Cap nerve 2x15mm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$9,663.85
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.
$55,222.00
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.
$175.18 with PGT vs $1,375.00 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 | $175.18 | ↓ -98% |
| BCBS | Medicare|All Plans | $178.75 | ↓ -98% |
| AETNA | Medicare|All Plans | $178.75 | ↓ -98% |
| UNITED | Medicare|All Plans | $182.33 | ↓ -98% |
| AMERIVANTAGE | Medicare|All Plans | $184.12 | ↓ -98% |
| SCANHealth | Medicare|All Plans | $191.27 | ↓ -98% |
| Ambetter | Commercial|All Plans | $259.19 | ↓ -97% |
| Wellpoint | Commercial|Exchange | $268.13 | ↓ -97% |
| United | Commercial|Exchange | $275.00 | ↓ -97% |
| BCBS-TX | Commercial|Blue Advantage HMO | $302.50 | ↓ -97% |
| BCBS-TX | Commercial|Blue Premier | $343.75 | ↓ -96% |
| Wellpoint | Medicaid|All Other Plans | $346.50 | ↓ -96% |
| Bright Health | Commercial|All Plans | $357.50 | ↓ -96% |
| BCBS-TX | Commercial|HMO | $371.25 | ↓ -96% |
| BCBS-TX | Commercial|PPO | $398.75 | ↓ -96% |
| Cigna | Commercial|Local Plus | $426.25 | ↓ -96% |
| United | Commercial|All Other Plans | $453.75 | ↓ -95% |
| Wellpoint | Medicaid|STAR | $476.44 | ↓ -95% |
| Ellwood | Commercial|All Plans | $536.25 | ↓ -94% |
| Entrust | Commercial|All Plans | $577.50 | ↓ -94% |
| NX Health | Commercial|All Plans | $580.94 | ↓ -94% |
| Health Smart | Commercial|All Plans | $756.25 | ↓ -92% |
| First Health | Commercial|All Plans | $825.00 | ↓ -91% |
| Humana | Commercial|All Plans | $838.75 | ↓ -91% |
| Cigna | Commercial|All Other Plans | $880.00 | ↓ -91% |
| Aetna | Commercial|All Plans | $907.50 | ↓ -91% |
| PHCS | Commercial|All Plans | $1,168.75 | ↓ -88% |
| Multiplan | Commercial|All Plans | $1,237.50 | ↓ -87% |
| BCBS-TX | Commercial|Ref Lab | $1,375.00 | ↓ -86% |
Visitor-reported prices
Comments
Cap nerve 2x15mm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $14,393.14 | $232.63 – $830.82 |
| Baylor St Luke's Medical Center | Houston | $18,466.88 | $146.26 – $696.47 |
| St. Luke's Health Memorial Lufkin | Lufkin | $17,536.84 | $31.98 – $191.84 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $18,466.88 | $146.26 – $696.47 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $18,466.88 | $146.26 – $696.47 |
| St. Joseph Health College Station Hospital | College Station | $9,663.85 | $275.00 – $1,168.75 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $18,466.88 | $146.26 – $696.47 |
| St. Joseph Health Grimes Hospital | Navasota | $9,663.85 | $275.00 – $1,526.25 |