Bx skin punch ea sep/ addl les at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$72.98
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.
$417.00
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.
$34.40 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 | $34.40 | ↓ -53% |
| AETNA | Medicare|All Plans | $35.10 | ↓ -52% |
| BCBS | Medicare|All Plans | $35.10 | ↓ -52% |
| UNITED | Medicare|All Plans | $35.81 | ↓ -51% |
| AMERIVANTAGE | Medicare|All Plans | $36.16 | ↓ -50% |
| SCANHealth | Medicare|All Plans | $37.56 | ↓ -49% |
| BCBS-TX | Commercial|Blue Advantage HMO | $50.00 | ↓ -31% |
| Ambetter | Commercial|All Plans | $50.90 | ↓ -30% |
| Wellpoint | Commercial|Exchange | $52.65 | ↓ -28% |
| BCBS-TX | Commercial|Blue Premier | $56.00 | ↓ -23% |
| BCBS-TX | Commercial|HMO | $59.00 | ↓ -19% |
| SUPERIOR | Medicaid|CHIP | $64.80 | ↓ -11% |
| BCBS-TX | Commercial|PPO | $66.00 | ↓ -10% |
| UNITED | Medicaid|All Other Plans | $66.10 | ↓ -9% |
| UNITED | Medicaid|STARKIDS | $66.10 | ↓ -9% |
| SUPERIOR | Medicaid|All Other Plans | $68.04 | ↓ -7% |
| Wellpoint | Medicaid|All Other Plans | $68.04 | ↓ -7% |
| BCBS | Medicaid|STARKIDS | $68.04 | ↓ -7% |
| Wellpoint | Medicaid|STAR | $93.56 | ↑ +28% |
| SUPERIOR | Medicaid|STAR | $93.96 | ↑ +29% |
| Bright Health | Commercial|All Plans | $100.93 | ↑ +38% |
| Ellwood | Commercial|All Plans | $105.30 | ↑ +44% |
| Entrust | Commercial|All Plans | $113.40 | ↑ +55% |
| NX Health | Commercial|All Plans | $114.08 | ↑ +56% |
| Cigna | Commercial|Local Plus | $132.30 | ↑ +81% |
| Health Smart | Commercial|All Plans | $148.50 | ↑ +103% |
| SUPERIOR | Medicaid|STARPLUS | $160.71 | ↑ +120% |
| First Health | Commercial|All Plans | $162.00 | ↑ +122% |
| UNITED | Medicaid|STARPLUS | $163.95 | ↑ +125% |
| Humana | Commercial|All Plans | $164.70 | ↑ +126% |
| Cigna | Commercial|All Other Plans | $172.80 | ↑ +137% |
| Aetna | Commercial|All Plans | $178.20 | ↑ +144% |
| PHCS | Commercial|All Plans | $229.50 | ↑ +214% |
| Multiplan | Commercial|All Plans | $243.00 | ↑ +233% |
| BCBS-TX | Commercial|Ref Lab | $270.00 | ↑ +270% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1966% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +3956% |
Visitor-reported prices
Comments
Bx skin punch ea sep/ addl les at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $227.13 | $64.35 – $321.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $249.40 | $51.34 – $374.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $258.08 | $51.62 – $322.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $227.13 | $60.57 – $321.77 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $249.40 | $80.06 – $374.10 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $249.40 | $128.86 – $374.10 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $258.08 | $71.00 – $387.13 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $227.13 | $60.57 – $321.77 |