Brachytx isodose intermed at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$677.43

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$3,871.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$493.17 with PGT vs $3,871.00 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 →

Payer
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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
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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 $493.17 ↓ -27%
BCBS Medicare|All Plans $503.23 ↓ -26%
AETNA Medicare|All Plans $503.23 ↓ -26%
UNITED Medicare|All Plans $513.30 ↓ -24%
AMERIVANTAGE Medicare|All Plans $518.33 ↓ -23%
SCANHealth Medicare|All Plans $538.46 ↓ -21%
BCBS-TX Commercial|Blue Advantage HMO $572.13 ↓ -16%
BCBS-TX Commercial|Blue Premier $682.02 ↑ +1%
BCBS-TX Commercial|HMO $722.14 ↑ +7%
Ambetter Commercial|All Plans $729.69 ↑ +8%
Wellpoint Commercial|Exchange $754.85 ↑ +11%
BCBS-TX Commercial|PPO $802.38 ↑ +18%
Wellpoint Medicaid|All Other Plans $975.50 ↑ +44%
Wellpoint Medicaid|STAR $1,341.31 ↑ +98%
Bright Health Commercial|All Plans $1,446.98 ↑ +114%
United Commercial|Exchange $1,475.00 ↑ +118%
Ellwood Commercial|All Plans $1,509.69 ↑ +123%
Entrust Commercial|All Plans $1,625.82 ↑ +140%
NX Health Commercial|All Plans $1,635.50 ↑ +141%
Cigna Commercial|Local Plus $1,819.37 ↑ +169%
Health Smart Commercial|All Plans $2,129.05 ↑ +214%
First Health Commercial|All Plans $2,322.60 ↑ +243%
Humana Commercial|All Plans $2,361.31 ↑ +249%
Cigna Commercial|All Other Plans $2,477.44 ↑ +266%
Aetna Commercial|All Plans $2,554.86 ↑ +277%
United Commercial|All Other Plans $2,894.00 ↑ +327%
PHCS Commercial|All Plans $3,290.35 ↑ +386%
Multiplan Commercial|All Plans $3,483.90 ↑ +414%
BCBS-TX Commercial|Ref Lab $3,871.00 ↑ +471%

Visitor-reported prices

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Brachytx isodose intermed at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $4,380.20 $671.56 – $671.56
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $640.03 $181.34 – $915.33
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $1,234.68 $254.14 – $1,852.02
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $1,008.74 $201.75 – $1,260.92
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $640.03 $167.45 – $915.33
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $1,234.68 $357.33 – $1,852.02
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $1,234.68 $637.92 – $1,852.02
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $1,008.74 $336.25 – $1,513.11

All Texas hospitals for this procedure →