Dextrose 5 % in water (d5w) intravenous solution (non-pvc) at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$0.34
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.
$1.90
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.
$0.25 with BCBS vs $2.97 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 |
|---|---|---|---|
| BCBS | Medicare|All Plans | $0.25 | ↓ -26% |
| AETNA | Medicare|All Plans | $0.25 | ↓ -26% |
| PGT | Medicare|All Plans | $0.25 | ↓ -26% |
| UNITED | Medicare|All Plans | $0.26 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $0.26 | ↓ -24% |
| SCANHealth | Medicare|All Plans | $0.27 | ↓ -21% |
| Ambetter | Commercial|All Plans | $0.36 | ↑ +6% |
| Wellpoint | Commercial|Exchange | $0.38 | ↑ +12% |
| Wellpoint | Medicaid|All Other Plans | $0.48 | ↑ +41% |
| Wellpoint | Medicaid|STAR | $0.66 | ↑ +94% |
| Bright Health | Commercial|All Plans | $0.72 | ↑ +112% |
| Ellwood | Commercial|All Plans | $0.75 | ↑ +121% |
| Entrust | Commercial|All Plans | $0.80 | ↑ +135% |
| NX Health | Commercial|All Plans | $0.81 | ↑ +138% |
| Health Smart | Commercial|All Plans | $1.05 | ↑ +209% |
| First Health | Commercial|All Plans | $1.14 | ↑ +235% |
| Humana | Commercial|All Plans | $1.16 | ↑ +241% |
| Cigna | Commercial|All Other Plans | $1.22 | ↑ +259% |
| Aetna | Commercial|All Plans | $1.26 | ↑ +271% |
| PHCS | Commercial|All Plans | $1.62 | ↑ +376% |
| Multiplan | Commercial|All Plans | $1.71 | ↑ +403% |
| United | Commercial|Exchange | $1.80 | ↑ +429% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1.90 | ↑ +459% |
| BCBS-TX | Commercial|PPO | $1.90 | ↑ +459% |
| BCBS-TX | Commercial|HMO | $1.90 | ↑ +459% |
| Cigna | Commercial|Local Plus | $1.90 | ↑ +459% |
| BCBS-TX | Commercial|Blue Premier | $1.90 | ↑ +459% |
| BCBS-TX | Commercial|Ref Lab | $1.90 | ↑ +459% |
| United | Commercial|All Other Plans | $2.97 | ↑ +774% |
Visitor-reported prices
Comments
Dextrose 5 % in water (d5w) intravenous solution (non-pvc) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $39.88 | $29.18 – $29.18 |
| Covenant Children's Hospital | Lubbock | $51.89 | $7.09 – $30.26 |
| St. Luke's Health - Patients Medical Center | Pasadena | $8.09 | $2.57 – $17.33 |
| Baylor St Luke's Medical Center | Houston | $22.03 | $0.41 – $1.86 |
| St. Luke's Health Memorial Lufkin | Lufkin | $47.66 | $2.06 – $285.96 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $22.03 | $0.41 – $1.86 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $22.03 | $0.41 – $1.86 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $22.03 | $0.41 – $1.86 |