Cerv collar supp adj cerv ba at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1,478.40
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.
$8,448.00
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.
$312.77 with PGT vs $2,455.00 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 | $312.77 | ↓ -79% |
| BCBS | Medicare|All Plans | $319.15 | ↓ -78% |
| AETNA | Medicare|All Plans | $319.15 | ↓ -78% |
| UNITED | Medicare|All Plans | $325.54 | ↓ -78% |
| AMERIVANTAGE | Medicare|All Plans | $328.73 | ↓ -78% |
| SCANHealth | Medicare|All Plans | $341.50 | ↓ -77% |
| Ambetter | Commercial|All Plans | $462.77 | ↓ -69% |
| Wellpoint | Commercial|Exchange | $478.73 | ↓ -68% |
| United | Commercial|Exchange | $491.00 | ↓ -67% |
| BCBS-TX | Commercial|Blue Advantage HMO | $540.10 | ↓ -63% |
| BCBS-TX | Commercial|Blue Premier | $613.75 | ↓ -58% |
| Wellpoint | Medicaid|All Other Plans | $618.66 | ↓ -58% |
| BCBS-TX | Commercial|HMO | $662.85 | ↓ -55% |
| BCBS-TX | Commercial|PPO | $711.95 | ↓ -52% |
| Cigna | Commercial|Local Plus | $761.05 | ↓ -49% |
| United | Commercial|All Other Plans | $810.15 | ↓ -45% |
| Wellpoint | Medicaid|STAR | $850.66 | ↓ -42% |
| Bright Health | Commercial|All Plans | $917.68 | ↓ -38% |
| Ellwood | Commercial|All Plans | $957.45 | ↓ -35% |
| Entrust | Commercial|All Plans | $1,031.10 | ↓ -30% |
| NX Health | Commercial|All Plans | $1,037.24 | ↓ -30% |
| Health Smart | Commercial|All Plans | $1,350.25 | ↓ -9% |
| First Health | Commercial|All Plans | $1,473.00 | ↓ -0% |
| Humana | Commercial|All Plans | $1,497.55 | ↑ +1% |
| Cigna | Commercial|All Other Plans | $1,571.20 | ↑ +6% |
| Aetna | Commercial|All Plans | $1,620.30 | ↑ +10% |
| PHCS | Commercial|All Plans | $2,086.75 | ↑ +41% |
| Multiplan | Commercial|All Plans | $2,209.50 | ↑ +49% |
| BCBS-TX | Commercial|Ref Lab | $2,455.00 | ↑ +66% |
Visitor-reported prices
Comments
Cerv collar supp adj cerv ba at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,513.04 | not published |
| St. Joseph Health College Station Hospital | College Station | $1,478.40 | $491.00 – $2,086.75 |
| St. Joseph Health Grimes Hospital | Navasota | $1,478.40 | $491.00 – $2,725.05 |
| Covenant Medical Center | Lubbock | $1,513.04 | $612.51 – $646.20 |
| St. Joseph Health Burleson Hospital | Caldwell | $1,478.40 | $491.00 – $2,209.50 |
| Covenant Hospital Plainview | Plainview | $1,513.04 | not published |
| Covenant Hospital Levelland | Levelland | $1,513.04 | not published |
| Covenant Specialty Hospital | Lubbock | $1,513.04 | not published |