Cath occl flo-rester 2.25x12mm cor internal vessel occluder at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$14,751.45
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.
$84,294.00
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.
$781.35 with PGT vs $6,133.00 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 | $781.35 | ↓ -95% |
| BCBS | Medicare|All Plans | $797.29 | ↓ -95% |
| AETNA | Medicare|All Plans | $797.29 | ↓ -95% |
| UNITED | Medicare|All Plans | $813.24 | ↓ -94% |
| AMERIVANTAGE | Medicare|All Plans | $821.21 | ↓ -94% |
| SCANHealth | Medicare|All Plans | $853.11 | ↓ -94% |
| Ambetter | Commercial|All Plans | $1,156.08 | ↓ -92% |
| Wellpoint | Commercial|Exchange | $1,195.94 | ↓ -92% |
| United | Commercial|Exchange | $1,226.60 | ↓ -92% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,349.26 | ↓ -91% |
| BCBS-TX | Commercial|Blue Premier | $1,533.25 | ↓ -90% |
| Wellpoint | Medicaid|All Other Plans | $1,545.52 | ↓ -90% |
| Bright Health | Commercial|All Plans | $1,594.58 | ↓ -89% |
| BCBS-TX | Commercial|HMO | $1,655.91 | ↓ -89% |
| BCBS-TX | Commercial|PPO | $1,778.57 | ↓ -88% |
| Cigna | Commercial|Local Plus | $1,901.23 | ↓ -87% |
| United | Commercial|All Other Plans | $2,023.89 | ↓ -86% |
| Wellpoint | Medicaid|STAR | $2,125.09 | ↓ -86% |
| Ellwood | Commercial|All Plans | $2,391.87 | ↓ -84% |
| Entrust | Commercial|All Plans | $2,575.86 | ↓ -83% |
| NX Health | Commercial|All Plans | $2,591.20 | ↓ -82% |
| Health Smart | Commercial|All Plans | $3,373.15 | ↓ -77% |
| First Health | Commercial|All Plans | $3,679.80 | ↓ -75% |
| Humana | Commercial|All Plans | $3,741.13 | ↓ -75% |
| Cigna | Commercial|All Other Plans | $3,925.12 | ↓ -73% |
| Aetna | Commercial|All Plans | $4,047.78 | ↓ -73% |
| PHCS | Commercial|All Plans | $5,213.05 | ↓ -65% |
| Multiplan | Commercial|All Plans | $5,519.70 | ↓ -63% |
| BCBS-TX | Commercial|Ref Lab | $6,133.00 | ↓ -58% |
Visitor-reported prices
Comments
Cath occl flo-rester 2.25x12mm cor internal vessel occluder at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $18,457.82 | not published |
| Baylor St Luke's Medical Center | Houston | $36,731.63 | $1,246.35 – $5,935.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $36,731.63 | $1,246.35 – $5,935.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $36,731.63 | $1,246.35 – $5,935.00 |
| St. Joseph Health College Station Hospital | College Station | $14,751.45 | $1,226.60 – $5,213.05 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $36,731.63 | $1,246.35 – $5,935.00 |
| St. Joseph Health Grimes Hospital | Navasota | $14,751.45 | $1,226.60 – $6,807.63 |
| St. Luke's Health - The Vintage Hospital | Houston | $36,731.63 | $1,246.35 – $5,935.00 |