Diphenhydramine 12.5 mg/5 ml oral elixir at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$0.42
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.
$2.37
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.
$0.02 with Cigna vs $2.37 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 |
|---|---|---|---|
| Cigna | Commercial|Local Plus | $0.02 | ↓ -95% |
| BCBS-TX | Commercial|Blue Advantage HMO | $0.03 | ↓ -93% |
| BCBS-TX | Commercial|HMO | $0.05 | ↓ -88% |
| BCBS-TX | Commercial|Blue Premier | $0.05 | ↓ -88% |
| BCBS-TX | Commercial|PPO | $0.05 | ↓ -88% |
| BCBS | Medicare|All Plans | $0.31 | ↓ -26% |
| AETNA | Medicare|All Plans | $0.31 | ↓ -26% |
| PGT | Medicare|All Plans | $0.31 | ↓ -26% |
| AMERIVANTAGE | Medicare|All Plans | $0.32 | ↓ -24% |
| UNITED | Medicare|All Plans | $0.32 | ↓ -24% |
| SCANHealth | Medicare|All Plans | $0.33 | ↓ -21% |
| Ambetter | Commercial|All Plans | $0.45 | ↑ +7% |
| Wellpoint | Commercial|Exchange | $0.47 | ↑ +12% |
| Wellpoint | Medicaid|All Other Plans | $0.60 | ↑ +43% |
| Wellpoint | Medicaid|STAR | $0.83 | ↑ +98% |
| Bright Health | Commercial|All Plans | $0.89 | ↑ +112% |
| Ellwood | Commercial|All Plans | $0.93 | ↑ +121% |
| Entrust | Commercial|All Plans | $1.00 | ↑ +138% |
| NX Health | Commercial|All Plans | $1.01 | ↑ +140% |
| United | Commercial|Exchange | $1.30 | ↑ +210% |
| Health Smart | Commercial|All Plans | $1.31 | ↑ +212% |
| First Health | Commercial|All Plans | $1.43 | ↑ +240% |
| Humana | Commercial|All Plans | $1.45 | ↑ +245% |
| Cigna | Commercial|All Other Plans | $1.52 | ↑ +262% |
| Aetna | Commercial|All Plans | $1.57 | ↑ +274% |
| PHCS | Commercial|All Plans | $2.02 | ↑ +381% |
| Multiplan | Commercial|All Plans | $2.14 | ↑ +410% |
| United | Commercial|All Other Plans | $2.15 | ↑ +412% |
| BCBS-TX | Commercial|Ref Lab | $2.37 | ↑ +464% |
Visitor-reported prices
Comments
Diphenhydramine 12.5 mg/5 ml oral elixir at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $2.27 | $0.04 – $2.63 |
| Covenant Children's Hospital | Lubbock | $2.10 | $0.07 – $4.83 |
| St. Luke's Health - Patients Medical Center | Pasadena | $2.58 | $0.02 – $7.35 |
| Baylor St Luke's Medical Center | Houston | $0.70 | $0.02 – $0.41 |
| St. Luke's Health Memorial Lufkin | Lufkin | $0.49 | $0.02 – $2.58 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $0.70 | $0.02 – $0.41 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $0.70 | $0.02 – $0.41 |
| St. Joseph Health College Station Hospital | College Station | $0.42 | $0.02 – $2.02 |