37.21 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $39.04 | ↑ +266% |
| Aetna | Commercial|All Plans | $40.26 | ↑ +277% |
| PHCS | Commercial|All Plans | $51.85 | ↑ +385% |
| Multiplan | Commercial|All Plans | $54.90 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $61.00 | ↑ +471% |
Visitor-reported prices
Comments
Brace oths wrist hnd fngr without at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $464.93 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $112.09 | $67.26 – $240.19 |
| St. Luke's Health Memorial Lufkin | Lufkin | $138.92 | $106.16 – $636.93 |
| St. Luke's Health Memorial Livingston | Livingston | $138.92 | $106.16 – $636.93 |
| Covenant Medical Center | Lubbock | $464.93 | $281.17 – $296.63 |
| St. Luke's Health Memorial San Augustine | San Augustine | $138.92 | $106.16 – $636.93 |
| Covenant Hospital Plainview | Plainview | $464.93 | not published |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $122.31 | $218.11 – $218.11 |