Dexamethasone intra implant at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$233.28
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.
$1,333.00
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.
$169.83 with PGT vs $1,333.00 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 | $169.83 | ↓ -27% |
| AETNA | Medicare|All Plans | $173.29 | ↓ -26% |
| BCBS | Medicare|All Plans | $173.29 | ↓ -26% |
| UNITED | Medicare|All Plans | $176.76 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $178.49 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $185.43 | ↓ -21% |
| UNITED | Medicaid|All Other Plans | $204.06 | ↓ -13% |
| United | Commercial|Exchange | $205.56 | ↓ -12% |
| Cigna | Commercial|Local Plus | $226.61 | ↓ -3% |
| Ambetter | Commercial|All Plans | $251.28 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $259.94 | ↑ +11% |
| BCBS-TX | Commercial|Blue Advantage HMO | $262.88 | ↑ +13% |
| Wellpoint | Medicaid|All Other Plans | $335.92 | ↑ +44% |
| United | Commercial|All Other Plans | $339.17 | ↑ +45% |
| BCBS-TX | Commercial|Blue Premier | $428.60 | ↑ +84% |
| Bright Health | Commercial|All Plans | $439.89 | ↑ +89% |
| BCBS-TX | Commercial|HMO | $440.03 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $461.89 | ↑ +98% |
| BCBS-TX | Commercial|PPO | $502.89 | ↑ +116% |
| UNITED | Medicaid|STARPLUS | $506.15 | ↑ +117% |
| Ellwood | Commercial|All Plans | $519.87 | ↑ +123% |
| Entrust | Commercial|All Plans | $559.86 | ↑ +140% |
| NX Health | Commercial|All Plans | $563.20 | ↑ +141% |
| Health Smart | Commercial|All Plans | $733.15 | ↑ +214% |
| First Health | Commercial|All Plans | $799.80 | ↑ +243% |
| Humana | Commercial|All Plans | $813.13 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $853.12 | ↑ +266% |
| Aetna | Commercial|All Plans | $879.78 | ↑ +277% |
| PHCS | Commercial|All Plans | $1,133.05 | ↑ +386% |
| Multiplan | Commercial|All Plans | $1,199.70 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $1,333.00 | ↑ +471% |
Visitor-reported prices
Comments
Dexamethasone intra implant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health College Station Hospital | College Station | $233.28 | $200.06 – $1,133.05 |
| St. Joseph Health Grimes Hospital | Navasota | $233.28 | $204.06 – $1,479.63 |
| St. Joseph Health Burleson Hospital | Caldwell | $233.28 | $204.06 – $1,199.70 |
| Adventhealth Rollins Brook | Lampasas | not published | $733.39 – $4,826.69 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $194.23 – $496.78 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $194.23 – $496.78 |
| Covenant Children's Hospital | Lubbock | not published | $712.43 – $781.32 |
| HCA HOUSTON CONROE | CONROE | not published | $194.23 – $496.78 |