Device sut capio slim opn at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$725.20
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.
$4,144.00
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.
$447.05 with PGT vs $3,509.00 with BCBS-TX — 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 | $447.05 | ↓ -38% |
| BCBS | Medicare|All Plans | $456.17 | ↓ -37% |
| AETNA | Medicare|All Plans | $456.17 | ↓ -37% |
| UNITED | Medicare|All Plans | $465.30 | ↓ -36% |
| AMERIVANTAGE | Medicare|All Plans | $469.86 | ↓ -35% |
| SCANHealth | Medicare|All Plans | $488.11 | ↓ -33% |
| Ambetter | Commercial|All Plans | $661.45 | ↓ -9% |
| Wellpoint | Commercial|Exchange | $684.26 | ↓ -6% |
| United | Commercial|Exchange | $701.80 | ↓ -3% |
| BCBS-TX | Commercial|Blue Advantage HMO | $771.98 | ↑ +6% |
| BCBS-TX | Commercial|Blue Premier | $877.25 | ↑ +21% |
| Wellpoint | Medicaid|All Other Plans | $884.27 | ↑ +22% |
| Bright Health | Commercial|All Plans | $912.34 | ↑ +26% |
| BCBS-TX | Commercial|HMO | $947.43 | ↑ +31% |
| BCBS-TX | Commercial|PPO | $1,017.61 | ↑ +40% |
| Cigna | Commercial|Local Plus | $1,087.79 | ↑ +50% |
| United | Commercial|All Other Plans | $1,157.97 | ↑ +60% |
| Wellpoint | Medicaid|STAR | $1,215.87 | ↑ +68% |
| Ellwood | Commercial|All Plans | $1,368.51 | ↑ +89% |
| Entrust | Commercial|All Plans | $1,473.78 | ↑ +103% |
| NX Health | Commercial|All Plans | $1,482.56 | ↑ +104% |
| Health Smart | Commercial|All Plans | $1,929.95 | ↑ +166% |
| First Health | Commercial|All Plans | $2,105.40 | ↑ +190% |
| Humana | Commercial|All Plans | $2,140.49 | ↑ +195% |
| Cigna | Commercial|All Other Plans | $2,245.76 | ↑ +210% |
| Aetna | Commercial|All Plans | $2,315.94 | ↑ +219% |
| PHCS | Commercial|All Plans | $2,982.65 | ↑ +311% |
| Multiplan | Commercial|All Plans | $3,158.10 | ↑ +335% |
| BCBS-TX | Commercial|Ref Lab | $3,509.00 | ↑ +384% |
Visitor-reported prices
Comments
Device sut capio slim opn at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,825.12 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $3,840.75 | $2,304.45 – $8,230.17 |
| Baylor St Luke's Medical Center | Houston | $2,028.09 | $429.98 – $2,047.50 |
| St. Luke's Health Memorial Lufkin | Lufkin | $3,313.65 | $3,313.65 – $19,881.86 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $2,028.09 | $429.98 – $2,047.50 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $2,028.09 | $429.98 – $2,047.50 |
| St. Joseph Health College Station Hospital | College Station | $725.20 | $701.80 – $2,982.65 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $2,028.09 | $429.98 – $2,047.50 |