Consultation pathology during surgery frozen section first tissue block 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

$179.03

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.

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What you pay up front if you don't use insurance.

$1,023.00

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.

$90.50 with Cigna vs $920.70 with Multiplan — 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 $90.50 ↓ -49%
BCBS-TX Commercial|Ref Lab $97.13 ↓ -46%
PGT Medicare|All Plans $130.34 ↓ -27%
BCBS Medicare|All Plans $132.99 ↓ -26%
AETNA Medicare|All Plans $132.99 ↓ -26%
UNITED Medicare|All Plans $135.65 ↓ -24%
AMERIVANTAGE Medicare|All Plans $136.98 ↓ -23%
United Commercial|Exchange $137.09 ↓ -23%
SCANHealth Medicare|All Plans $142.30 ↓ -21%
Ambetter Commercial|All Plans $192.84 ↑ +8%
Wellpoint Commercial|Exchange $199.49 ↑ +11%
United Commercial|All Other Plans $253.28 ↑ +41%
Wellpoint Medicaid|All Other Plans $257.80 ↑ +44%
Wellpoint Medicaid|STAR $354.47 ↑ +98%
Bright Health Commercial|All Plans $382.40 ↑ +114%
Ellwood Commercial|All Plans $398.97 ↑ +123%
Entrust Commercial|All Plans $429.66 ↑ +140%
NX Health Commercial|All Plans $432.22 ↑ +141%
BCBS-TX Commercial|Blue Advantage HMO $503.69 ↑ +181%
BCBS-TX Commercial|Blue Premier $503.69 ↑ +181%
BCBS-TX Commercial|HMO $513.73 ↑ +187%
Health Smart Commercial|All Plans $562.65 ↑ +214%
BCBS-TX Commercial|PPO $592.66 ↑ +231%
First Health Commercial|All Plans $613.80 ↑ +243%
Humana Commercial|All Plans $624.03 ↑ +249%
Cigna Commercial|All Other Plans $654.72 ↑ +266%
Aetna Commercial|All Plans $675.18 ↑ +277%
PHCS Commercial|All Plans $869.55 ↑ +386%
Multiplan Commercial|All Plans $920.70 ↑ +414%

Visitor-reported prices

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Consultation pathology during surgery frozen section first tissue block at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $297.87 $35.00 – $423.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $282.52 $36.00 – $423.77
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $210.80 $36.00 – $423.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $297.87 $35.00 – $423.12
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $282.52 $36.00 – $423.77
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $282.52 $26.00 – $423.77
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $210.80 $36.00 – $423.12
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $297.87 $35.00 – $423.12

All Texas hospitals for this procedure →