Dimecaprol injection at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$22.46
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.
$128.31
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.
$16.35 with PGT vs $128.31 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 | $16.35 | ↓ -27% |
| BCBS | Medicare|All Plans | $16.69 | ↓ -26% |
| AETNA | Medicare|All Plans | $16.69 | ↓ -26% |
| UNITED | Medicare|All Plans | $17.02 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $17.19 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $17.85 | ↓ -21% |
| Cigna | Commercial|Local Plus | $21.82 | ↓ -3% |
| Ambetter | Commercial|All Plans | $24.19 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $25.03 | ↑ +11% |
| United | Commercial|Exchange | $25.67 | ↑ +14% |
| Wellpoint | Medicaid|All Other Plans | $32.34 | ↑ +44% |
| Bright Health | Commercial|All Plans | $42.35 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $44.46 | ↑ +98% |
| United | Commercial|All Other Plans | $46.20 | ↑ +106% |
| Ellwood | Commercial|All Plans | $50.05 | ↑ +123% |
| Entrust | Commercial|All Plans | $53.90 | ↑ +140% |
| NX Health | Commercial|All Plans | $54.22 | ↑ +141% |
| Health Smart | Commercial|All Plans | $70.58 | ↑ +214% |
| First Health | Commercial|All Plans | $76.99 | ↑ +243% |
| BCBS-TX | Commercial|Blue Advantage HMO | $77.86 | ↑ +247% |
| Humana | Commercial|All Plans | $78.27 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $82.12 | ↑ +266% |
| Aetna | Commercial|All Plans | $84.69 | ↑ +277% |
| PHCS | Commercial|All Plans | $109.07 | ↑ +386% |
| Multiplan | Commercial|All Plans | $115.48 | ↑ +414% |
| BCBS-TX | Commercial|Blue Premier | $126.95 | ↑ +465% |
| BCBS-TX | Commercial|Ref Lab | $128.31 | ↑ +471% |
| BCBS-TX | Commercial|HMO | $128.31 | ↑ +471% |
| BCBS-TX | Commercial|PPO | $128.31 | ↑ +471% |
Visitor-reported prices
Comments
Dimecaprol injection at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,242.61 | $211.01 – $227.28 |
| St. Joseph Health College Station Hospital | College Station | $22.46 | $21.82 – $109.07 |
| St. Joseph Health Grimes Hospital | Navasota | $22.46 | $21.82 – $142.43 |
| St. Joseph Health Burleson Hospital | Caldwell | $22.46 | $21.82 – $115.48 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin | $107.10 | $54.15 – $59.81 |
| Adventhealth Rollins Brook | Lampasas | not published | $217.22 – $217.22 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $110.58 – $530.05 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $110.58 – $530.05 |