Closed tx/talus fracture without manip 28430 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$48.65
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.
$278.00
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.
$35.42 with PGT 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 →
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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 | $35.42 | ↓ -27% |
| BCBS | Medicare|All Plans | $36.14 | ↓ -26% |
| AETNA | Medicare|All Plans | $36.14 | ↓ -26% |
| UNITED | Medicare|All Plans | $36.87 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $37.23 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $38.67 | ↓ -21% |
| Ambetter | Commercial|All Plans | $52.41 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $54.21 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $70.06 | ↑ +44% |
| SUPERIOR | Medicaid|CHIP | $89.76 | ↑ +85% |
| UNITED | Medicaid|STARKIDS | $91.56 | ↑ +88% |
| UNITED | Medicaid|All Other Plans | $91.56 | ↑ +88% |
| SUPERIOR | Medicaid|All Other Plans | $94.25 | ↑ +94% |
| BCBS | Medicaid|STARKIDS | $94.25 | ↑ +94% |
| Wellpoint | Medicaid|STAR | $96.33 | ↑ +98% |
| Bright Health | Commercial|All Plans | $103.92 | ↑ +114% |
| Ellwood | Commercial|All Plans | $108.42 | ↑ +123% |
| Entrust | Commercial|All Plans | $116.76 | ↑ +140% |
| NX Health | Commercial|All Plans | $117.46 | ↑ +141% |
| SUPERIOR | Medicaid|STAR | $130.15 | ↑ +168% |
| Cigna | Commercial|Local Plus | $136.22 | ↑ +180% |
| BCBS-TX | Commercial|Blue Premier | $152.54 | ↑ +214% |
| Health Smart | Commercial|All Plans | $152.90 | ↑ +214% |
| BCBS-TX | Commercial|Blue Advantage HMO | $153.63 | ↑ +216% |
| BCBS-TX | Commercial|HMO | $163.44 | ↑ +236% |
| First Health | Commercial|All Plans | $166.80 | ↑ +243% |
| Humana | Commercial|All Plans | $169.58 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $177.92 | ↑ +266% |
| BCBS-TX | Commercial|PPO | $179.78 | ↑ +270% |
| Aetna | Commercial|All Plans | $183.48 | ↑ +277% |
| SUPERIOR | Medicaid|STARPLUS | $222.60 | ↑ +358% |
| UNITED | Medicaid|STARPLUS | $227.09 | ↑ +367% |
| PHCS | Commercial|All Plans | $236.30 | ↑ +386% |
| Multiplan | Commercial|All Plans | $250.20 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $278.00 | ↑ +471% |
| United | Commercial|Exchange | $1,508.00 | ↑ +3000% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +5984% |
Visitor-reported prices
Comments
Closed tx/talus fracture without manip 28430 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $291.90 | $109.34 – $2,444.00 |
| St. Luke's Health - Patients Medical Center | Pasadena | $86.94 | $149.04 – $186.30 |
| St. Joseph Health College Station Hospital | College Station | $48.65 | $136.22 – $278.00 |
| St. Joseph Health Grimes Hospital | Navasota | $48.65 | $100.81 – $308.58 |
| Covenant Medical Center | Lubbock | $291.90 | $111.18 – $261.42 |
| St. Joseph Health Burleson Hospital | Caldwell | $48.65 | $61.16 – $278.00 |
| Ascension Providence | Waco | $170.19 | $85.32 – $352.65 |
| Covenant Hospital Plainview | Plainview | $275.94 | $219.01 – $261.42 |