Change cystostomy tube simple at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$340.55

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,946.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$54.46 with SUPERIOR vs $2,960.00 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 →

Payer
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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
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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
SUPERIOR Medicaid|CHIP $54.46 ↓ -84%
UNITED Medicaid|STARKIDS $55.55 ↓ -84%
UNITED Medicaid|All Other Plans $55.55 ↓ -84%
BCBS Medicaid|STARKIDS $57.18 ↓ -83%
SUPERIOR Medicaid|All Other Plans $57.18 ↓ -83%
SUPERIOR Medicaid|STAR $78.97 ↓ -77%
BCBS-TX Commercial|Blue Premier $85.89 ↓ -75%
BCBS-TX Commercial|Blue Advantage HMO $86.50 ↓ -75%
BCBS-TX Commercial|HMO $92.03 ↓ -73%
BCBS-TX Commercial|PPO $101.23 ↓ -70%
SUPERIOR Medicaid|STARPLUS $135.06 ↓ -60%
UNITED Medicaid|STARPLUS $137.78 ↓ -60%
PGT Medicare|All Plans $247.93 ↓ -27%
AETNA Medicare|All Plans $252.98 ↓ -26%
BCBS Medicare|All Plans $252.98 ↓ -26%
UNITED Medicare|All Plans $258.04 ↓ -24%
AMERIVANTAGE Medicare|All Plans $260.57 ↓ -23%
SCANHealth Medicare|All Plans $270.69 ↓ -21%
Ambetter Commercial|All Plans $366.83 ↑ +8%
Wellpoint Commercial|Exchange $379.47 ↑ +11%
Wellpoint Medicaid|All Other Plans $490.40 ↑ +44%
Wellpoint Medicaid|STAR $674.29 ↑ +98%
Bright Health Commercial|All Plans $727.42 ↑ +114%
Ellwood Commercial|All Plans $758.94 ↑ +123%
Entrust Commercial|All Plans $817.32 ↑ +140%
NX Health Commercial|All Plans $822.19 ↑ +141%
Health Smart Commercial|All Plans $1,070.30 ↑ +214%
First Health Commercial|All Plans $1,167.60 ↑ +243%
Humana Commercial|All Plans $1,187.06 ↑ +249%
Cigna Commercial|All Other Plans $1,245.44 ↑ +266%
Aetna Commercial|All Plans $1,284.36 ↑ +277%
United Commercial|Exchange $1,508.00 ↑ +343%
PHCS Commercial|All Plans $1,654.10 ↑ +386%
Multiplan Commercial|All Plans $1,751.40 ↑ +414%
BCBS-TX Commercial|Ref Lab $1,946.00 ↑ +471%
Cigna Commercial|Local Plus $2,888.00 ↑ +748%
United Commercial|All Other Plans $2,960.00 ↑ +769%

Visitor-reported prices

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Change cystostomy tube simple at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $946.28 $76.69 – $4,826.69
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $531.96 $51.77 – $664.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $426.63 $55.39 – $639.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $709.69 $51.77 – $887.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $531.96 $51.77 – $664.95
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $426.63 $55.39 – $639.95
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $426.63 $51.77 – $639.95
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $709.69 $51.77 – $1,064.53

All Texas hospitals for this procedure →