Drng of eyelid abscess 67700 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$389.90
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.
$2,228.00
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.
$42.68 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 | $42.68 | ↓ -89% |
| BCBS | Medicare|All Plans | $43.55 | ↓ -89% |
| AETNA | Medicare|All Plans | $43.55 | ↓ -89% |
| UNITED | Medicare|All Plans | $44.43 | ↓ -89% |
| AMERIVANTAGE | Medicare|All Plans | $44.86 | ↓ -88% |
| SCANHealth | Medicare|All Plans | $46.60 | ↓ -88% |
| Ambetter | Commercial|All Plans | $63.15 | ↓ -84% |
| Wellpoint | Commercial|Exchange | $65.33 | ↓ -83% |
| Wellpoint | Medicaid|All Other Plans | $84.42 | ↓ -78% |
| SUPERIOR | Medicaid|CHIP | $113.92 | ↓ -71% |
| Wellpoint | Medicaid|STAR | $116.08 | ↓ -70% |
| UNITED | Medicaid|STARKIDS | $116.20 | ↓ -70% |
| UNITED | Medicaid|All Other Plans | $116.20 | ↓ -70% |
| SUPERIOR | Medicaid|All Other Plans | $119.62 | ↓ -69% |
| BCBS | Medicaid|STARKIDS | $119.62 | ↓ -69% |
| Bright Health | Commercial|All Plans | $125.23 | ↓ -68% |
| Ellwood | Commercial|All Plans | $130.65 | ↓ -66% |
| Entrust | Commercial|All Plans | $140.70 | ↓ -64% |
| NX Health | Commercial|All Plans | $141.54 | ↓ -64% |
| SUPERIOR | Medicaid|STAR | $165.18 | ↓ -58% |
| Health Smart | Commercial|All Plans | $184.25 | ↓ -53% |
| BCBS-TX | Commercial|Blue Premier | $191.35 | ↓ -51% |
| BCBS-TX | Commercial|Blue Advantage HMO | $192.72 | ↓ -51% |
| First Health | Commercial|All Plans | $201.00 | ↓ -48% |
| Humana | Commercial|All Plans | $204.35 | ↓ -48% |
| BCBS-TX | Commercial|HMO | $205.02 | ↓ -47% |
| Cigna | Commercial|All Other Plans | $214.40 | ↓ -45% |
| Aetna | Commercial|All Plans | $221.10 | ↓ -43% |
| BCBS-TX | Commercial|PPO | $225.52 | ↓ -42% |
| SUPERIOR | Medicaid|STARPLUS | $282.52 | ↓ -28% |
| PHCS | Commercial|All Plans | $284.75 | ↓ -27% |
| UNITED | Medicaid|STARPLUS | $288.22 | ↓ -26% |
| Multiplan | Commercial|All Plans | $301.50 | ↓ -23% |
| BCBS-TX | Commercial|Ref Lab | $335.00 | ↓ -14% |
| United | Commercial|Exchange | $1,508.00 | ↑ +287% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +641% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +659% |
Visitor-reported prices
Comments
Drng of eyelid abscess 67700 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $1,672.59 | $170.85 – $4,826.69 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,770.43 | $108.29 – $2,213.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $655.72 | $71.00 – $983.57 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $531.28 | $71.00 – $721.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,770.43 | $108.29 – $2,213.03 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $655.72 | $85.00 – $983.57 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $655.72 | $108.29 – $983.57 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $531.28 | $71.00 – $796.92 |