Car outp meas drg cath chd at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$226.63
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.
?
What you pay up front if you don't use insurance.
$1,295.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$164.99 with PGT vs $9,871.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $164.99 | ↓ -27% |
| AETNA | Medicare|All Plans | $168.35 | ↓ -26% |
| BCBS | Medicare|All Plans | $168.35 | ↓ -26% |
| UNITED | Medicare|All Plans | $171.72 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $173.41 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $180.14 | ↓ -21% |
| Ambetter | Commercial|All Plans | $244.11 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $252.53 | ↑ +11% |
| UNITED | Medicaid|All Other Plans | $317.02 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $326.34 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $448.72 | ↑ +98% |
| Bright Health | Commercial|All Plans | $484.08 | ↑ +114% |
| Ellwood | Commercial|All Plans | $505.05 | ↑ +123% |
| Entrust | Commercial|All Plans | $543.90 | ↑ +140% |
| NX Health | Commercial|All Plans | $547.14 | ↑ +141% |
| Health Smart | Commercial|All Plans | $712.25 | ↑ +214% |
| First Health | Commercial|All Plans | $777.00 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $786.33 | ↑ +247% |
| Humana | Commercial|All Plans | $789.95 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $828.80 | ↑ +266% |
| Aetna | Commercial|All Plans | $854.70 | ↑ +277% |
| PHCS | Commercial|All Plans | $1,100.75 | ↑ +386% |
| Multiplan | Commercial|All Plans | $1,165.50 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $1,295.00 | ↑ +471% |
| Cigna | Commercial|Local Plus | $9,871.00 | ↑ +4256% |
Visitor-reported prices
Comments
Car outp meas drg cath chd at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $216.09 | $41.06 – $463.05 |
| Baylor St Luke's Medical Center | Houston | $200.90 | $63.14 – $574.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $200.90 | $57.40 – $574.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $200.90 | $45.92 – $574.00 |
| St. Joseph Health College Station Hospital | College Station | $226.63 | $105.68 – $1,295.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $200.90 | $45.92 – $574.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $200.97 | $34.46 – $574.20 |
| St. Joseph Health Grimes Hospital | Navasota | $226.63 | $469.57 – $1,437.45 |