Bronchoscopy clear airways 31645 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$755.65
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.
$4,318.00
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.
$550.12 with PGT vs $4,318.00 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $550.12 | ↓ -27% |
| SUPERIOR | Medicaid|CHIP | $553.05 | ↓ -27% |
| BCBS | Medicare|All Plans | $561.34 | ↓ -26% |
| AETNA | Medicare|All Plans | $561.34 | ↓ -26% |
| UNITED | Medicaid|STARKIDS | $564.11 | ↓ -25% |
| UNITED | Medicaid|All Other Plans | $564.11 | ↓ -25% |
| UNITED | Medicare|All Plans | $572.57 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $578.19 | ↓ -23% |
| SUPERIOR | Medicaid|All Other Plans | $580.70 | ↓ -23% |
| BCBS | Medicaid|STARKIDS | $580.70 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $600.64 | ↓ -21% |
| SUPERIOR | Medicaid|STAR | $801.92 | ↑ +6% |
| Ambetter | Commercial|All Plans | $813.95 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $842.01 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $1,088.14 | ↑ +44% |
| SUPERIOR | Medicaid|STARPLUS | $1,371.56 | ↑ +82% |
| UNITED | Medicaid|STARPLUS | $1,399.22 | ↑ +85% |
| Wellpoint | Medicaid|STAR | $1,496.19 | ↑ +98% |
| Bright Health | Commercial|All Plans | $1,614.07 | ↑ +114% |
| Ellwood | Commercial|All Plans | $1,684.02 | ↑ +123% |
| Entrust | Commercial|All Plans | $1,813.56 | ↑ +140% |
| NX Health | Commercial|All Plans | $1,824.36 | ↑ +141% |
| BCBS-TX | Commercial|Blue Premier | $2,002.85 | ↑ +165% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2,017.16 | ↑ +167% |
| United | Commercial|Exchange | $2,124.00 | ↑ +181% |
| BCBS-TX | Commercial|HMO | $2,145.92 | ↑ +184% |
| BCBS-TX | Commercial|PPO | $2,360.51 | ↑ +212% |
| Health Smart | Commercial|All Plans | $2,374.90 | ↑ +214% |
| First Health | Commercial|All Plans | $2,590.80 | ↑ +243% |
| Humana | Commercial|All Plans | $2,633.98 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $2,763.52 | ↑ +266% |
| Aetna | Commercial|All Plans | $2,849.88 | ↑ +277% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +282% |
| PHCS | Commercial|All Plans | $3,670.30 | ↑ +386% |
| Multiplan | Commercial|All Plans | $3,886.20 | ↑ +414% |
| United | Commercial|All Other Plans | $4,168.00 | ↑ +452% |
| BCBS-TX | Commercial|Ref Lab | $4,318.00 | ↑ +471% |
Visitor-reported prices
Comments
Bronchoscopy clear airways 31645 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $4,599.84 | $1,000.00 – $4,579.48 |
| St. Joseph Health College Station Hospital | College Station | $755.65 | $2,374.90 – $4,318.00 |
| St. Joseph Health Grimes Hospital | Navasota | $755.65 | $1,565.71 – $4,792.98 |
| Covenant Medical Center | Lubbock | $4,599.84 | $1,000.00 – $4,121.53 |
| St. Joseph Health Burleson Hospital | Caldwell | $755.65 | $949.96 – $4,318.00 |
| Ascension Providence | Waco | $742.23 | $525.71 – $2,703.85 |
| Covenant Hospital Plainview | Plainview | $1,853.46 | $1,000.00 – $2,767.91 |
| Covenant Hospital Levelland | Levelland | $1,616.16 | $1,000.00 – $4,483.56 |