Cath imag ivus pv 8.5fx90 .035 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$4,499.78
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.
$25,713.00
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.
$57.84 with PGT vs $1,538.13 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 | $57.84 | ↓ -99% |
| BCBS | Medicare|All Plans | $59.02 | ↓ -99% |
| AETNA | Medicare|All Plans | $59.02 | ↓ -99% |
| UNITED | Medicare|All Plans | $60.21 | ↓ -99% |
| AMERIVANTAGE | Medicare|All Plans | $60.80 | ↓ -99% |
| SCANHealth | Medicare|All Plans | $63.16 | ↓ -99% |
| Ambetter | Commercial|All Plans | $85.58 | ↓ -98% |
| Wellpoint | Commercial|Exchange | $88.53 | ↓ -98% |
| Wellpoint | Medicaid|All Other Plans | $114.41 | ↓ -97% |
| Wellpoint | Medicaid|STAR | $157.32 | ↓ -97% |
| Bright Health | Commercial|All Plans | $169.71 | ↓ -96% |
| Ellwood | Commercial|All Plans | $177.06 | ↓ -96% |
| Entrust | Commercial|All Plans | $190.68 | ↓ -96% |
| NX Health | Commercial|All Plans | $191.82 | ↓ -96% |
| Cigna | Commercial|Local Plus | $222.46 | ↓ -95% |
| Health Smart | Commercial|All Plans | $249.70 | ↓ -94% |
| First Health | Commercial|All Plans | $272.40 | ↓ -94% |
| Humana | Commercial|All Plans | $276.94 | ↓ -94% |
| Cigna | Commercial|All Other Plans | $290.56 | ↓ -94% |
| Aetna | Commercial|All Plans | $299.64 | ↓ -93% |
| PHCS | Commercial|All Plans | $385.90 | ↓ -91% |
| Multiplan | Commercial|All Plans | $408.60 | ↓ -91% |
| BCBS-TX | Commercial|Ref Lab | $454.00 | ↓ -90% |
| United | Commercial|Exchange | $932.20 | ↓ -79% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,025.42 | ↓ -77% |
| BCBS-TX | Commercial|Blue Premier | $1,165.25 | ↓ -74% |
| BCBS-TX | Commercial|HMO | $1,258.47 | ↓ -72% |
| BCBS-TX | Commercial|PPO | $1,351.69 | ↓ -70% |
| United | Commercial|All Other Plans | $1,538.13 | ↓ -66% |
Visitor-reported prices
Comments
Cath imag ivus pv 8.5fx90 .035 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $5,882.06 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,691.97 | $100.00 – $3,142.23 |
| Baylor St Luke's Medical Center | Houston | $6,634.11 | $100.00 – $928.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $2,666.79 | $100.00 – $2,343.60 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $6,634.11 | $100.00 – $928.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $6,634.11 | $100.00 – $928.00 |
| St. Joseph Health College Station Hospital | College Station | $4,499.78 | $222.46 – $3,262.70 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $6,634.11 | $100.00 – $928.00 |