Delivery transcath fxtn dvc to endogrft w/s&i at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$27.65
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.
?
What you pay up front if you don't use insurance.
$158.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$20.13 with PGT vs $9,871.00 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $20.13 | ↓ -27% |
| AETNA | Medicare|All Plans | $20.54 | ↓ -26% |
| BCBS | Medicare|All Plans | $20.54 | ↓ -26% |
| UNITED | Medicare|All Plans | $20.96 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $21.16 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $21.98 | ↓ -21% |
| Ambetter | Commercial|All Plans | $29.79 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $30.81 | ↑ +11% |
| UNITED | Medicaid|All Other Plans | $38.68 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $39.82 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $54.75 | ↑ +98% |
| Bright Health | Commercial|All Plans | $59.07 | ↑ +114% |
| Ellwood | Commercial|All Plans | $61.62 | ↑ +123% |
| Entrust | Commercial|All Plans | $66.36 | ↑ +140% |
| NX Health | Commercial|All Plans | $66.76 | ↑ +141% |
| Health Smart | Commercial|All Plans | $86.90 | ↑ +214% |
| First Health | Commercial|All Plans | $94.80 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $95.94 | ↑ +247% |
| Humana | Commercial|All Plans | $96.38 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $101.12 | ↑ +266% |
| Aetna | Commercial|All Plans | $104.28 | ↑ +277% |
| PHCS | Commercial|All Plans | $134.30 | ↑ +386% |
| Multiplan | Commercial|All Plans | $142.20 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $158.00 | ↑ +471% |
| BCBS-TX | Commercial|Blue Premier | $1,001.53 | ↑ +3522% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,008.69 | ↑ +3548% |
| BCBS-TX | Commercial|HMO | $1,073.07 | ↑ +3781% |
| BCBS-TX | Commercial|PPO | $1,180.38 | ↑ +4169% |
| United | Commercial|Exchange | $2,476.00 | ↑ +8855% |
| United | Commercial|All Other Plans | $4,859.00 | ↑ +17473% |
| Cigna | Commercial|Local Plus | $9,871.00 | ↑ +35600% |
Visitor-reported prices
Comments
Delivery transcath fxtn dvc to endogrft w/s&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $8,127.00 | $1,208.99 – $11,513.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $8,127.00 | $1,123.15 – $12,190.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $8,127.00 | $1,123.15 – $10,158.75 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $8,127.00 | $887.07 – $11,513.25 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $8,127.00 | $1,373.53 – $12,190.50 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $8,127.00 | $2,234.00 – $12,190.50 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $8,127.00 | $1,123.15 – $12,190.50 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $8,127.00 | $1,208.99 – $11,513.25 |