Cath baloon occl urnry 34f 7x2x65 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$2,810.50
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.
$16,060.00
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.
$218.11 with PGT vs $1,712.00 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 | $218.11 | ↓ -92% |
| BCBS | Medicare|All Plans | $222.56 | ↓ -92% |
| AETNA | Medicare|All Plans | $222.56 | ↓ -92% |
| UNITED | Medicare|All Plans | $227.02 | ↓ -92% |
| AMERIVANTAGE | Medicare|All Plans | $229.24 | ↓ -92% |
| SCANHealth | Medicare|All Plans | $238.14 | ↓ -92% |
| Ambetter | Commercial|All Plans | $322.72 | ↓ -89% |
| Wellpoint | Commercial|Exchange | $333.84 | ↓ -88% |
| United | Commercial|Exchange | $342.40 | ↓ -88% |
| BCBS-TX | Commercial|Blue Advantage HMO | $376.64 | ↓ -87% |
| BCBS-TX | Commercial|Blue Premier | $428.00 | ↓ -85% |
| Wellpoint | Medicaid|All Other Plans | $431.43 | ↓ -85% |
| Bright Health | Commercial|All Plans | $445.12 | ↓ -84% |
| BCBS-TX | Commercial|HMO | $462.24 | ↓ -84% |
| BCBS-TX | Commercial|PPO | $496.48 | ↓ -82% |
| Cigna | Commercial|Local Plus | $530.72 | ↓ -81% |
| United | Commercial|All Other Plans | $564.96 | ↓ -80% |
| Wellpoint | Medicaid|STAR | $593.21 | ↓ -79% |
| Ellwood | Commercial|All Plans | $667.68 | ↓ -76% |
| Entrust | Commercial|All Plans | $719.04 | ↓ -74% |
| NX Health | Commercial|All Plans | $723.32 | ↓ -74% |
| Health Smart | Commercial|All Plans | $941.60 | ↓ -66% |
| First Health | Commercial|All Plans | $1,027.20 | ↓ -63% |
| Humana | Commercial|All Plans | $1,044.32 | ↓ -63% |
| Cigna | Commercial|All Other Plans | $1,095.68 | ↓ -61% |
| Aetna | Commercial|All Plans | $1,129.92 | ↓ -60% |
| PHCS | Commercial|All Plans | $1,455.20 | ↓ -48% |
| Multiplan | Commercial|All Plans | $1,540.80 | ↓ -45% |
| BCBS-TX | Commercial|Ref Lab | $1,712.00 | ↓ -39% |
Visitor-reported prices
Comments
Cath baloon occl urnry 34f 7x2x65 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $10,795.68 | not published |
| Baylor St Luke's Medical Center | Houston | $4,265.58 | $100.00 – $19,766.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $4,265.58 | $100.00 – $40,285.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $4,265.58 | $100.00 – $40,285.00 |
| St. Joseph Health College Station Hospital | College Station | $2,810.50 | $342.40 – $1,455.20 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $4,265.58 | $100.00 – $40,285.00 |
| St. Joseph Health Grimes Hospital | Navasota | $2,810.50 | $342.40 – $1,900.32 |
| St. Luke's Health - The Vintage Hospital | Houston | $4,265.58 | $100.00 – $40,285.00 |