Bronchoscopy clear airways 31645 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

$755.65

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.

$4,318.00

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.

$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 →

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 $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

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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

All Texas hospitals for this procedure →