Dress/debride pt-thick burn/<5% bs 16020 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$81.55
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.
$466.00
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.
$46.61 with SUPERIOR 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 |
|---|---|---|---|
| SUPERIOR | Medicaid|CHIP | $46.61 | ↓ -43% |
| UNITED | Medicaid|STARKIDS | $47.54 | ↓ -42% |
| UNITED | Medicaid|All Other Plans | $47.54 | ↓ -42% |
| BCBS | Medicaid|STARKIDS | $48.94 | ↓ -40% |
| SUPERIOR | Medicaid|All Other Plans | $48.94 | ↓ -40% |
| PGT | Medicare|All Plans | $59.37 | ↓ -27% |
| BCBS | Medicare|All Plans | $60.58 | ↓ -26% |
| AETNA | Medicare|All Plans | $60.58 | ↓ -26% |
| UNITED | Medicare|All Plans | $61.80 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $62.40 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $64.83 | ↓ -21% |
| SUPERIOR | Medicaid|STAR | $67.58 | ↓ -17% |
| Ambetter | Commercial|All Plans | $87.85 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $90.87 | ↑ +11% |
| SUPERIOR | Medicaid|STARPLUS | $115.59 | ↑ +42% |
| Wellpoint | Medicaid|All Other Plans | $117.44 | ↑ +44% |
| UNITED | Medicaid|STARPLUS | $117.92 | ↑ +45% |
| Wellpoint | Medicaid|STAR | $161.47 | ↑ +98% |
| Bright Health | Commercial|All Plans | $174.20 | ↑ +114% |
| Ellwood | Commercial|All Plans | $181.74 | ↑ +123% |
| Entrust | Commercial|All Plans | $195.72 | ↑ +140% |
| NX Health | Commercial|All Plans | $196.89 | ↑ +141% |
| BCBS-TX | Commercial|Blue Premier | $244.62 | ↑ +200% |
| BCBS-TX | Commercial|Blue Advantage HMO | $246.37 | ↑ +202% |
| Health Smart | Commercial|All Plans | $256.30 | ↑ +214% |
| BCBS-TX | Commercial|HMO | $262.10 | ↑ +221% |
| First Health | Commercial|All Plans | $279.60 | ↑ +243% |
| Humana | Commercial|All Plans | $284.26 | ↑ +249% |
| BCBS-TX | Commercial|PPO | $288.30 | ↑ +254% |
| Cigna | Commercial|All Other Plans | $298.24 | ↑ +266% |
| Aetna | Commercial|All Plans | $307.56 | ↑ +277% |
| PHCS | Commercial|All Plans | $396.10 | ↑ +386% |
| Multiplan | Commercial|All Plans | $419.40 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $466.00 | ↑ +471% |
| United | Commercial|Exchange | $1,508.00 | ↑ +1749% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +3441% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +3530% |
Visitor-reported prices
Comments
Dress/debride pt-thick burn/<5% bs 16020 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $751.19 | $218.41 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $473.02 | $44.31 – $591.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $514.43 | $47.41 – $771.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $525.71 | $44.31 – $657.13 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $473.02 | $44.31 – $591.27 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $514.43 | $47.41 – $771.64 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $514.43 | $44.31 – $771.64 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $525.71 | $44.31 – $788.56 |