Consultation/report referred material w/preparation of slides 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

$130.03

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.

Full explanation →

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

$743.00

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.

$45.68 with United vs $668.70 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
United Commercial|Exchange $45.68 ↓ -65%
Cigna Commercial|Local Plus $59.55 ↓ -54%
United Commercial|All Other Plans $89.22 ↓ -31%
PGT Medicare|All Plans $94.66 ↓ -27%
BCBS Medicare|All Plans $96.59 ↓ -26%
AETNA Medicare|All Plans $96.59 ↓ -26%
UNITED Medicare|All Plans $98.53 ↓ -24%
AMERIVANTAGE Medicare|All Plans $99.49 ↓ -23%
SCANHealth Medicare|All Plans $103.36 ↓ -21%
BCBS-TX Commercial|Ref Lab $115.85 ↓ -11%
Ambetter Commercial|All Plans $140.06 ↑ +8%
Wellpoint Commercial|Exchange $144.89 ↑ +11%
BCBS-TX Commercial|Blue Premier $173.64 ↑ +34%
BCBS-TX Commercial|Blue Advantage HMO $173.64 ↑ +34%
BCBS-TX Commercial|HMO $177.10 ↑ +36%
Wellpoint Medicaid|All Other Plans $187.24 ↑ +44%
BCBS-TX Commercial|PPO $204.31 ↑ +57%
Wellpoint Medicaid|STAR $257.45 ↑ +98%
Bright Health Commercial|All Plans $277.74 ↑ +114%
Ellwood Commercial|All Plans $289.77 ↑ +123%
Entrust Commercial|All Plans $312.06 ↑ +140%
NX Health Commercial|All Plans $313.92 ↑ +141%
Health Smart Commercial|All Plans $408.65 ↑ +214%
First Health Commercial|All Plans $445.80 ↑ +243%
Humana Commercial|All Plans $453.23 ↑ +249%
Cigna Commercial|All Other Plans $475.52 ↑ +266%
Aetna Commercial|All Plans $490.38 ↑ +277%
PHCS Commercial|All Plans $631.55 ↑ +386%
Multiplan Commercial|All Plans $668.70 ↑ +414%

Visitor-reported prices

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Consultation/report referred material w/preparation of slides at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $275.42 $35.00 – $344.28
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $309.65 $36.00 – $464.48
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $230.32 $36.00 – $287.89
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $275.42 $35.00 – $344.28
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $309.65 $36.00 – $464.48
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $309.65 $26.00 – $464.48
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $230.32 $36.00 – $345.47
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $275.42 $35.00 – $344.28

All Texas hospitals for this procedure →