Chest 2 vws w oblique 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

$169.23

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.

$967.00

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.

$89.93 with Cigna vs $967.00 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 →

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
Cigna Commercial|Local Plus $89.93 ↓ -47%
PGT Medicare|All Plans $123.20 ↓ -27%
AETNA Medicare|All Plans $125.71 ↓ -26%
BCBS Medicare|All Plans $125.71 ↓ -26%
UNITED Medicare|All Plans $128.23 ↓ -24%
AMERIVANTAGE Medicare|All Plans $129.49 ↓ -23%
SUPERIOR Medicaid|CHIP $131.99 ↓ -22%
SCANHealth Medicare|All Plans $134.51 ↓ -21%
UNITED Medicaid|All Other Plans $134.63 ↓ -20%
UNITED Medicaid|STARKIDS $134.63 ↓ -20%
BCBS Medicaid|STARKIDS $138.59 ↓ -18%
SUPERIOR Medicaid|All Other Plans $138.59 ↓ -18%
United Commercial|Exchange $179.00 ↑ +6%
Ambetter Commercial|All Plans $182.28 ↑ +8%
Wellpoint Commercial|Exchange $188.57 ↑ +11%
SUPERIOR Medicaid|STAR $191.39 ↑ +13%
Wellpoint Medicaid|All Other Plans $243.69 ↑ +44%
BCBS-TX Commercial|Blue Advantage HMO $254.42 ↑ +50%
BCBS-TX Commercial|Blue Premier $282.44 ↑ +67%
BCBS-TX Commercial|HMO $300.37 ↑ +77%
SUPERIOR Medicaid|STARPLUS $327.34 ↑ +93%
BCBS-TX Commercial|PPO $331.76 ↑ +96%
UNITED Medicaid|STARPLUS $333.93 ↑ +97%
Wellpoint Medicaid|STAR $335.07 ↑ +98%
United Commercial|All Other Plans $351.00 ↑ +107%
Bright Health Commercial|All Plans $361.47 ↑ +114%
Ellwood Commercial|All Plans $377.13 ↑ +123%
Entrust Commercial|All Plans $406.14 ↑ +140%
NX Health Commercial|All Plans $408.56 ↑ +141%
Health Smart Commercial|All Plans $531.85 ↑ +214%
First Health Commercial|All Plans $580.20 ↑ +243%
Humana Commercial|All Plans $589.87 ↑ +249%
Cigna Commercial|All Other Plans $618.88 ↑ +266%
Aetna Commercial|All Plans $638.22 ↑ +277%
PHCS Commercial|All Plans $821.95 ↑ +386%
Multiplan Commercial|All Plans $870.30 ↑ +414%
BCBS-TX Commercial|Ref Lab $967.00 ↑ +471%

Visitor-reported prices

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Chest 2 vws w oblique at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $393.55 $45.78 – $491.94
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $377.06 $77.61 – $565.59
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $334.02 $45.78 – $417.52
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $393.55 $45.78 – $491.94
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $377.06 $48.98 – $565.59
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $377.06 $45.78 – $565.59
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $334.02 $45.78 – $501.03
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $393.55 $45.78 – $491.94

All Texas hospitals for this procedure →