Brain MRI (with contrast) at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$891.63
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.
$5,095.00
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.
$461.69 with SUPERIOR vs $5,095.00 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $461.69 | ↓ -48% |
| UNITED | Medicaid|All Other Plans | $470.92 | ↓ -47% |
| UNITED | Medicaid|STARKIDS | $470.92 | ↓ -47% |
| BCBS | Medicaid|STARKIDS | $484.77 | ↓ -46% |
| SUPERIOR | Medicaid|All Other Plans | $484.77 | ↓ -46% |
| PGT | Medicare|All Plans | $649.11 | ↓ -27% |
| BCBS | Medicare|All Plans | $662.35 | ↓ -26% |
| AETNA | Medicare|All Plans | $662.35 | ↓ -26% |
| SUPERIOR | Medicaid|STAR | $669.45 | ↓ -25% |
| UNITED | Medicare|All Plans | $675.60 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $682.23 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $708.72 | ↓ -21% |
| Ambetter | Commercial|All Plans | $960.41 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $993.53 | ↑ +11% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,076.82 | ↑ +21% |
| SUPERIOR | Medicaid|STARPLUS | $1,144.99 | ↑ +28% |
| UNITED | Medicaid|STARPLUS | $1,168.08 | ↑ +31% |
| Cigna | Commercial|Local Plus | $1,169.00 | ↑ +31% |
| BCBS-TX | Commercial|Blue Premier | $1,244.83 | ↑ +40% |
| BCBS-TX | Commercial|HMO | $1,248.65 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $1,283.94 | ↑ +44% |
| Humana | Commercial|All Plans | $1,450.00 | ↑ +63% |
| BCBS-TX | Commercial|PPO | $1,466.30 | ↑ +64% |
| Wellpoint | Medicaid|STAR | $1,765.42 | ↑ +98% |
| Bright Health | Commercial|All Plans | $1,904.52 | ↑ +114% |
| Ellwood | Commercial|All Plans | $1,987.05 | ↑ +123% |
| United | Commercial|Exchange | $2,011.00 | ↑ +126% |
| Entrust | Commercial|All Plans | $2,139.90 | ↑ +140% |
| NX Health | Commercial|All Plans | $2,152.64 | ↑ +141% |
| Health Smart | Commercial|All Plans | $2,802.25 | ↑ +214% |
| First Health | Commercial|All Plans | $3,057.00 | ↑ +243% |
| Cigna | Commercial|All Other Plans | $3,260.80 | ↑ +266% |
| Aetna | Commercial|All Plans | $3,362.70 | ↑ +277% |
| United | Commercial|All Other Plans | $3,947.00 | ↑ +343% |
| PHCS | Commercial|All Plans | $4,330.75 | ↑ +386% |
| Multiplan | Commercial|All Plans | $4,585.50 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $5,095.00 | ↑ +471% |
Visitor-reported prices
Comments
Brain MRI (with contrast) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,224.96 | $278.66 – $2,781.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $2,163.67 | $445.36 – $3,245.51 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $2,554.03 | $278.66 – $3,192.54 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,224.96 | $278.66 – $2,781.20 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $2,163.67 | $298.17 – $3,245.51 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $2,163.67 | $278.66 – $3,245.51 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $2,554.03 | $278.66 – $3,831.05 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,224.96 | $278.66 – $2,781.20 |