Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$4,810.58
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.
$27,489.00
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.
$52.40 with United vs $20,833.00 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 |
|---|---|---|---|
| United | Commercial|Exchange | $52.40 | ↓ -99% |
| BCBS-TX | Commercial|Blue Advantage HMO | $55.50 | ↓ -99% |
| Cigna | Commercial|Local Plus | $56.65 | ↓ -99% |
| United | Commercial|All Other Plans | $86.46 | ↓ -98% |
| BCBS-TX | Commercial|Blue Premier | $90.50 | ↓ -98% |
| BCBS-TX | Commercial|HMO | $92.91 | ↓ -98% |
| BCBS-TX | Commercial|PPO | $106.18 | ↓ -98% |
| PGT | Medicare|All Plans | $2,654.13 | ↓ -45% |
| BCBS | Medicare|All Plans | $2,708.29 | ↓ -44% |
| AETNA | Medicare|All Plans | $2,708.29 | ↓ -44% |
| UNITED | Medicare|All Plans | $2,762.46 | ↓ -43% |
| AMERIVANTAGE | Medicare|All Plans | $2,789.54 | ↓ -42% |
| SCANHealth | Medicare|All Plans | $2,897.88 | ↓ -40% |
| Ambetter | Commercial|All Plans | $3,927.03 | ↓ -18% |
| Wellpoint | Commercial|Exchange | $4,062.44 | ↓ -16% |
| Wellpoint | Medicaid|All Other Plans | $5,249.92 | ↑ +9% |
| Bright Health | Commercial|All Plans | $7,147.14 | ↑ +49% |
| Wellpoint | Medicaid|STAR | $7,218.64 | ↑ +50% |
| Ellwood | Commercial|All Plans | $8,124.87 | ↑ +69% |
| Entrust | Commercial|All Plans | $8,749.86 | ↑ +82% |
| NX Health | Commercial|All Plans | $8,801.95 | ↑ +83% |
| Health Smart | Commercial|All Plans | $11,458.15 | ↑ +138% |
| First Health | Commercial|All Plans | $12,499.80 | ↑ +160% |
| Humana | Commercial|All Plans | $12,708.13 | ↑ +164% |
| Cigna | Commercial|All Other Plans | $13,333.12 | ↑ +177% |
| Aetna | Commercial|All Plans | $13,749.78 | ↑ +186% |
| PHCS | Commercial|All Plans | $17,708.05 | ↑ +268% |
| Multiplan | Commercial|All Plans | $18,749.70 | ↑ +290% |
| BCBS-TX | Commercial|Ref Lab | $20,833.00 | ↑ +333% |
Visitor-reported prices
Comments
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $1,020.00 | $49.79 – $348.59 |
| Covenant Children's Hospital | Lubbock | $28,551.05 | $150.42 – $188.21 |
| St. Joseph Health College Station Hospital | College Station | $4,810.58 | $52.40 – $19,242.30 |
| St. Joseph Health Grimes Hospital | Navasota | $4,810.58 | $52.40 – $23,124.63 |
| HCA HOUSTON WEST | HOUSTON | $13,994.00 | $78.83 – $348.59 |
| Covenant Medical Center | Lubbock | $28,551.05 | $125.01 – $188.16 |
| St. Joseph Health Burleson Hospital | Caldwell | $4,810.58 | $52.40 – $18,749.70 |
| Ascension Providence | Waco | $1,817.28 | $139.56 – $139.56 |