Brcassure comprehensive panel-sendout at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1,247.05
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.
$7,126.00
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.
$1,642.39 with United vs $7,126.00 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 |
|---|---|---|---|
| United | Commercial|Exchange | $1,642.39 | ↑ +32% |
| PGT | Medicare|All Plans | $1,788.39 | ↑ +43% |
| Wellpoint | Medicaid|All Other Plans | $1,795.76 | ↑ +44% |
| BCBS | Medicare|All Plans | $1,824.88 | ↑ +46% |
| AETNA | Medicare|All Plans | $1,824.88 | ↑ +46% |
| UNITED | Medicare|All Plans | $1,861.38 | ↑ +49% |
| AMERIVANTAGE | Medicare|All Plans | $1,879.63 | ↑ +51% |
| SCANHealth | Medicare|All Plans | $1,952.62 | ↑ +57% |
| BCBS-TX | Commercial|Ref Lab | $1,987.09 | ↑ +59% |
| Wellpoint | Medicaid|STAR | $2,469.16 | ↑ +98% |
| SUPERIOR | Medicaid|CHIP | $2,500.08 | ↑ +100% |
| UNITED | Medicaid|All Other Plans | $2,550.08 | ↑ +104% |
| UNITED | Medicaid|STARKIDS | $2,550.08 | ↑ +104% |
| BCBS | Medicaid|STARKIDS | $2,625.08 | ↑ +111% |
| SUPERIOR | Medicaid|All Other Plans | $2,625.08 | ↑ +111% |
| Ambetter | Commercial|All Plans | $2,646.08 | ↑ +112% |
| Wellpoint | Commercial|Exchange | $2,737.32 | ↑ +120% |
| Bright Health | Commercial|All Plans | $3,248.29 | ↑ +160% |
| United | Commercial|All Other Plans | $3,548.37 | ↑ +185% |
| SUPERIOR | Medicaid|STAR | $3,625.12 | ↑ +191% |
| Entrust | Commercial|All Plans | $3,649.76 | ↑ +193% |
| Health Smart | Commercial|All Plans | $3,919.30 | ↑ +214% |
| Cigna | Commercial|Local Plus | $3,980.72 | ↑ +219% |
| First Health | Commercial|All Plans | $4,275.60 | ↑ +243% |
| Humana | Commercial|All Plans | $4,346.86 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $4,560.64 | ↑ +266% |
| Aetna | Commercial|All Plans | $4,703.16 | ↑ +277% |
| Ellwood | Commercial|All Plans | $5,474.64 | ↑ +339% |
| NX Health | Commercial|All Plans | $5,930.86 | ↑ +376% |
| PHCS | Commercial|All Plans | $6,057.10 | ↑ +386% |
| SUPERIOR | Medicaid|STARPLUS | $6,200.20 | ↑ +397% |
| UNITED | Medicaid|STARPLUS | $6,325.20 | ↑ +407% |
| BCBS-TX | Commercial|Blue Advantage HMO | $6,405.33 | ↑ +414% |
| BCBS-TX | Commercial|Blue Premier | $6,405.33 | ↑ +414% |
| Multiplan | Commercial|All Plans | $6,413.40 | ↑ +414% |
| BCBS-TX | Commercial|HMO | $6,533.07 | ↑ +424% |
| BCBS-TX | Commercial|PPO | $7,126.00 | ↑ +471% |
Visitor-reported prices
Comments
Brcassure comprehensive panel-sendout at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,462.23 | $35.00 – $4,379.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,007.50 | $36.00 – $4,379.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,007.50 | $36.00 – $4,379.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,462.23 | $35.00 – $4,379.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,007.50 | $36.00 – $4,379.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,007.50 | $26.00 – $4,379.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,007.50 | $36.00 – $4,379.71 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,462.23 | $35.00 – $4,379.71 |