CT thorax low dose for lung screening without contrast at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$114.10
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.
$652.00
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.
$40.26 with PGT vs $3,289.00 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 | $40.26 | ↓ -65% |
| BCBS | Medicare|All Plans | $41.08 | ↓ -64% |
| AETNA | Medicare|All Plans | $41.08 | ↓ -64% |
| UNITED | Medicare|All Plans | $41.91 | ↓ -63% |
| AMERIVANTAGE | Medicare|All Plans | $42.32 | ↓ -63% |
| SCANHealth | Medicare|All Plans | $43.96 | ↓ -61% |
| Ambetter | Commercial|All Plans | $59.57 | ↓ -48% |
| Wellpoint | Commercial|Exchange | $61.62 | ↓ -46% |
| Wellpoint | Medicaid|All Other Plans | $79.64 | ↓ -30% |
| Wellpoint | Medicaid|STAR | $109.50 | ↓ -4% |
| Bright Health | Commercial|All Plans | $118.13 | ↑ +4% |
| Ellwood | Commercial|All Plans | $123.24 | ↑ +8% |
| SUPERIOR | Medicaid|CHIP | $131.99 | ↑ +16% |
| Entrust | Commercial|All Plans | $132.72 | ↑ +16% |
| NX Health | Commercial|All Plans | $133.51 | ↑ +17% |
| UNITED | Medicaid|All Other Plans | $134.63 | ↑ +18% |
| UNITED | Medicaid|STARKIDS | $134.63 | ↑ +18% |
| BCBS | Medicaid|STARKIDS | $138.59 | ↑ +21% |
| SUPERIOR | Medicaid|All Other Plans | $138.59 | ↑ +21% |
| Health Smart | Commercial|All Plans | $173.80 | ↑ +52% |
| First Health | Commercial|All Plans | $189.60 | ↑ +66% |
| SUPERIOR | Medicaid|STAR | $191.39 | ↑ +68% |
| Cigna | Commercial|All Other Plans | $202.24 | ↑ +77% |
| Aetna | Commercial|All Plans | $208.56 | ↑ +83% |
| BCBS-TX | Commercial|Blue Advantage HMO | $234.79 | ↑ +106% |
| BCBS-TX | Commercial|Blue Premier | $260.64 | ↑ +128% |
| PHCS | Commercial|All Plans | $268.60 | ↑ +135% |
| BCBS-TX | Commercial|HMO | $277.19 | ↑ +143% |
| Multiplan | Commercial|All Plans | $284.40 | ↑ +149% |
| BCBS-TX | Commercial|PPO | $306.15 | ↑ +168% |
| BCBS-TX | Commercial|Ref Lab | $316.00 | ↑ +177% |
| SUPERIOR | Medicaid|STARPLUS | $327.34 | ↑ +187% |
| UNITED | Medicaid|STARPLUS | $333.93 | ↑ +193% |
| Cigna | Commercial|Local Plus | $731.00 | ↑ +541% |
| Humana | Commercial|All Plans | $850.00 | ↑ +645% |
| United | Commercial|Exchange | $1,676.00 | ↑ +1369% |
| United | Commercial|All Other Plans | $3,289.00 | ↑ +2783% |
Visitor-reported prices
Comments
CT thorax low dose for lung screening without contrast at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,731.74 | $398.21 – $398.21 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $184.05 | $99.77 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $240.33 | $49.47 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $240.33 | $99.77 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $184.05 | $99.77 – $1,841.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $240.33 | $99.77 – $1,841.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $240.33 | $104.75 – $2,181.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $240.33 | $99.77 – $1,841.00 |