Destruction anal lesion(s) smpl chem 46900 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

$150.85

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.

$862.00

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.

$46.51 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 →

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
PGT Medicare|All Plans $46.51 ↓ -69%
BCBS Medicare|All Plans $47.45 ↓ -69%
AETNA Medicare|All Plans $47.45 ↓ -69%
UNITED Medicare|All Plans $48.40 ↓ -68%
AMERIVANTAGE Medicare|All Plans $48.88 ↓ -68%
SCANHealth Medicare|All Plans $50.78 ↓ -66%
Ambetter Commercial|All Plans $68.81 ↓ -54%
Wellpoint Commercial|Exchange $71.18 ↓ -53%
Wellpoint Medicaid|All Other Plans $91.98 ↓ -39%
Wellpoint Medicaid|STAR $126.48 ↓ -16%
Bright Health Commercial|All Plans $136.44 ↓ -10%
Ellwood Commercial|All Plans $142.35 ↓ -6%
SUPERIOR Medicaid|CHIP $145.04 ↓ -4%
UNITED Medicaid|All Other Plans $147.94 ↓ -2%
UNITED Medicaid|STARKIDS $147.94 ↓ -2%
SUPERIOR Medicaid|All Other Plans $152.29 ↑ +1%
BCBS Medicaid|STARKIDS $152.29 ↑ +1%
Entrust Commercial|All Plans $153.30 ↑ +2%
NX Health Commercial|All Plans $154.22 ↑ +2%
Health Smart Commercial|All Plans $200.75 ↑ +33%
SUPERIOR Medicaid|STAR $210.31 ↑ +39%
First Health Commercial|All Plans $219.00 ↑ +45%
Humana Commercial|All Plans $222.65 ↑ +48%
BCBS-TX Commercial|Blue Premier $226.03 ↑ +50%
BCBS-TX Commercial|Blue Advantage HMO $227.64 ↑ +51%
Cigna Commercial|All Other Plans $233.60 ↑ +55%
Aetna Commercial|All Plans $240.90 ↑ +60%
BCBS-TX Commercial|HMO $242.18 ↑ +61%
BCBS-TX Commercial|PPO $266.39 ↑ +77%
PHCS Commercial|All Plans $310.25 ↑ +106%
Multiplan Commercial|All Plans $328.50 ↑ +118%
SUPERIOR Medicaid|STARPLUS $359.70 ↑ +138%
BCBS-TX Commercial|Ref Lab $365.00 ↑ +142%
UNITED Medicaid|STARPLUS $366.95 ↑ +143%
United Commercial|Exchange $1,508.00 ↑ +900%
Cigna Commercial|Local Plus $2,888.00 ↑ +1814%
United Commercial|All Other Plans $2,960.00 ↑ +1862%

Visitor-reported prices

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Destruction anal lesion(s) smpl chem 46900 at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $535.46 $110.22 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $535.46 $137.87 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $535.46 $147.52 – $2,975.00
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $535.46 $137.87 – $1,667.00
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $535.46 $137.87 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST Waco $535.46 $137.87 – $2,975.00
BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER Temple $535.46 $137.87 – $2,975.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE Suite 100 $535.46 $137.87 – $2,975.00

All Texas hospitals for this procedure →