Cardioversion/elective/internal 92961 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$387.80
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.
$2,216.00
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.
$182.82 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 | $182.82 | ↓ -53% |
| AETNA | Medicare|All Plans | $186.55 | ↓ -52% |
| BCBS | Medicare|All Plans | $186.55 | ↓ -52% |
| UNITED | Medicare|All Plans | $190.29 | ↓ -51% |
| AMERIVANTAGE | Medicare|All Plans | $192.15 | ↓ -50% |
| SCANHealth | Medicare|All Plans | $199.61 | ↓ -49% |
| Ambetter | Commercial|All Plans | $270.50 | ↓ -30% |
| Wellpoint | Commercial|Exchange | $279.83 | ↓ -28% |
| Wellpoint | Medicaid|All Other Plans | $361.62 | ↓ -7% |
| Wellpoint | Medicaid|STAR | $497.23 | ↑ +28% |
| SUPERIOR | Medicaid|CHIP | $531.84 | ↑ +37% |
| Bright Health | Commercial|All Plans | $536.41 | ↑ +38% |
| UNITED | Medicaid|STARKIDS | $542.48 | ↑ +40% |
| UNITED | Medicaid|All Other Plans | $542.48 | ↑ +40% |
| BCBS | Medicaid|STARKIDS | $558.44 | ↑ +44% |
| SUPERIOR | Medicaid|All Other Plans | $558.44 | ↑ +44% |
| Ellwood | Commercial|All Plans | $559.65 | ↑ +44% |
| Entrust | Commercial|All Plans | $602.70 | ↑ +55% |
| NX Health | Commercial|All Plans | $606.29 | ↑ +56% |
| Cigna | Commercial|Local Plus | $703.15 | ↑ +81% |
| BCBS-TX | Commercial|Blue Premier | $751.04 | ↑ +94% |
| BCBS-TX | Commercial|Blue Advantage HMO | $756.41 | ↑ +95% |
| SUPERIOR | Medicaid|STAR | $771.17 | ↑ +99% |
| Health Smart | Commercial|All Plans | $789.25 | ↑ +104% |
| BCBS-TX | Commercial|HMO | $804.69 | ↑ +108% |
| First Health | Commercial|All Plans | $861.00 | ↑ +122% |
| Humana | Commercial|All Plans | $875.35 | ↑ +126% |
| BCBS-TX | Commercial|PPO | $885.16 | ↑ +128% |
| Cigna | Commercial|All Other Plans | $918.40 | ↑ +137% |
| Aetna | Commercial|All Plans | $947.10 | ↑ +144% |
| PHCS | Commercial|All Plans | $1,219.75 | ↑ +215% |
| Multiplan | Commercial|All Plans | $1,291.50 | ↑ +233% |
| SUPERIOR | Medicaid|STARPLUS | $1,318.97 | ↑ +240% |
| UNITED | Medicaid|STARPLUS | $1,345.56 | ↑ +247% |
| BCBS-TX | Commercial|Ref Lab | $1,435.00 | ↑ +270% |
| United | Commercial|Exchange | $1,508.00 | ↑ +289% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +663% |
Visitor-reported prices
Comments
Cardioversion/elective/internal 92961 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,819.78 | $515.60 – $2,274.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,545.52 | $318.12 – $2,318.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,209.79 | $241.96 – $1,612.26 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,819.78 | $485.27 – $2,274.72 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,545.52 | $496.11 – $2,318.27 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,545.52 | $798.52 – $2,318.27 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,209.79 | $403.26 – $1,814.69 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,819.78 | $485.27 – $2,274.72 |