Coch imp ext proc/contr rplc at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$20,146.35
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.
$115,122.00
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.
$5,140.34 with PGT vs $40,348.00 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 →
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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 | $5,140.34 | ↓ -74% |
| BCBS | Medicare|All Plans | $5,245.24 | ↓ -74% |
| AETNA | Medicare|All Plans | $5,245.24 | ↓ -74% |
| UNITED | Medicare|All Plans | $5,350.15 | ↓ -73% |
| AMERIVANTAGE | Medicare|All Plans | $5,402.60 | ↓ -73% |
| SCANHealth | Medicare|All Plans | $5,612.41 | ↓ -72% |
| Ambetter | Commercial|All Plans | $7,605.60 | ↓ -62% |
| Wellpoint | Commercial|Exchange | $7,867.86 | ↓ -61% |
| United | Commercial|Exchange | $8,069.60 | ↓ -60% |
| BCBS-TX | Commercial|Blue Advantage HMO | $8,876.56 | ↓ -56% |
| BCBS-TX | Commercial|Blue Premier | $10,087.00 | ↓ -50% |
| Wellpoint | Medicaid|All Other Plans | $10,167.70 | ↓ -50% |
| BCBS-TX | Commercial|HMO | $10,893.96 | ↓ -46% |
| BCBS-TX | Commercial|PPO | $11,700.92 | ↓ -42% |
| Cigna | Commercial|Local Plus | $12,507.88 | ↓ -38% |
| United | Commercial|All Other Plans | $13,314.84 | ↓ -34% |
| Wellpoint | Medicaid|STAR | $13,980.59 | ↓ -31% |
| Bright Health | Commercial|All Plans | $15,082.09 | ↓ -25% |
| Ellwood | Commercial|All Plans | $15,735.72 | ↓ -22% |
| Entrust | Commercial|All Plans | $16,946.16 | ↓ -16% |
| NX Health | Commercial|All Plans | $17,047.03 | ↓ -15% |
| Health Smart | Commercial|All Plans | $22,191.40 | ↑ +10% |
| First Health | Commercial|All Plans | $24,208.80 | ↑ +20% |
| Humana | Commercial|All Plans | $24,612.28 | ↑ +22% |
| Cigna | Commercial|All Other Plans | $25,822.72 | ↑ +28% |
| Aetna | Commercial|All Plans | $26,629.68 | ↑ +32% |
| PHCS | Commercial|All Plans | $34,295.80 | ↑ +70% |
| Multiplan | Commercial|All Plans | $36,313.20 | ↑ +80% |
| BCBS-TX | Commercial|Ref Lab | $40,348.00 | ↑ +100% |
Visitor-reported prices
Comments
Coch imp ext proc/contr rplc at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health College Station Hospital | College Station | $20,146.35 | $8,069.60 – $34,295.80 |
| St. Joseph Health Grimes Hospital | Navasota | $20,146.35 | $8,069.60 – $44,786.28 |
| St. Joseph Health Burleson Hospital | Caldwell | $20,146.35 | $8,069.60 – $36,313.20 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $9,968.85 – $21,870.44 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $9,968.85 – $21,870.44 |
| HCA HOUSTON CONROE | CONROE | not published | $9,968.85 – $21,870.44 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $9,968.85 – $21,870.44 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $9,968.85 – $21,870.44 |