Debrid ecz/inf skin up tp 10% body 11000 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$124.25
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.
$710.00
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.
$15.93 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 | $15.93 | ↓ -87% |
| BCBS | Medicare|All Plans | $16.25 | ↓ -87% |
| AETNA | Medicare|All Plans | $16.25 | ↓ -87% |
| UNITED | Medicare|All Plans | $16.58 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $16.74 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $17.39 | ↓ -86% |
| Ambetter | Commercial|All Plans | $23.57 | ↓ -81% |
| Wellpoint | Commercial|Exchange | $24.38 | ↓ -80% |
| SUPERIOR | Medicaid|CHIP | $31.45 | ↓ -75% |
| Wellpoint | Medicaid|All Other Plans | $31.50 | ↓ -75% |
| UNITED | Medicaid|STARKIDS | $32.08 | ↓ -74% |
| UNITED | Medicaid|All Other Plans | $32.08 | ↓ -74% |
| BCBS | Medicaid|STARKIDS | $33.02 | ↓ -73% |
| SUPERIOR | Medicaid|All Other Plans | $33.02 | ↓ -73% |
| Wellpoint | Medicaid|STAR | $43.32 | ↓ -65% |
| SUPERIOR | Medicaid|STAR | $45.60 | ↓ -63% |
| Bright Health | Commercial|All Plans | $46.73 | ↓ -62% |
| BCBS-TX | Commercial|Blue Premier | $48.01 | ↓ -61% |
| BCBS-TX | Commercial|Blue Advantage HMO | $48.35 | ↓ -61% |
| Ellwood | Commercial|All Plans | $48.75 | ↓ -61% |
| BCBS-TX | Commercial|HMO | $51.44 | ↓ -59% |
| Entrust | Commercial|All Plans | $52.50 | ↓ -58% |
| NX Health | Commercial|All Plans | $52.82 | ↓ -57% |
| BCBS-TX | Commercial|PPO | $56.58 | ↓ -54% |
| Health Smart | Commercial|All Plans | $68.75 | ↓ -45% |
| First Health | Commercial|All Plans | $75.00 | ↓ -40% |
| Humana | Commercial|All Plans | $76.25 | ↓ -39% |
| SUPERIOR | Medicaid|STARPLUS | $78.00 | ↓ -37% |
| UNITED | Medicaid|STARPLUS | $79.57 | ↓ -36% |
| Cigna | Commercial|All Other Plans | $80.00 | ↓ -36% |
| Aetna | Commercial|All Plans | $82.50 | ↓ -34% |
| PHCS | Commercial|All Plans | $106.25 | ↓ -14% |
| Multiplan | Commercial|All Plans | $112.50 | ↓ -9% |
| BCBS-TX | Commercial|Ref Lab | $125.00 | ↑ +1% |
| Cigna | Commercial|Local Plus | $347.90 | ↑ +180% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1114% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2282% |
Visitor-reported prices
Comments
Debrid ecz/inf skin up tp 10% body 11000 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $602.45 | $28.98 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $805.03 | $31.01 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $626.58 | $28.98 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $602.45 | $28.98 – $1,555.84 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $805.03 | $31.01 – $1,555.84 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $805.03 | $28.98 – $1,555.84 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $626.58 | $28.98 – $1,555.84 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $602.45 | $28.98 – $1,555.84 |