Catheterization collection of specimen single patient all places of service at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$4.73
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.
$27.00
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.
$2.70 with United vs $29.54 with NX Health — 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 |
|---|---|---|---|
| United | Commercial|Exchange | $2.70 | ↓ -43% |
| United | Commercial|All Other Plans | $5.25 | ↑ +11% |
| Bright Health | Commercial|All Plans | $5.34 | ↑ +13% |
| SUPERIOR | Medicaid|CHIP | $6.48 | ↑ +37% |
| UNITED | Medicaid|STARKIDS | $6.61 | ↑ +40% |
| UNITED | Medicaid|All Other Plans | $6.61 | ↑ +40% |
| Cigna | Commercial|Local Plus | $6.78 | ↑ +43% |
| BCBS | Medicaid|STARKIDS | $6.81 | ↑ +44% |
| Wellpoint | Medicaid|All Other Plans | $6.81 | ↑ +44% |
| SUPERIOR | Medicaid|All Other Plans | $6.81 | ↑ +44% |
| PGT | Medicare|All Plans | $8.91 | ↑ +88% |
| AETNA | Medicare|All Plans | $9.09 | ↑ +92% |
| BCBS | Medicare|All Plans | $9.09 | ↑ +92% |
| UNITED | Medicare|All Plans | $9.27 | ↑ +96% |
| Wellpoint | Medicaid|STAR | $9.36 | ↑ +98% |
| AMERIVANTAGE | Medicare|All Plans | $9.36 | ↑ +98% |
| SUPERIOR | Medicaid|STAR | $9.40 | ↑ +99% |
| SCANHealth | Medicare|All Plans | $9.73 | ↑ +106% |
| BCBS-TX | Commercial|Blue Premier | $11.10 | ↑ +135% |
| BCBS-TX | Commercial|Blue Advantage HMO | $11.18 | ↑ +136% |
| BCBS-TX | Commercial|HMO | $11.90 | ↑ +152% |
| BCBS-TX | Commercial|PPO | $13.08 | ↑ +177% |
| Ambetter | Commercial|All Plans | $13.18 | ↑ +179% |
| Wellpoint | Commercial|Exchange | $13.64 | ↑ +188% |
| Health Smart | Commercial|All Plans | $14.85 | ↑ +214% |
| SUPERIOR | Medicaid|STARPLUS | $16.08 | ↑ +240% |
| First Health | Commercial|All Plans | $16.20 | ↑ +242% |
| UNITED | Medicaid|STARPLUS | $16.40 | ↑ +247% |
| Humana | Commercial|All Plans | $16.47 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $17.28 | ↑ +265% |
| Entrust | Commercial|All Plans | $17.66 | ↑ +273% |
| Aetna | Commercial|All Plans | $17.82 | ↑ +277% |
| PHCS | Commercial|All Plans | $22.95 | ↑ +385% |
| Multiplan | Commercial|All Plans | $24.30 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $27.00 | ↑ +471% |
| Ellwood | Commercial|All Plans | $27.27 | ↑ +477% |
| NX Health | Commercial|All Plans | $29.54 | ↑ +525% |
Visitor-reported prices
Comments
Catheterization collection of specimen single patient all places of service at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Luke's Health - Patients Medical Center | Pasadena | $25.20 | $4.50 – $54.00 |
| Baylor St Luke's Medical Center | Houston | $26.95 | $4.50 – $77.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $44.40 | $3.25 – $26.49 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $26.95 | $4.50 – $77.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $26.95 | $3.00 – $77.00 |
| St. Joseph Health College Station Hospital | College Station | $4.73 | $2.16 – $29.54 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $26.95 | $4.50 – $77.00 |
| St. Joseph Health Grimes Hospital | Navasota | $4.73 | $2.70 – $27.27 |