Cath steerable flex adv 12f at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1,194.38
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.
$6,825.00
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.
$351.88 with PGT vs $2,762.00 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 | $351.88 | ↓ -71% |
| AETNA | Medicare|All Plans | $359.06 | ↓ -70% |
| BCBS | Medicare|All Plans | $359.06 | ↓ -70% |
| UNITED | Medicare|All Plans | $366.25 | ↓ -69% |
| AMERIVANTAGE | Medicare|All Plans | $369.84 | ↓ -69% |
| SCANHealth | Medicare|All Plans | $384.20 | ↓ -68% |
| Ambetter | Commercial|All Plans | $520.64 | ↓ -56% |
| Wellpoint | Commercial|Exchange | $538.59 | ↓ -55% |
| Wellpoint | Medicaid|All Other Plans | $696.03 | ↓ -42% |
| Wellpoint | Medicaid|STAR | $957.04 | ↓ -20% |
| Bright Health | Commercial|All Plans | $1,032.44 | ↓ -14% |
| Ellwood | Commercial|All Plans | $1,077.18 | ↓ -10% |
| Entrust | Commercial|All Plans | $1,160.04 | ↓ -3% |
| NX Health | Commercial|All Plans | $1,166.95 | ↓ -2% |
| United | Commercial|Exchange | $1,296.20 | ↑ +9% |
| Cigna | Commercial|Local Plus | $1,353.38 | ↑ +13% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,425.82 | ↑ +19% |
| Health Smart | Commercial|All Plans | $1,519.10 | ↑ +27% |
| BCBS-TX | Commercial|Blue Premier | $1,620.25 | ↑ +36% |
| First Health | Commercial|All Plans | $1,657.20 | ↑ +39% |
| Humana | Commercial|All Plans | $1,684.82 | ↑ +41% |
| BCBS-TX | Commercial|HMO | $1,749.87 | ↑ +47% |
| Cigna | Commercial|All Other Plans | $1,767.68 | ↑ +48% |
| Aetna | Commercial|All Plans | $1,822.92 | ↑ +53% |
| BCBS-TX | Commercial|PPO | $1,879.49 | ↑ +57% |
| United | Commercial|All Other Plans | $2,138.73 | ↑ +79% |
| PHCS | Commercial|All Plans | $2,347.70 | ↑ +97% |
| Multiplan | Commercial|All Plans | $2,485.80 | ↑ +108% |
| BCBS-TX | Commercial|Ref Lab | $2,762.00 | ↑ +131% |
Visitor-reported prices
Comments
Cath steerable flex adv 12f at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $294.74 | $11.97 – $14.97 |
| Baylor St Luke's Medical Center | Houston | $2,606.31 | $100.00 – $2,869.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,674.70 | $100.00 – $4,914.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $2,606.31 | $100.00 – $2,869.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $2,606.31 | $100.00 – $2,869.00 |
| St. Joseph Health College Station Hospital | College Station | $1,194.38 | $1,296.20 – $4,536.70 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $2,606.31 | $100.00 – $2,869.00 |
| St. Joseph Health Grimes Hospital | Navasota | $1,194.38 | $1,001.51 – $4,536.70 |