Cefoxitin 1 gram intravenous solution at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$2.92
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.
$16.67
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.
$0.37 with PGT vs $7.34 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 | $0.37 | ↓ -87% |
| BCBS | Medicare|All Plans | $0.38 | ↓ -87% |
| AETNA | Medicare|All Plans | $0.38 | ↓ -87% |
| UNITED | Medicare|All Plans | $0.38 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $0.39 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $0.40 | ↓ -86% |
| Ambetter | Commercial|All Plans | $0.54 | ↓ -82% |
| Wellpoint | Commercial|Exchange | $0.56 | ↓ -81% |
| Wellpoint | Medicaid|All Other Plans | $0.73 | ↓ -75% |
| Wellpoint | Medicaid|STAR | $1.00 | ↓ -66% |
| Bright Health | Commercial|All Plans | $1.07 | ↓ -63% |
| Ellwood | Commercial|All Plans | $1.12 | ↓ -62% |
| NX Health | Commercial|All Plans | $1.21 | ↓ -59% |
| Entrust | Commercial|All Plans | $1.21 | ↓ -59% |
| Health Smart | Commercial|All Plans | $1.58 | ↓ -46% |
| First Health | Commercial|All Plans | $1.72 | ↓ -41% |
| Humana | Commercial|All Plans | $1.75 | ↓ -40% |
| Cigna | Commercial|All Other Plans | $1.84 | ↓ -37% |
| Aetna | Commercial|All Plans | $1.89 | ↓ -35% |
| PHCS | Commercial|All Plans | $2.44 | ↓ -16% |
| Multiplan | Commercial|All Plans | $2.58 | ↓ -12% |
| BCBS-TX | Commercial|Blue Advantage HMO | $2.86 | ↓ -2% |
| BCBS-TX | Commercial|PPO | $2.86 | ↓ -2% |
| BCBS-TX | Commercial|HMO | $2.86 | ↓ -2% |
| Cigna | Commercial|Local Plus | $2.86 | ↓ -2% |
| BCBS-TX | Commercial|Blue Premier | $2.86 | ↓ -2% |
| BCBS-TX | Commercial|Ref Lab | $2.86 | ↓ -2% |
| United | Commercial|Exchange | $4.45 | ↑ +52% |
| United | Commercial|All Other Plans | $7.34 | ↑ +151% |
Visitor-reported prices
Comments
Cefoxitin 1 gram intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $101.28 | $16.98 – $16.98 |
| Covenant Children's Hospital | Lubbock | $68.98 | $16.49 – $19.30 |
| St. Luke's Health - Patients Medical Center | Pasadena | $48.65 | $4.81 – $100.80 |
| Baylor St Luke's Medical Center | Houston | $33.24 | $3.97 – $55.15 |
| St. Luke's Health Memorial Lufkin | Lufkin | $70.56 | $5.10 – $35.06 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $33.24 | $4.81 – $55.15 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $33.24 | $4.81 – $55.15 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $33.24 | $4.81 – $55.15 |