Carbon dioxide at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$16.63
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.
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What you pay up front if you don't use insurance.
$95.00
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.
$4.39 with United vs $85.50 with Multiplan — 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 |
|---|---|---|---|
| United | Commercial|Exchange | $4.39 | ↓ -74% |
| PGT | Medicare|All Plans | $4.79 | ↓ -71% |
| BCBS | Medicare|All Plans | $4.88 | ↓ -71% |
| AETNA | Medicare|All Plans | $4.88 | ↓ -71% |
| UNITED | Medicare|All Plans | $4.98 | ↓ -70% |
| AMERIVANTAGE | Medicare|All Plans | $5.03 | ↓ -70% |
| SCANHealth | Medicare|All Plans | $5.22 | ↓ -69% |
| BCBS-TX | Commercial|Ref Lab | $5.32 | ↓ -68% |
| SUPERIOR | Medicaid|CHIP | $6.69 | ↓ -60% |
| UNITED | Medicaid|STARKIDS | $6.82 | ↓ -59% |
| UNITED | Medicaid|All Other Plans | $6.82 | ↓ -59% |
| SUPERIOR | Medicaid|All Other Plans | $7.02 | ↓ -58% |
| BCBS | Medicaid|STARKIDS | $7.02 | ↓ -58% |
| Ambetter | Commercial|All Plans | $7.08 | ↓ -57% |
| Wellpoint | Commercial|Exchange | $7.32 | ↓ -56% |
| Bright Health | Commercial|All Plans | $8.69 | ↓ -48% |
| United | Commercial|All Other Plans | $9.50 | ↓ -43% |
| SUPERIOR | Medicaid|STAR | $9.70 | ↓ -42% |
| Entrust | Commercial|All Plans | $9.76 | ↓ -41% |
| Cigna | Commercial|Local Plus | $10.58 | ↓ -36% |
| Ellwood | Commercial|All Plans | $14.64 | ↓ -12% |
| NX Health | Commercial|All Plans | $15.86 | ↓ -5% |
| SUPERIOR | Medicaid|STARPLUS | $16.59 | ↓ -0% |
| UNITED | Medicaid|STARPLUS | $16.93 | ↑ +2% |
| BCBS-TX | Commercial|Blue Premier | $17.13 | ↑ +3% |
| BCBS-TX | Commercial|Blue Advantage HMO | $17.13 | ↑ +3% |
| BCBS-TX | Commercial|HMO | $17.47 | ↑ +5% |
| BCBS-TX | Commercial|PPO | $20.15 | ↑ +21% |
| Wellpoint | Medicaid|All Other Plans | $23.94 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $32.92 | ↑ +98% |
| Health Smart | Commercial|All Plans | $52.25 | ↑ +214% |
| First Health | Commercial|All Plans | $57.00 | ↑ +243% |
| Humana | Commercial|All Plans | $57.95 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $60.80 | ↑ +266% |
| Aetna | Commercial|All Plans | $62.70 | ↑ +277% |
| PHCS | Commercial|All Plans | $80.75 | ↑ +386% |
| Multiplan | Commercial|All Plans | $85.50 | ↑ +414% |
Visitor-reported prices
Comments
Carbon dioxide at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $106.92 | $4.39 – $18.79 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $48.08 | $4.10 – $60.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $53.69 | $7.16 – $80.53 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $47.00 | $4.10 – $58.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $48.08 | $4.10 – $60.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $53.69 | $4.39 – $80.53 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $53.69 | $4.10 – $80.53 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $47.00 | $4.10 – $70.50 |