Drainage external ear simple 69000 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$272.83
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.
?
What you pay up front if you don't use insurance.
$1,559.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$30.45 with PGT vs $2,960.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $30.45 | ↓ -89% |
| BCBS | Medicare|All Plans | $31.07 | ↓ -89% |
| AETNA | Medicare|All Plans | $31.07 | ↓ -89% |
| UNITED | Medicare|All Plans | $31.70 | ↓ -88% |
| AMERIVANTAGE | Medicare|All Plans | $32.01 | ↓ -88% |
| SCANHealth | Medicare|All Plans | $33.25 | ↓ -88% |
| Ambetter | Commercial|All Plans | $45.06 | ↓ -83% |
| Wellpoint | Commercial|Exchange | $46.61 | ↓ -83% |
| Wellpoint | Medicaid|All Other Plans | $60.23 | ↓ -78% |
| Wellpoint | Medicaid|STAR | $82.82 | ↓ -70% |
| Bright Health | Commercial|All Plans | $89.34 | ↓ -67% |
| Ellwood | Commercial|All Plans | $93.21 | ↓ -66% |
| Entrust | Commercial|All Plans | $100.38 | ↓ -63% |
| NX Health | Commercial|All Plans | $100.98 | ↓ -63% |
| SUPERIOR | Medicaid|CHIP | $112.71 | ↓ -59% |
| UNITED | Medicaid|STARKIDS | $114.96 | ↓ -58% |
| UNITED | Medicaid|All Other Plans | $114.96 | ↓ -58% |
| BCBS | Medicaid|STARKIDS | $118.35 | ↓ -57% |
| SUPERIOR | Medicaid|All Other Plans | $118.35 | ↓ -57% |
| Health Smart | Commercial|All Plans | $131.45 | ↓ -52% |
| First Health | Commercial|All Plans | $143.40 | ↓ -47% |
| Humana | Commercial|All Plans | $145.79 | ↓ -47% |
| Cigna | Commercial|All Other Plans | $152.96 | ↓ -44% |
| Aetna | Commercial|All Plans | $157.74 | ↓ -42% |
| SUPERIOR | Medicaid|STAR | $163.43 | ↓ -40% |
| BCBS-TX | Commercial|Blue Premier | $182.39 | ↓ -33% |
| BCBS-TX | Commercial|Blue Advantage HMO | $183.69 | ↓ -33% |
| BCBS-TX | Commercial|HMO | $195.42 | ↓ -28% |
| PHCS | Commercial|All Plans | $203.15 | ↓ -26% |
| BCBS-TX | Commercial|PPO | $214.96 | ↓ -21% |
| Multiplan | Commercial|All Plans | $215.10 | ↓ -21% |
| BCBS-TX | Commercial|Ref Lab | $239.00 | ↓ -12% |
| SUPERIOR | Medicaid|STARPLUS | $279.52 | ↑ +2% |
| UNITED | Medicaid|STARPLUS | $285.16 | ↑ +5% |
| Cigna | Commercial|Local Plus | $763.91 | ↑ +180% |
| United | Commercial|Exchange | $1,508.00 | ↑ +453% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +985% |
Visitor-reported prices
Comments
Drainage external ear simple 69000 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $565.76 | $162.85 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $984.69 | $107.14 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $997.05 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,005.88 | $71.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $984.69 | $107.14 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $997.05 | $85.00 – $1,742.94 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $997.05 | $107.14 – $1,742.94 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,005.88 | $71.00 – $1,742.94 |