Dilate urethra stricture at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$127.75
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.
$730.00
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.
$15.42 with PGT vs $2,960.00 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $15.42 | ↓ -88% |
| BCBS | Medicare|All Plans | $15.73 | ↓ -88% |
| AETNA | Medicare|All Plans | $15.73 | ↓ -88% |
| UNITED | Medicare|All Plans | $16.05 | ↓ -87% |
| AMERIVANTAGE | Medicare|All Plans | $16.21 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $16.84 | ↓ -87% |
| Ambetter | Commercial|All Plans | $22.81 | ↓ -82% |
| Wellpoint | Commercial|Exchange | $23.60 | ↓ -82% |
| Wellpoint | Medicaid|All Other Plans | $30.50 | ↓ -76% |
| SUPERIOR | Medicaid|CHIP | $36.69 | ↓ -71% |
| UNITED | Medicaid|STARKIDS | $37.42 | ↓ -71% |
| UNITED | Medicaid|All Other Plans | $37.42 | ↓ -71% |
| SUPERIOR | Medicaid|All Other Plans | $38.52 | ↓ -70% |
| BCBS | Medicaid|STARKIDS | $38.52 | ↓ -70% |
| Wellpoint | Medicaid|STAR | $41.93 | ↓ -67% |
| Bright Health | Commercial|All Plans | $45.23 | ↓ -65% |
| Ellwood | Commercial|All Plans | $47.19 | ↓ -63% |
| Entrust | Commercial|All Plans | $50.82 | ↓ -60% |
| NX Health | Commercial|All Plans | $51.13 | ↓ -60% |
| SUPERIOR | Medicaid|STAR | $53.20 | ↓ -58% |
| BCBS-TX | Commercial|Blue Premier | $55.08 | ↓ -57% |
| BCBS-TX | Commercial|Blue Advantage HMO | $55.47 | ↓ -57% |
| BCBS-TX | Commercial|HMO | $59.01 | ↓ -54% |
| BCBS-TX | Commercial|PPO | $64.91 | ↓ -49% |
| Health Smart | Commercial|All Plans | $66.55 | ↓ -48% |
| First Health | Commercial|All Plans | $72.60 | ↓ -43% |
| Humana | Commercial|All Plans | $73.81 | ↓ -42% |
| Cigna | Commercial|All Other Plans | $77.44 | ↓ -39% |
| Aetna | Commercial|All Plans | $79.86 | ↓ -37% |
| SUPERIOR | Medicaid|STARPLUS | $90.99 | ↓ -29% |
| UNITED | Medicaid|STARPLUS | $92.83 | ↓ -27% |
| PHCS | Commercial|All Plans | $102.85 | ↓ -19% |
| Multiplan | Commercial|All Plans | $108.90 | ↓ -15% |
| BCBS-TX | Commercial|Ref Lab | $121.00 | ↓ -5% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1080% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +2161% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2217% |
Visitor-reported prices
Comments
Dilate urethra stricture at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $514.79 | $34.88 – $643.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $910.83 | $37.32 – $1,366.24 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $716.91 | $34.88 – $896.14 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $514.79 | $34.88 – $643.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $910.83 | $37.32 – $1,366.24 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $910.83 | $34.88 – $1,366.24 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $716.91 | $34.88 – $1,075.37 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $514.79 | $34.88 – $643.49 |