Digoxin total therapeutic drug level 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

$48.13

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.

$275.00

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.

$11.95 with United vs $247.50 with Multiplan — 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
United Commercial|Exchange $11.95 ↓ -75%
PGT Medicare|All Plans $13.02 ↓ -73%
BCBS Medicare|All Plans $13.28 ↓ -72%
AETNA Medicare|All Plans $13.28 ↓ -72%
UNITED Medicare|All Plans $13.55 ↓ -72%
AMERIVANTAGE Medicare|All Plans $13.68 ↓ -72%
SCANHealth Medicare|All Plans $14.21 ↓ -70%
BCBS-TX Commercial|Ref Lab $14.46 ↓ -70%
SUPERIOR Medicaid|CHIP $18.19 ↓ -62%
UNITED Medicaid|STARKIDS $18.55 ↓ -61%
UNITED Medicaid|All Other Plans $18.55 ↓ -61%
SUPERIOR Medicaid|All Other Plans $19.10 ↓ -60%
BCBS Medicaid|STARKIDS $19.10 ↓ -60%
Ambetter Commercial|All Plans $19.26 ↓ -60%
Wellpoint Commercial|Exchange $19.92 ↓ -59%
Bright Health Commercial|All Plans $23.64 ↓ -51%
United Commercial|All Other Plans $25.81 ↓ -46%
SUPERIOR Medicaid|STAR $26.38 ↓ -45%
Entrust Commercial|All Plans $26.56 ↓ -45%
Cigna Commercial|Local Plus $28.68 ↓ -40%
Ellwood Commercial|All Plans $39.84 ↓ -17%
NX Health Commercial|All Plans $43.16 ↓ -10%
SUPERIOR Medicaid|STARPLUS $45.11 ↓ -6%
UNITED Medicaid|STARPLUS $46.02 ↓ -4%
BCBS-TX Commercial|Blue Premier $46.61 ↓ -3%
BCBS-TX Commercial|Blue Advantage HMO $46.61 ↓ -3%
BCBS-TX Commercial|HMO $47.54 ↓ -1%
BCBS-TX Commercial|PPO $54.85 ↑ +14%
Wellpoint Medicaid|All Other Plans $69.30 ↑ +44%
Wellpoint Medicaid|STAR $95.29 ↑ +98%
Health Smart Commercial|All Plans $151.25 ↑ +214%
First Health Commercial|All Plans $165.00 ↑ +243%
Humana Commercial|All Plans $167.75 ↑ +249%
Cigna Commercial|All Other Plans $176.00 ↑ +266%
Aetna Commercial|All Plans $181.50 ↑ +277%
PHCS Commercial|All Plans $233.75 ↑ +386%
Multiplan Commercial|All Plans $247.50 ↑ +414%

Visitor-reported prices

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Digoxin total therapeutic drug level at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $229.53 $11.95 – $51.13
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $140.84 $10.00 – $176.06
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $102.07 $12.00 – $153.11
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $102.07 $11.16 – $127.59
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $140.84 $10.00 – $176.06
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $102.07 $11.94 – $153.11
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $102.07 $8.00 – $153.11
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $102.07 $11.16 – $153.11

All Texas hospitals for this procedure →