Digoxin immune fab 40 mg intravenous solution 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

$590.92

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.

$3,376.63

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.

$430.19 with PGT vs $3,376.63 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 →

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 $430.19 ↓ -27%
BCBS Medicare|All Plans $438.97 ↓ -26%
AETNA Medicare|All Plans $438.97 ↓ -26%
UNITED Medicare|All Plans $447.75 ↓ -24%
AMERIVANTAGE Medicare|All Plans $452.14 ↓ -23%
SCANHealth Medicare|All Plans $469.69 ↓ -21%
Cigna Commercial|Local Plus $574.03 ↓ -3%
Ambetter Commercial|All Plans $636.50 ↑ +8%
Wellpoint Commercial|Exchange $658.45 ↑ +11%
United Commercial|Exchange $675.33 ↑ +14%
Wellpoint Medicaid|All Other Plans $850.92 ↑ +44%
Bright Health Commercial|All Plans $1,114.29 ↑ +89%
Wellpoint Medicaid|STAR $1,170.01 ↑ +98%
United Commercial|All Other Plans $1,215.59 ↑ +106%
Ellwood Commercial|All Plans $1,316.89 ↑ +123%
Entrust Commercial|All Plans $1,418.19 ↑ +140%
NX Health Commercial|All Plans $1,426.63 ↑ +141%
Health Smart Commercial|All Plans $1,857.15 ↑ +214%
First Health Commercial|All Plans $2,025.98 ↑ +243%
Humana Commercial|All Plans $2,059.75 ↑ +249%
Cigna Commercial|All Other Plans $2,161.05 ↑ +266%
Aetna Commercial|All Plans $2,228.58 ↑ +277%
PHCS Commercial|All Plans $2,870.14 ↑ +386%
Multiplan Commercial|All Plans $3,038.97 ↑ +414%
BCBS-TX Commercial|Ref Lab $3,376.63 ↑ +471%
BCBS-TX Commercial|Blue Premier $3,376.63 ↑ +471%
BCBS-TX Commercial|Blue Advantage HMO $3,376.63 ↑ +471%
BCBS-TX Commercial|HMO $3,376.63 ↑ +471%
BCBS-TX Commercial|PPO $3,376.63 ↑ +471%

Visitor-reported prices

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Digoxin immune fab 40 mg intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $22,945.36 $4,968.58 – $35,923.94
HCA HOUSTON MEDICAL CENTER Houston $14,493.27 $4,968.58 – $35,923.94
HCA HOUSTON CONROE CONROE $6,992.23 $5,166.99 – $35,923.94
HCA HOUSTON KINGWOOD HUMBLE $33,865.73 $5,166.99 – $35,923.94
HCA HOUSTON NORTHWEST SPRING $13,975.79 $4,968.58 – $35,923.94
Baylor St Luke's Medical Center Houston $10,731.50 $3,438.90 – $30,661.41
St. Luke's Health Memorial Lufkin Lufkin $12,628.79 $5.46 – $5,165.64
HCA HOUSTON PEARLAND Pearland $14,418.81 $4,968.58 – $35,923.94

All Texas hospitals for this procedure →