Cath ablt clsfast 7fx100cmx at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$241.68
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.
$1,381.00
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.
$160.66 with PGT vs $1,261.00 with BCBS-TX — 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 | $160.66 | ↓ -34% |
| BCBS | Medicare|All Plans | $163.93 | ↓ -32% |
| AETNA | Medicare|All Plans | $163.93 | ↓ -32% |
| UNITED | Medicare|All Plans | $167.21 | ↓ -31% |
| AMERIVANTAGE | Medicare|All Plans | $168.85 | ↓ -30% |
| SCANHealth | Medicare|All Plans | $175.41 | ↓ -27% |
| Ambetter | Commercial|All Plans | $237.70 | ↓ -2% |
| Wellpoint | Commercial|Exchange | $245.90 | ↑ +2% |
| United | Commercial|Exchange | $252.20 | ↑ +4% |
| BCBS-TX | Commercial|Blue Advantage HMO | $277.42 | ↑ +15% |
| BCBS-TX | Commercial|Blue Premier | $315.25 | ↑ +30% |
| Wellpoint | Medicaid|All Other Plans | $317.78 | ↑ +31% |
| Bright Health | Commercial|All Plans | $327.86 | ↑ +36% |
| BCBS-TX | Commercial|HMO | $340.47 | ↑ +41% |
| BCBS-TX | Commercial|PPO | $365.69 | ↑ +51% |
| Cigna | Commercial|Local Plus | $390.91 | ↑ +62% |
| United | Commercial|All Other Plans | $416.13 | ↑ +72% |
| Wellpoint | Medicaid|STAR | $436.94 | ↑ +81% |
| Ellwood | Commercial|All Plans | $491.79 | ↑ +103% |
| Entrust | Commercial|All Plans | $529.62 | ↑ +119% |
| NX Health | Commercial|All Plans | $532.78 | ↑ +120% |
| Health Smart | Commercial|All Plans | $693.55 | ↑ +187% |
| First Health | Commercial|All Plans | $756.60 | ↑ +213% |
| Humana | Commercial|All Plans | $769.21 | ↑ +218% |
| Cigna | Commercial|All Other Plans | $807.04 | ↑ +234% |
| Aetna | Commercial|All Plans | $832.26 | ↑ +244% |
| PHCS | Commercial|All Plans | $1,071.85 | ↑ +343% |
| Multiplan | Commercial|All Plans | $1,134.90 | ↑ +370% |
| BCBS-TX | Commercial|Ref Lab | $1,261.00 | ↑ +422% |
Visitor-reported prices
Comments
Cath ablt clsfast 7fx100cmx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $5,024.36 | not published |
| Baylor St Luke's Medical Center | Houston | $11,963.00 | $100.00 – $6,187.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $11,963.00 | $100.00 – $6,187.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $11,963.00 | $100.00 – $6,187.00 |
| St. Joseph Health College Station Hospital | College Station | $241.68 | $252.20 – $1,071.85 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $11,963.00 | $100.00 – $6,187.00 |
| St. Joseph Health Grimes Hospital | Navasota | $241.68 | $252.20 – $1,399.71 |
| St. Luke's Health - The Vintage Hospital | Houston | $11,963.00 | $100.00 – $6,187.00 |