Brain flow imaging only at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$180.08
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.
$1,029.00
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.
$131.10 with PGT vs $2,193.00 with United — 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 | $131.10 | ↓ -27% |
| BCBS | Medicare|All Plans | $133.77 | ↓ -26% |
| AETNA | Medicare|All Plans | $133.77 | ↓ -26% |
| UNITED | Medicare|All Plans | $136.45 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $137.79 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $143.14 | ↓ -21% |
| Ambetter | Commercial|All Plans | $193.97 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $200.66 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $259.31 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $356.55 | ↑ +98% |
| BCBS-TX | Commercial|Blue Advantage HMO | $377.14 | ↑ +109% |
| Bright Health | Commercial|All Plans | $384.65 | ↑ +114% |
| Ellwood | Commercial|All Plans | $401.31 | ↑ +123% |
| BCBS-TX | Commercial|Blue Premier | $418.67 | ↑ +132% |
| Entrust | Commercial|All Plans | $432.18 | ↑ +140% |
| NX Health | Commercial|All Plans | $434.76 | ↑ +141% |
| BCBS-TX | Commercial|HMO | $445.26 | ↑ +147% |
| Cigna | Commercial|Local Plus | $483.63 | ↑ +169% |
| BCBS-TX | Commercial|PPO | $491.77 | ↑ +173% |
| Health Smart | Commercial|All Plans | $565.95 | ↑ +214% |
| First Health | Commercial|All Plans | $617.40 | ↑ +243% |
| Humana | Commercial|All Plans | $627.69 | ↑ +249% |
| SUPERIOR | Medicaid|CHIP | $635.67 | ↑ +253% |
| UNITED | Medicaid|All Other Plans | $648.38 | ↑ +260% |
| UNITED | Medicaid|STARKIDS | $648.38 | ↑ +260% |
| Cigna | Commercial|All Other Plans | $658.56 | ↑ +266% |
| BCBS | Medicaid|STARKIDS | $667.45 | ↑ +271% |
| SUPERIOR | Medicaid|All Other Plans | $667.45 | ↑ +271% |
| Aetna | Commercial|All Plans | $679.14 | ↑ +277% |
| PHCS | Commercial|All Plans | $874.65 | ↑ +386% |
| SUPERIOR | Medicaid|STAR | $921.72 | ↑ +412% |
| Multiplan | Commercial|All Plans | $926.10 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $1,029.00 | ↑ +471% |
| United | Commercial|Exchange | $1,117.00 | ↑ +520% |
| SUPERIOR | Medicaid|STARPLUS | $1,576.46 | ↑ +775% |
| UNITED | Medicaid|STARPLUS | $1,608.25 | ↑ +793% |
| United | Commercial|All Other Plans | $2,193.00 | ↑ +1118% |
Visitor-reported prices
Comments
Brain flow imaging only at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $472.92 | $160.05 – $1,338.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $907.45 | $186.78 – $1,361.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $952.82 | $160.05 – $1,338.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $472.92 | $160.05 – $1,338.97 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $907.45 | $171.25 – $1,361.17 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $907.45 | $160.05 – $1,361.17 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $952.82 | $160.05 – $1,429.23 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $472.92 | $160.05 – $1,338.97 |