Complx repair fccmnaxghf 13133 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$187.08
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.
$1,069.00
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.
$29.18 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 | $29.18 | ↓ -84% |
| BCBS | Medicare|All Plans | $29.77 | ↓ -84% |
| AETNA | Medicare|All Plans | $29.77 | ↓ -84% |
| UNITED | Medicare|All Plans | $30.37 | ↓ -84% |
| AMERIVANTAGE | Medicare|All Plans | $30.67 | ↓ -84% |
| SCANHealth | Medicare|All Plans | $31.86 | ↓ -83% |
| Ambetter | Commercial|All Plans | $43.17 | ↓ -77% |
| Wellpoint | Commercial|Exchange | $44.66 | ↓ -76% |
| Wellpoint | Medicaid|All Other Plans | $57.71 | ↓ -69% |
| Wellpoint | Medicaid|STAR | $79.35 | ↓ -58% |
| Bright Health | Commercial|All Plans | $85.61 | ↓ -54% |
| Ellwood | Commercial|All Plans | $89.31 | ↓ -52% |
| Entrust | Commercial|All Plans | $96.18 | ↓ -49% |
| NX Health | Commercial|All Plans | $96.76 | ↓ -48% |
| Health Smart | Commercial|All Plans | $125.95 | ↓ -33% |
| First Health | Commercial|All Plans | $137.40 | ↓ -27% |
| Humana | Commercial|All Plans | $139.69 | ↓ -25% |
| Cigna | Commercial|All Other Plans | $146.56 | ↓ -22% |
| Aetna | Commercial|All Plans | $151.14 | ↓ -19% |
| PHCS | Commercial|All Plans | $194.65 | ↑ +4% |
| Multiplan | Commercial|All Plans | $206.10 | ↑ +10% |
| BCBS-TX | Commercial|Ref Lab | $229.00 | ↑ +22% |
| SUPERIOR | Medicaid|CHIP | $256.56 | ↑ +37% |
| UNITED | Medicaid|All Other Plans | $261.70 | ↑ +40% |
| UNITED | Medicaid|STARKIDS | $261.70 | ↑ +40% |
| SUPERIOR | Medicaid|All Other Plans | $269.39 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $269.39 | ↑ +44% |
| SUPERIOR | Medicaid|STAR | $372.02 | ↑ +99% |
| Cigna | Commercial|Local Plus | $523.81 | ↑ +180% |
| SUPERIOR | Medicaid|STARPLUS | $636.27 | ↑ +240% |
| UNITED | Medicaid|STARPLUS | $649.10 | ↑ +247% |
| United | Commercial|Exchange | $1,508.00 | ↑ +706% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +1482% |
Visitor-reported prices
Comments
Complx repair fccmnaxghf 13133 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,824.68 | $4,826.69 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $896.48 | $254.00 – $1,270.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,037.23 | $71.00 – $1,555.85 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $897.08 | $71.00 – $1,121.36 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $896.48 | $239.06 – $1,270.02 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,037.23 | $85.00 – $1,555.85 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,037.23 | $535.90 – $1,555.85 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $897.08 | $71.00 – $1,345.63 |