Critical care each additional 30 minutes at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$509.95
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.
$2,914.00
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.
$225.90 with BCBS-TX vs $2,914.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $225.90 | ↓ -56% |
| BCBS-TX | Commercial|Blue Premier | $265.64 | ↓ -48% |
| BCBS-TX | Commercial|HMO | $281.53 | ↓ -45% |
| BCBS-TX | Commercial|PPO | $313.32 | ↓ -39% |
| PGT | Medicare|All Plans | $371.25 | ↓ -27% |
| BCBS | Medicare|All Plans | $378.82 | ↓ -26% |
| AETNA | Medicare|All Plans | $378.82 | ↓ -26% |
| UNITED | Medicare|All Plans | $386.40 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $390.19 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $405.34 | ↓ -21% |
| Ambetter | Commercial|All Plans | $549.29 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $568.23 | ↑ +11% |
| United | Commercial|Exchange | $670.00 | ↑ +31% |
| SUPERIOR | Medicaid|CHIP | $699.36 | ↑ +37% |
| UNITED | Medicaid|STARKIDS | $713.35 | ↑ +40% |
| UNITED | Medicaid|All Other Plans | $713.35 | ↑ +40% |
| SUPERIOR | Medicaid|All Other Plans | $734.33 | ↑ +44% |
| Wellpoint | Medicaid|All Other Plans | $734.33 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $734.33 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $1,009.71 | ↑ +98% |
| SUPERIOR | Medicaid|STAR | $1,014.08 | ↑ +99% |
| Bright Health | Commercial|All Plans | $1,089.26 | ↑ +114% |
| Ellwood | Commercial|All Plans | $1,136.46 | ↑ +123% |
| Entrust | Commercial|All Plans | $1,223.88 | ↑ +140% |
| NX Health | Commercial|All Plans | $1,231.17 | ↑ +141% |
| United | Commercial|All Other Plans | $1,316.00 | ↑ +158% |
| Cigna | Commercial|Local Plus | $1,369.58 | ↑ +169% |
| Health Smart | Commercial|All Plans | $1,602.70 | ↑ +214% |
| SUPERIOR | Medicaid|STARPLUS | $1,734.42 | ↑ +240% |
| First Health | Commercial|All Plans | $1,748.40 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $1,769.39 | ↑ +247% |
| Humana | Commercial|All Plans | $1,777.54 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $1,864.96 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,923.24 | ↑ +277% |
| PHCS | Commercial|All Plans | $2,476.90 | ↑ +386% |
| Multiplan | Commercial|All Plans | $2,622.60 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $2,914.00 | ↑ +471% |
Visitor-reported prices
Comments
Critical care each additional 30 minutes at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,597.43 | $437.05 – $437.05 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $845.09 | $239.44 – $3,000.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $686.86 | $141.38 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,013.20 | $202.64 – $7,280.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $845.09 | $225.36 – $6,643.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $686.86 | $220.48 – $10,880.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $686.86 | $354.88 – $1,030.28 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,013.20 | $337.73 – $7,280.00 |