Dilator fascial 10fx20cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$283.68
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.
$1,621.00
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.
$115.94 with PGT vs $910.00 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 | $115.94 | ↓ -59% |
| BCBS | Medicare|All Plans | $118.30 | ↓ -58% |
| AETNA | Medicare|All Plans | $118.30 | ↓ -58% |
| UNITED | Medicare|All Plans | $120.67 | ↓ -57% |
| AMERIVANTAGE | Medicare|All Plans | $121.85 | ↓ -57% |
| SCANHealth | Medicare|All Plans | $126.59 | ↓ -55% |
| Ambetter | Commercial|All Plans | $171.54 | ↓ -40% |
| Wellpoint | Commercial|Exchange | $177.45 | ↓ -37% |
| Wellpoint | Medicaid|All Other Plans | $229.32 | ↓ -19% |
| Wellpoint | Medicaid|STAR | $315.32 | ↑ +11% |
| United | Commercial|Exchange | $324.20 | ↑ +14% |
| Bright Health | Commercial|All Plans | $340.16 | ↑ +20% |
| Ellwood | Commercial|All Plans | $354.90 | ↑ +25% |
| BCBS-TX | Commercial|Blue Advantage HMO | $356.62 | ↑ +26% |
| Entrust | Commercial|All Plans | $382.20 | ↑ +35% |
| NX Health | Commercial|All Plans | $384.48 | ↑ +36% |
| BCBS-TX | Commercial|Blue Premier | $405.25 | ↑ +43% |
| BCBS-TX | Commercial|HMO | $437.67 | ↑ +54% |
| Cigna | Commercial|Local Plus | $445.90 | ↑ +57% |
| BCBS-TX | Commercial|PPO | $470.09 | ↑ +66% |
| Health Smart | Commercial|All Plans | $500.50 | ↑ +76% |
| United | Commercial|All Other Plans | $534.93 | ↑ +89% |
| First Health | Commercial|All Plans | $546.00 | ↑ +92% |
| Humana | Commercial|All Plans | $555.10 | ↑ +96% |
| Cigna | Commercial|All Other Plans | $582.40 | ↑ +105% |
| Aetna | Commercial|All Plans | $600.60 | ↑ +112% |
| PHCS | Commercial|All Plans | $773.50 | ↑ +173% |
| Multiplan | Commercial|All Plans | $819.00 | ↑ +189% |
| BCBS-TX | Commercial|Ref Lab | $910.00 | ↑ +221% |
Visitor-reported prices
Comments
Dilator fascial 10fx20cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $669.20 | not published |
| Baylor St Luke's Medical Center | Houston | $382.20 | $29.49 – $109.20 |
| St. Luke's Health Memorial Lufkin | Lufkin | $107.42 | $55.39 – $199.40 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $382.20 | $29.49 – $109.20 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $382.20 | $29.49 – $109.20 |
| St. Joseph Health College Station Hospital | College Station | $283.68 | $324.20 – $1,134.70 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $382.20 | $29.49 – $109.20 |
| St. Joseph Health Grimes Hospital | Navasota | $283.68 | $324.20 – $1,134.70 |