Bx skin incisnl ea sep/add l les at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$123.20
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.
$704.00
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.
$40.65 with PGT vs $2,960.00 with United — 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 | $40.65 | ↓ -67% |
| AETNA | Medicare|All Plans | $41.47 | ↓ -66% |
| BCBS | Medicare|All Plans | $41.47 | ↓ -66% |
| UNITED | Medicare|All Plans | $42.30 | ↓ -66% |
| AMERIVANTAGE | Medicare|All Plans | $42.72 | ↓ -65% |
| SCANHealth | Medicare|All Plans | $44.38 | ↓ -64% |
| BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | ↓ -59% |
| BCBS-TX | Commercial|Blue Premier | $56.00 | ↓ -55% |
| BCBS-TX | Commercial|HMO | $59.00 | ↓ -52% |
| Ambetter | Commercial|All Plans | $60.14 | ↓ -51% |
| Wellpoint | Commercial|Exchange | $62.21 | ↓ -50% |
| BCBS-TX | Commercial|PPO | $66.00 | ↓ -46% |
| SUPERIOR | Medicaid|CHIP | $76.56 | ↓ -38% |
| UNITED | Medicaid|All Other Plans | $78.10 | ↓ -37% |
| UNITED | Medicaid|STARKIDS | $78.10 | ↓ -37% |
| SUPERIOR | Medicaid|All Other Plans | $80.39 | ↓ -35% |
| Wellpoint | Medicaid|All Other Plans | $80.39 | ↓ -35% |
| BCBS | Medicaid|STARKIDS | $80.39 | ↓ -35% |
| Wellpoint | Medicaid|STAR | $110.54 | ↓ -10% |
| SUPERIOR | Medicaid|STAR | $111.02 | ↓ -10% |
| Bright Health | Commercial|All Plans | $119.25 | ↓ -3% |
| Ellwood | Commercial|All Plans | $124.41 | ↑ +1% |
| Entrust | Commercial|All Plans | $133.98 | ↑ +9% |
| NX Health | Commercial|All Plans | $134.78 | ↑ +9% |
| Cigna | Commercial|Local Plus | $156.31 | ↑ +27% |
| Health Smart | Commercial|All Plans | $175.45 | ↑ +42% |
| SUPERIOR | Medicaid|STARPLUS | $189.87 | ↑ +54% |
| First Health | Commercial|All Plans | $191.40 | ↑ +55% |
| UNITED | Medicaid|STARPLUS | $193.70 | ↑ +57% |
| Humana | Commercial|All Plans | $194.59 | ↑ +58% |
| Cigna | Commercial|All Other Plans | $204.16 | ↑ +66% |
| Aetna | Commercial|All Plans | $210.54 | ↑ +71% |
| PHCS | Commercial|All Plans | $271.15 | ↑ +120% |
| Multiplan | Commercial|All Plans | $287.10 | ↑ +133% |
| BCBS-TX | Commercial|Ref Lab | $319.00 | ↑ +159% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1124% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2303% |
Visitor-reported prices
Comments
Bx skin incisnl ea sep/add l les at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $199.94 | $56.65 – $283.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $215.93 | $44.45 – $323.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $257.37 | $51.47 – $321.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $199.94 | $53.32 – $283.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $215.93 | $69.31 – $323.90 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $215.93 | $111.57 – $323.90 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $257.37 | $71.00 – $386.06 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $199.94 | $53.32 – $283.25 |