Dornhoffer fixed part w/window at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$33,604.20
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.
$192,024.00
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.
$6,159.54 with PGT vs $48,348.00 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 | $6,159.54 | ↓ -82% |
| BCBS | Medicare|All Plans | $6,285.24 | ↓ -81% |
| AETNA | Medicare|All Plans | $6,285.24 | ↓ -81% |
| UNITED | Medicare|All Plans | $6,410.95 | ↓ -81% |
| AMERIVANTAGE | Medicare|All Plans | $6,473.80 | ↓ -81% |
| SCANHealth | Medicare|All Plans | $6,725.21 | ↓ -80% |
| Ambetter | Commercial|All Plans | $9,113.60 | ↓ -73% |
| Wellpoint | Commercial|Exchange | $9,427.86 | ↓ -72% |
| United | Commercial|Exchange | $9,669.60 | ↓ -71% |
| BCBS-TX | Commercial|Blue Advantage HMO | $10,636.56 | ↓ -68% |
| BCBS-TX | Commercial|Blue Premier | $12,087.00 | ↓ -64% |
| Wellpoint | Medicaid|All Other Plans | $12,183.70 | ↓ -64% |
| Bright Health | Commercial|All Plans | $12,570.48 | ↓ -63% |
| BCBS-TX | Commercial|HMO | $13,053.96 | ↓ -61% |
| BCBS-TX | Commercial|PPO | $14,020.92 | ↓ -58% |
| Cigna | Commercial|Local Plus | $14,987.88 | ↓ -55% |
| United | Commercial|All Other Plans | $15,954.84 | ↓ -53% |
| Wellpoint | Medicaid|STAR | $16,752.59 | ↓ -50% |
| Ellwood | Commercial|All Plans | $18,855.72 | ↓ -44% |
| Entrust | Commercial|All Plans | $20,306.16 | ↓ -40% |
| NX Health | Commercial|All Plans | $20,427.03 | ↓ -39% |
| Health Smart | Commercial|All Plans | $26,591.40 | ↓ -21% |
| First Health | Commercial|All Plans | $29,008.80 | ↓ -14% |
| Humana | Commercial|All Plans | $29,492.28 | ↓ -12% |
| Cigna | Commercial|All Other Plans | $30,942.72 | ↓ -8% |
| Aetna | Commercial|All Plans | $31,909.68 | ↓ -5% |
| PHCS | Commercial|All Plans | $41,095.80 | ↑ +22% |
| Multiplan | Commercial|All Plans | $43,513.20 | ↑ +29% |
| BCBS-TX | Commercial|Ref Lab | $48,348.00 | ↑ +44% |
Visitor-reported prices
Comments
Dornhoffer fixed part w/window at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $100,000.00 | $21,633.93 – $50,945.32 |
| Covenant Children's Hospital | Lubbock | $26,981.22 | not published |
| Baylor St Luke's Medical Center | Houston | $147,735.00 | $81.06 – $60,265.95 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $147,735.00 | $81.06 – $26,462.93 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $147,735.00 | $81.06 – $60,265.95 |
| St. Joseph Health College Station Hospital | College Station | $33,604.20 | $9,669.60 – $41,095.80 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $147,735.00 | $81.06 – $60,265.95 |
| St. Joseph Health Grimes Hospital | Navasota | $33,604.20 | $9,669.60 – $53,666.28 |