Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$1.45

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$8.25

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.62 with PGT vs $12.19 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 →

Payer
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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
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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 $0.62 ↓ -57%
BCBS Medicare|All Plans $0.63 ↓ -57%
AETNA Medicare|All Plans $0.63 ↓ -57%
UNITED Medicare|All Plans $0.65 ↓ -55%
AMERIVANTAGE Medicare|All Plans $0.65 ↓ -55%
SCANHealth Medicare|All Plans $0.68 ↓ -53%
Ambetter Commercial|All Plans $0.92 ↓ -37%
Wellpoint Commercial|Exchange $0.95 ↓ -34%
Wellpoint Medicaid|All Other Plans $1.22 ↓ -16%
Wellpoint Medicaid|STAR $1.68 ↑ +16%
Bright Health Commercial|All Plans $1.81 ↑ +25%
Ellwood Commercial|All Plans $1.89 ↑ +30%
Entrust Commercial|All Plans $2.04 ↑ +41%
NX Health Commercial|All Plans $2.05 ↑ +41%
Health Smart Commercial|All Plans $2.67 ↑ +84%
First Health Commercial|All Plans $2.91 ↑ +101%
Humana Commercial|All Plans $2.96 ↑ +104%
Cigna Commercial|All Other Plans $3.10 ↑ +114%
Aetna Commercial|All Plans $3.20 ↑ +121%
BCBS-TX Commercial|Blue Advantage HMO $3.93 ↑ +171%
PHCS Commercial|All Plans $4.12 ↑ +184%
Multiplan Commercial|All Plans $4.36 ↑ +201%
Cigna Commercial|Local Plus $4.84 ↑ +234%
BCBS-TX Commercial|Blue Premier $4.84 ↑ +234%
BCBS-TX Commercial|PPO $4.84 ↑ +234%
BCBS-TX Commercial|HMO $4.84 ↑ +234%
BCBS-TX Commercial|Ref Lab $4.84 ↑ +234%
United Commercial|Exchange $7.39 ↑ +410%
United Commercial|All Other Plans $12.19 ↑ +741%

Visitor-reported prices

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Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $554.84 $10.97 – $10.97
HCA HOUSTON CLEAR LAKE FRIENDSWOOD $26.08 $5.59 – $53.76
Covenant Children's Hospital Lubbock $56.70 $10.66 – $37.43
St. Luke's Health - Patients Medical Center Pasadena $59.91 $3.11 – $128.37
Baylor St Luke's Medical Center Houston $71.44 $2.57 – $25.00
St. Luke's Health Memorial Lufkin Lufkin $138.63 $5.46 – $35.06
St. Luke's Health - Springwoods Village Hospital Spring $71.44 $3.11 – $25.00
St. Luke's Health - Sugar Land Hospital Sugar Land $71.44 $3.11 – $25.00

All Texas hospitals for this procedure →