Drsg wnd hyalomatrix 10x10cm -cost per sq cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$280.18
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.
$1,601.00
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.
$26.34 with BCBS-TX vs $1,601.00 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $26.34 | ↓ -91% |
| Cigna | Commercial|Local Plus | $27.56 | ↓ -90% |
| United | Commercial|Exchange | $29.93 | ↓ -89% |
| BCBS-TX | Commercial|Blue Premier | $42.95 | ↓ -85% |
| BCBS-TX | Commercial|HMO | $44.10 | ↓ -84% |
| United | Commercial|All Other Plans | $49.38 | ↓ -82% |
| BCBS-TX | Commercial|PPO | $50.40 | ↓ -82% |
| PGT | Medicare|All Plans | $203.97 | ↓ -27% |
| BCBS | Medicare|All Plans | $208.13 | ↓ -26% |
| AETNA | Medicare|All Plans | $208.13 | ↓ -26% |
| UNITED | Medicare|All Plans | $212.30 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $214.38 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $222.70 | ↓ -21% |
| Ambetter | Commercial|All Plans | $301.79 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $312.20 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $403.46 | ↑ +44% |
| Bright Health | Commercial|All Plans | $528.33 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $554.75 | ↑ +98% |
| Ellwood | Commercial|All Plans | $624.39 | ↑ +123% |
| Entrust | Commercial|All Plans | $672.42 | ↑ +140% |
| NX Health | Commercial|All Plans | $676.43 | ↑ +141% |
| Health Smart | Commercial|All Plans | $880.55 | ↑ +214% |
| First Health | Commercial|All Plans | $960.60 | ↑ +243% |
| Humana | Commercial|All Plans | $976.61 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $1,024.64 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,056.66 | ↑ +277% |
| PHCS | Commercial|All Plans | $1,360.85 | ↑ +386% |
| Multiplan | Commercial|All Plans | $1,440.90 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $1,601.00 | ↑ +471% |
Visitor-reported prices
Comments
Drsg wnd hyalomatrix 10x10cm -cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $7,156.03 | $64.26 – $76.22 |
| Baylor St Luke's Medical Center | Houston | $351.75 | $17.18 – $1,005.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $351.75 | $20.81 – $1,005.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $351.75 | $20.81 – $1,005.00 |
| St. Joseph Health College Station Hospital | College Station | $280.18 | $26.34 – $1,360.85 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $351.75 | $20.81 – $1,005.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $1,702.28 | $25.30 – $275.32 |
| St. Joseph Health Grimes Hospital | Navasota | $280.18 | $26.34 – $1,777.11 |