Clsd tx bimalleol ank fx without manip 27808 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

$78.05

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.

$446.00

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.

$56.83 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 →

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
PGT Medicare|All Plans $56.83 ↓ -27%
BCBS Medicare|All Plans $57.98 ↓ -26%
AETNA Medicare|All Plans $57.98 ↓ -26%
UNITED Medicare|All Plans $59.14 ↓ -24%
AMERIVANTAGE Medicare|All Plans $59.72 ↓ -23%
SCANHealth Medicare|All Plans $62.04 ↓ -21%
Ambetter Commercial|All Plans $84.08 ↑ +8%
Wellpoint Commercial|Exchange $86.97 ↑ +11%
SUPERIOR Medicaid|CHIP $89.76 ↑ +15%
UNITED Medicaid|STARKIDS $91.56 ↑ +17%
UNITED Medicaid|All Other Plans $91.56 ↑ +17%
BCBS Medicaid|STARKIDS $94.25 ↑ +21%
SUPERIOR Medicaid|All Other Plans $94.25 ↑ +21%
Wellpoint Medicaid|All Other Plans $112.40 ↑ +44%
SUPERIOR Medicaid|STAR $130.15 ↑ +67%
Wellpoint Medicaid|STAR $154.54 ↑ +98%
Bright Health Commercial|All Plans $166.72 ↑ +114%
Ellwood Commercial|All Plans $173.94 ↑ +123%
Entrust Commercial|All Plans $187.32 ↑ +140%
NX Health Commercial|All Plans $188.44 ↑ +141%
SUPERIOR Medicaid|STARPLUS $222.60 ↑ +185%
UNITED Medicaid|STARPLUS $227.09 ↑ +191%
Health Smart Commercial|All Plans $245.30 ↑ +214%
First Health Commercial|All Plans $267.60 ↑ +243%
Humana Commercial|All Plans $272.06 ↑ +249%
Cigna Commercial|All Other Plans $285.44 ↑ +266%
Aetna Commercial|All Plans $294.36 ↑ +277%
BCBS-TX Commercial|Blue Premier $301.90 ↑ +287%
BCBS-TX Commercial|Blue Advantage HMO $304.05 ↑ +290%
BCBS-TX Commercial|HMO $323.46 ↑ +314%
BCBS-TX Commercial|PPO $355.81 ↑ +356%
PHCS Commercial|All Plans $379.10 ↑ +386%
Multiplan Commercial|All Plans $401.40 ↑ +414%
BCBS-TX Commercial|Ref Lab $446.00 ↑ +471%
United Commercial|Exchange $1,508.00 ↑ +1832%
Cigna Commercial|Local Plus $2,888.00 ↑ +3600%
United Commercial|All Other Plans $2,960.00 ↑ +3692%

Visitor-reported prices

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Clsd tx bimalleol ank fx without manip 27808 at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $719.35 $85.32 – $899.19
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $631.37 $71.00 – $947.06
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $525.26 $71.00 – $656.58
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $719.35 $85.32 – $899.19
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $631.37 $85.00 – $947.06
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $631.37 $85.32 – $947.06
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $525.26 $71.00 – $787.90
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $719.35 $85.32 – $899.19

All Texas hospitals for this procedure →