Diphtheria-tetanus toxoids 0.5 ml (peds) at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$2.84
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.
$16.18
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.
$2.07 with PGT vs $27.75 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 | $2.07 | ↓ -27% |
| BCBS | Medicare|All Plans | $2.11 | ↓ -26% |
| AETNA | Medicare|All Plans | $2.11 | ↓ -26% |
| UNITED | Medicare|All Plans | $2.15 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $2.17 | ↓ -24% |
| SCANHealth | Medicare|All Plans | $2.26 | ↓ -20% |
| Ambetter | Commercial|All Plans | $3.05 | ↑ +7% |
| Wellpoint | Commercial|Exchange | $3.16 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $4.08 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $5.61 | ↑ +98% |
| Bright Health | Commercial|All Plans | $6.05 | ↑ +113% |
| Ellwood | Commercial|All Plans | $6.32 | ↑ +123% |
| Entrust | Commercial|All Plans | $6.80 | ↑ +139% |
| NX Health | Commercial|All Plans | $6.84 | ↑ +141% |
| Health Smart | Commercial|All Plans | $8.90 | ↑ +213% |
| First Health | Commercial|All Plans | $9.71 | ↑ +242% |
| Humana | Commercial|All Plans | $9.87 | ↑ +248% |
| Cigna | Commercial|All Other Plans | $10.36 | ↑ +265% |
| Aetna | Commercial|All Plans | $10.68 | ↑ +276% |
| PHCS | Commercial|All Plans | $13.76 | ↑ +385% |
| Multiplan | Commercial|All Plans | $14.57 | ↑ +413% |
| BCBS-TX | Commercial|Blue Advantage HMO | $16.18 | ↑ +470% |
| BCBS-TX | Commercial|PPO | $16.18 | ↑ +470% |
| BCBS-TX | Commercial|HMO | $16.18 | ↑ +470% |
| Cigna | Commercial|Local Plus | $16.18 | ↑ +470% |
| BCBS-TX | Commercial|Blue Premier | $16.18 | ↑ +470% |
| BCBS-TX | Commercial|Ref Lab | $16.18 | ↑ +470% |
| United | Commercial|Exchange | $16.82 | ↑ +492% |
| United | Commercial|All Other Plans | $27.75 | ↑ +877% |
Visitor-reported prices
Comments
Diphtheria-tetanus toxoids 0.5 ml (peds) at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CONROE | CONROE | $145.63 | $30.31 – $575.34 |
| HCA HOUSTON KINGWOOD | HUMBLE | $1,011.19 | $30.31 – $575.34 |
| St. Luke's Health Memorial Lufkin | Lufkin | $133.96 | $80.38 – $803.75 |
| HCA HOUSTON SOUTHEAST | PASADENA | $521.18 | $30.31 – $575.34 |
| St. Luke's Health Memorial Livingston | Livingston | $133.96 | $80.38 – $803.75 |
| St. Luke's Health Memorial San Augustine | San Augustine | $133.96 | $80.38 – $803.75 |
| Covenant Hospital Plainview | Plainview | $5.88 | $139.35 – $139.35 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $67.32 | $126.20 – $157.38 |