Destruction vag lesions simple 57061 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1,102.33
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.
$6,299.00
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.
$18.35 with PGT vs $8,788.00 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 | $18.35 | ↓ -98% |
| BCBS | Medicare|All Plans | $18.72 | ↓ -98% |
| AETNA | Medicare|All Plans | $18.72 | ↓ -98% |
| UNITED | Medicare|All Plans | $19.10 | ↓ -98% |
| AMERIVANTAGE | Medicare|All Plans | $19.29 | ↓ -98% |
| SCANHealth | Medicare|All Plans | $20.04 | ↓ -98% |
| Ambetter | Commercial|All Plans | $27.15 | ↓ -98% |
| Wellpoint | Commercial|Exchange | $28.08 | ↓ -97% |
| Wellpoint | Medicaid|All Other Plans | $36.29 | ↓ -97% |
| Wellpoint | Medicaid|STAR | $49.90 | ↓ -95% |
| Bright Health | Commercial|All Plans | $53.83 | ↓ -95% |
| Ellwood | Commercial|All Plans | $56.16 | ↓ -95% |
| Entrust | Commercial|All Plans | $60.48 | ↓ -95% |
| NX Health | Commercial|All Plans | $60.84 | ↓ -94% |
| Health Smart | Commercial|All Plans | $79.20 | ↓ -93% |
| First Health | Commercial|All Plans | $86.40 | ↓ -92% |
| Humana | Commercial|All Plans | $87.84 | ↓ -92% |
| Cigna | Commercial|All Other Plans | $92.16 | ↓ -92% |
| Aetna | Commercial|All Plans | $95.04 | ↓ -91% |
| SUPERIOR | Medicaid|CHIP | $103.97 | ↓ -91% |
| UNITED | Medicaid|STARKIDS | $106.05 | ↓ -90% |
| UNITED | Medicaid|All Other Plans | $106.05 | ↓ -90% |
| BCBS | Medicaid|STARKIDS | $109.17 | ↓ -90% |
| SUPERIOR | Medicaid|All Other Plans | $109.17 | ↓ -90% |
| PHCS | Commercial|All Plans | $122.40 | ↓ -89% |
| BCBS-TX | Commercial|Blue Premier | $128.34 | ↓ -88% |
| BCBS-TX | Commercial|Blue Advantage HMO | $129.25 | ↓ -88% |
| Multiplan | Commercial|All Plans | $129.60 | ↓ -88% |
| BCBS-TX | Commercial|HMO | $137.51 | ↓ -88% |
| BCBS-TX | Commercial|Ref Lab | $144.00 | ↓ -87% |
| SUPERIOR | Medicaid|STAR | $150.76 | ↓ -86% |
| BCBS-TX | Commercial|PPO | $151.26 | ↓ -86% |
| SUPERIOR | Medicaid|STARPLUS | $257.85 | ↓ -77% |
| UNITED | Medicaid|STARPLUS | $263.04 | ↓ -76% |
| Cigna | Commercial|Local Plus | $3,086.51 | ↑ +180% |
| United | Commercial|Exchange | $4,479.00 | ↑ +306% |
| United | Commercial|All Other Plans | $8,788.00 | ↑ +697% |
Visitor-reported prices
Comments
Destruction vag lesions simple 57061 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,504.00 | $98.83 – $7,744.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $3,299.39 | $71.00 – $7,744.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $3,149.41 | $71.00 – $7,744.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,504.00 | $98.83 – $7,744.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $3,299.39 | $85.00 – $7,744.80 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $3,299.39 | $98.83 – $7,744.80 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $3,149.41 | $71.00 – $7,744.80 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,504.00 | $98.83 – $7,744.80 |