Drsg interceed 3x4in adh wnd barr absorb at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$5,209.23
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.
$29,767.00
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.
$1,860.30 with PGT vs $14,602.00 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 | $1,860.30 | ↓ -64% |
| BCBS | Medicare|All Plans | $1,898.26 | ↓ -64% |
| AETNA | Medicare|All Plans | $1,898.26 | ↓ -64% |
| UNITED | Medicare|All Plans | $1,936.23 | ↓ -63% |
| AMERIVANTAGE | Medicare|All Plans | $1,955.21 | ↓ -62% |
| SCANHealth | Medicare|All Plans | $2,031.14 | ↓ -61% |
| Ambetter | Commercial|All Plans | $2,752.48 | ↓ -47% |
| Wellpoint | Commercial|Exchange | $2,847.39 | ↓ -45% |
| United | Commercial|Exchange | $2,920.40 | ↓ -44% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,212.44 | ↓ -38% |
| BCBS-TX | Commercial|Blue Premier | $3,650.50 | ↓ -30% |
| Wellpoint | Medicaid|All Other Plans | $3,679.71 | ↓ -29% |
| Bright Health | Commercial|All Plans | $3,796.52 | ↓ -27% |
| BCBS-TX | Commercial|HMO | $3,942.54 | ↓ -24% |
| BCBS-TX | Commercial|PPO | $4,234.58 | ↓ -19% |
| Cigna | Commercial|Local Plus | $4,526.62 | ↓ -13% |
| United | Commercial|All Other Plans | $4,818.66 | ↓ -7% |
| Wellpoint | Medicaid|STAR | $5,059.60 | ↓ -3% |
| Ellwood | Commercial|All Plans | $5,694.78 | ↑ +9% |
| Entrust | Commercial|All Plans | $6,132.84 | ↑ +18% |
| NX Health | Commercial|All Plans | $6,169.35 | ↑ +18% |
| Health Smart | Commercial|All Plans | $8,031.10 | ↑ +54% |
| First Health | Commercial|All Plans | $8,761.20 | ↑ +68% |
| Humana | Commercial|All Plans | $8,907.22 | ↑ +71% |
| Cigna | Commercial|All Other Plans | $9,345.28 | ↑ +79% |
| Aetna | Commercial|All Plans | $9,637.32 | ↑ +85% |
| PHCS | Commercial|All Plans | $12,411.70 | ↑ +138% |
| Multiplan | Commercial|All Plans | $13,141.80 | ↑ +152% |
| BCBS-TX | Commercial|Ref Lab | $14,602.00 | ↑ +180% |
Visitor-reported prices
Comments
Drsg interceed 3x4in adh wnd barr absorb at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $2,372.29 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $479.96 | $287.98 – $1,028.48 |
| Baylor St Luke's Medical Center | Houston | $13,597.50 | $228.05 – $1,085.91 |
| St. Luke's Health Memorial Lufkin | Lufkin | $1,358.91 | $519.91 – $3,119.45 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $13,597.50 | $228.05 – $1,085.91 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $13,597.50 | $228.05 – $1,085.91 |
| St. Joseph Health College Station Hospital | College Station | $5,209.23 | $2,920.40 – $12,411.70 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $13,597.50 | $228.05 – $1,085.91 |