Cath pezzer 34fr drain bardex propor head mushrm ltx at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$22.40
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.
$128.00
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.
$7.78 with PGT vs $61.00 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 | $7.78 | ↓ -65% |
| AETNA | Medicare|All Plans | $7.93 | ↓ -65% |
| BCBS | Medicare|All Plans | $7.93 | ↓ -65% |
| UNITED | Medicare|All Plans | $8.09 | ↓ -64% |
| AMERIVANTAGE | Medicare|All Plans | $8.17 | ↓ -64% |
| SCANHealth | Medicare|All Plans | $8.49 | ↓ -62% |
| Ambetter | Commercial|All Plans | $11.50 | ↓ -49% |
| Wellpoint | Commercial|Exchange | $11.90 | ↓ -47% |
| Wellpoint | Medicaid|All Other Plans | $15.38 | ↓ -31% |
| Wellpoint | Medicaid|STAR | $21.14 | ↓ -6% |
| Bright Health | Commercial|All Plans | $22.81 | ↑ +2% |
| Ellwood | Commercial|All Plans | $23.79 | ↑ +6% |
| Entrust | Commercial|All Plans | $25.62 | ↑ +14% |
| NX Health | Commercial|All Plans | $25.78 | ↑ +15% |
| Cigna | Commercial|Local Plus | $29.89 | ↑ +33% |
| Health Smart | Commercial|All Plans | $33.55 | ↑ +50% |
| First Health | Commercial|All Plans | $36.60 | ↑ +63% |
| Humana | Commercial|All Plans | $37.21 | ↑ +66% |
| Cigna | Commercial|All Other Plans | $39.04 | ↑ +74% |
| Aetna | Commercial|All Plans | $40.26 | ↑ +80% |
| PHCS | Commercial|All Plans | $51.85 | ↑ +131% |
| BCBS-TX | Commercial|Blue Advantage HMO | $53.12 | ↑ +137% |
| Multiplan | Commercial|All Plans | $54.90 | ↑ +145% |
| BCBS-TX | Commercial|Ref Lab | $61.00 | ↑ +172% |
| BCBS-TX | Commercial|Blue Premier | $61.00 | ↑ +172% |
| BCBS-TX | Commercial|HMO | $61.00 | ↑ +172% |
| BCBS-TX | Commercial|PPO | $61.00 | ↑ +172% |
Visitor-reported prices
Comments
Cath pezzer 34fr drain bardex propor head mushrm ltx at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $38.22 | $9.93 – $36.75 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $38.22 | $9.93 – $36.75 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $38.22 | $9.93 – $36.75 |
| St. Joseph Health College Station Hospital | College Station | $22.40 | $29.89 – $53.12 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $38.22 | $9.93 – $36.75 |
| St. Joseph Health Grimes Hospital | Navasota | $22.40 | $22.12 – $67.71 |
| St. Luke's Health - The Vintage Hospital | Houston | $38.22 | $9.93 – $36.75 |
| St. Joseph Health Burleson Hospital | Caldwell | $22.40 | $13.42 – $54.90 |