Drainage ext aud canal abscess 69020 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$113.05
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.
$646.00
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.
$37.21 with PGT vs $2,960.00 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 | $37.21 | ↓ -67% |
| BCBS | Medicare|All Plans | $37.96 | ↓ -66% |
| AETNA | Medicare|All Plans | $37.96 | ↓ -66% |
| UNITED | Medicare|All Plans | $38.72 | ↓ -66% |
| AMERIVANTAGE | Medicare|All Plans | $39.10 | ↓ -65% |
| SCANHealth | Medicare|All Plans | $40.62 | ↓ -64% |
| Ambetter | Commercial|All Plans | $55.05 | ↓ -51% |
| Wellpoint | Commercial|Exchange | $56.94 | ↓ -50% |
| Wellpoint | Medicaid|All Other Plans | $73.59 | ↓ -35% |
| Wellpoint | Medicaid|STAR | $101.18 | ↓ -10% |
| Bright Health | Commercial|All Plans | $109.15 | ↓ -3% |
| Ellwood | Commercial|All Plans | $113.88 | ↑ +1% |
| Entrust | Commercial|All Plans | $122.64 | ↑ +8% |
| NX Health | Commercial|All Plans | $123.37 | ↑ +9% |
| SUPERIOR | Medicaid|CHIP | $155.23 | ↑ +37% |
| UNITED | Medicaid|STARKIDS | $158.33 | ↑ +40% |
| UNITED | Medicaid|All Other Plans | $158.33 | ↑ +40% |
| Health Smart | Commercial|All Plans | $160.60 | ↑ +42% |
| BCBS | Medicaid|STARKIDS | $162.99 | ↑ +44% |
| SUPERIOR | Medicaid|All Other Plans | $162.99 | ↑ +44% |
| First Health | Commercial|All Plans | $175.20 | ↑ +55% |
| Humana | Commercial|All Plans | $178.12 | ↑ +58% |
| Cigna | Commercial|All Other Plans | $186.88 | ↑ +65% |
| Aetna | Commercial|All Plans | $192.72 | ↑ +70% |
| SUPERIOR | Medicaid|STAR | $225.08 | ↑ +99% |
| BCBS-TX | Commercial|Blue Premier | $242.52 | ↑ +115% |
| BCBS-TX | Commercial|Blue Advantage HMO | $244.25 | ↑ +116% |
| PHCS | Commercial|All Plans | $248.20 | ↑ +120% |
| BCBS-TX | Commercial|HMO | $259.85 | ↑ +130% |
| Multiplan | Commercial|All Plans | $262.80 | ↑ +132% |
| BCBS-TX | Commercial|PPO | $285.83 | ↑ +153% |
| BCBS-TX | Commercial|Ref Lab | $292.00 | ↑ +158% |
| Cigna | Commercial|Local Plus | $316.54 | ↑ +180% |
| SUPERIOR | Medicaid|STARPLUS | $384.97 | ↑ +241% |
| UNITED | Medicaid|STARPLUS | $392.73 | ↑ +247% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1234% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +2518% |
Visitor-reported prices
Comments
Drainage ext aud canal abscess 69020 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $3,325.73 | $147.56 – $4,157.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $659.69 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $750.31 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $3,325.73 | $147.56 – $4,157.17 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $659.69 | $85.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $659.69 | $147.56 – $1,742.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $750.31 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $3,325.73 | $147.56 – $4,157.17 |