Change of windpipe airway 31502 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$123.73
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.
?
What you pay up front if you don't use insurance.
$707.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$6.50 with PGT vs $2,960.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $6.50 | ↓ -95% |
| BCBS | Medicare|All Plans | $6.63 | ↓ -95% |
| AETNA | Medicare|All Plans | $6.63 | ↓ -95% |
| UNITED | Medicare|All Plans | $6.77 | ↓ -95% |
| AMERIVANTAGE | Medicare|All Plans | $6.83 | ↓ -94% |
| SCANHealth | Medicare|All Plans | $7.10 | ↓ -94% |
| Ambetter | Commercial|All Plans | $9.62 | ↓ -92% |
| Wellpoint | Commercial|Exchange | $9.95 | ↓ -92% |
| Wellpoint | Medicaid|All Other Plans | $12.86 | ↓ -90% |
| Wellpoint | Medicaid|STAR | $17.68 | ↓ -86% |
| Bright Health | Commercial|All Plans | $19.07 | ↓ -85% |
| Ellwood | Commercial|All Plans | $19.89 | ↓ -84% |
| Entrust | Commercial|All Plans | $21.42 | ↓ -83% |
| NX Health | Commercial|All Plans | $21.55 | ↓ -83% |
| Health Smart | Commercial|All Plans | $28.05 | ↓ -77% |
| First Health | Commercial|All Plans | $30.60 | ↓ -75% |
| Humana | Commercial|All Plans | $31.11 | ↓ -75% |
| Cigna | Commercial|All Other Plans | $32.64 | ↓ -74% |
| Aetna | Commercial|All Plans | $33.66 | ↓ -73% |
| PHCS | Commercial|All Plans | $43.35 | ↓ -65% |
| Multiplan | Commercial|All Plans | $45.90 | ↓ -63% |
| BCBS-TX | Commercial|Ref Lab | $51.00 | ↓ -59% |
| SUPERIOR | Medicaid|CHIP | $92.13 | ↓ -26% |
| UNITED | Medicaid|All Other Plans | $93.97 | ↓ -24% |
| UNITED | Medicaid|STARKIDS | $93.97 | ↓ -24% |
| BCBS | Medicaid|STARKIDS | $96.74 | ↓ -22% |
| SUPERIOR | Medicaid|All Other Plans | $96.74 | ↓ -22% |
| SUPERIOR | Medicaid|STAR | $133.59 | ↑ +8% |
| SUPERIOR | Medicaid|STARPLUS | $228.48 | ↑ +85% |
| UNITED | Medicaid|STARPLUS | $233.09 | ↑ +88% |
| BCBS-TX | Commercial|Blue Premier | $285.10 | ↑ +130% |
| BCBS-TX | Commercial|Blue Advantage HMO | $287.13 | ↑ +132% |
| BCBS-TX | Commercial|HMO | $305.46 | ↑ +147% |
| BCBS-TX | Commercial|PPO | $336.01 | ↑ +172% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1119% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +2234% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2292% |
Visitor-reported prices
Comments
Change of windpipe airway 31502 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $583.92 | $87.58 – $729.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $422.65 | $71.00 – $633.98 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $499.54 | $71.00 – $624.42 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $583.92 | $87.58 – $729.90 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $422.65 | $85.00 – $633.98 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $422.65 | $87.58 – $633.98 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $499.54 | $71.00 – $749.30 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $583.92 | $87.58 – $729.90 |