Elect anlys sp inf pmp w/reprg&fill 62369 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$154.53
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.
?
What you pay up front if you don't use insurance.
$883.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$72.44 with BCBS-TX vs $2,960.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $72.44 | ↓ -53% |
| BCBS-TX | Commercial|Blue Premier | $85.18 | ↓ -45% |
| BCBS-TX | Commercial|HMO | $90.27 | ↓ -42% |
| BCBS-TX | Commercial|PPO | $100.46 | ↓ -35% |
| PGT | Medicare|All Plans | $112.50 | ↓ -27% |
| BCBS | Medicare|All Plans | $114.79 | ↓ -26% |
| AETNA | Medicare|All Plans | $114.79 | ↓ -26% |
| UNITED | Medicare|All Plans | $117.09 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $118.24 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $122.83 | ↓ -21% |
| Ambetter | Commercial|All Plans | $166.45 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $172.19 | ↑ +11% |
| SUPERIOR | Medicaid|CHIP | $211.92 | ↑ +37% |
| UNITED | Medicaid|All Other Plans | $216.16 | ↑ +40% |
| UNITED | Medicaid|STARKIDS | $216.16 | ↑ +40% |
| SUPERIOR | Medicaid|All Other Plans | $222.52 | ↑ +44% |
| Wellpoint | Medicaid|All Other Plans | $222.52 | ↑ +44% |
| BCBS | Medicaid|STARKIDS | $222.52 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $305.96 | ↑ +98% |
| SUPERIOR | Medicaid|STAR | $307.29 | ↑ +99% |
| Bright Health | Commercial|All Plans | $330.07 | ↑ +114% |
| Ellwood | Commercial|All Plans | $344.37 | ↑ +123% |
| Entrust | Commercial|All Plans | $370.86 | ↑ +140% |
| NX Health | Commercial|All Plans | $373.07 | ↑ +141% |
| Cigna | Commercial|Local Plus | $432.67 | ↑ +180% |
| Health Smart | Commercial|All Plans | $485.65 | ↑ +214% |
| SUPERIOR | Medicaid|STARPLUS | $525.57 | ↑ +240% |
| First Health | Commercial|All Plans | $529.80 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $536.16 | ↑ +247% |
| Humana | Commercial|All Plans | $538.63 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $565.12 | ↑ +266% |
| Aetna | Commercial|All Plans | $582.78 | ↑ +277% |
| PHCS | Commercial|All Plans | $750.55 | ↑ +386% |
| Multiplan | Commercial|All Plans | $794.70 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $883.00 | ↑ +471% |
| United | Commercial|Exchange | $1,508.00 | ↑ +876% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +1815% |
Visitor-reported prices
Comments
Elect anlys sp inf pmp w/reprg&fill 62369 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $430.56 | $121.99 – $739.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $348.52 | $71.00 – $739.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $348.52 | $69.70 – $739.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $430.56 | $114.82 – $739.93 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $348.52 | $85.00 – $739.93 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $348.52 | $180.07 – $739.93 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $348.52 | $71.00 – $739.93 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $430.56 | $114.82 – $739.93 |