Emb without cervical dilation 58100 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$64.75
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.
$370.00
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.
$19.37 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 | $19.37 | ↓ -70% |
| BCBS | Medicare|All Plans | $19.76 | ↓ -69% |
| AETNA | Medicare|All Plans | $19.76 | ↓ -69% |
| UNITED | Medicare|All Plans | $20.16 | ↓ -69% |
| AMERIVANTAGE | Medicare|All Plans | $20.36 | ↓ -69% |
| SCANHealth | Medicare|All Plans | $21.15 | ↓ -67% |
| Ambetter | Commercial|All Plans | $28.66 | ↓ -56% |
| Wellpoint | Commercial|Exchange | $29.64 | ↓ -54% |
| Wellpoint | Medicaid|All Other Plans | $38.31 | ↓ -41% |
| SUPERIOR | Medicaid|CHIP | $48.35 | ↓ -25% |
| UNITED | Medicaid|STARKIDS | $49.32 | ↓ -24% |
| UNITED | Medicaid|All Other Plans | $49.32 | ↓ -24% |
| SUPERIOR | Medicaid|All Other Plans | $50.77 | ↓ -22% |
| BCBS | Medicaid|STARKIDS | $50.77 | ↓ -22% |
| Wellpoint | Medicaid|STAR | $52.67 | ↓ -19% |
| Bright Health | Commercial|All Plans | $56.82 | ↓ -12% |
| Ellwood | Commercial|All Plans | $59.28 | ↓ -8% |
| Entrust | Commercial|All Plans | $63.84 | ↓ -1% |
| NX Health | Commercial|All Plans | $64.22 | ↓ -1% |
| SUPERIOR | Medicaid|STAR | $70.11 | ↑ +8% |
| BCBS-TX | Commercial|Blue Premier | $70.74 | ↑ +9% |
| BCBS-TX | Commercial|Blue Advantage HMO | $71.25 | ↑ +10% |
| BCBS-TX | Commercial|HMO | $75.80 | ↑ +17% |
| BCBS-TX | Commercial|PPO | $83.37 | ↑ +29% |
| Health Smart | Commercial|All Plans | $83.60 | ↑ +29% |
| First Health | Commercial|All Plans | $91.20 | ↑ +41% |
| Humana | Commercial|All Plans | $92.72 | ↑ +43% |
| Cigna | Commercial|All Other Plans | $97.28 | ↑ +50% |
| Aetna | Commercial|All Plans | $100.32 | ↑ +55% |
| SUPERIOR | Medicaid|STARPLUS | $119.91 | ↑ +85% |
| UNITED | Medicaid|STARPLUS | $122.33 | ↑ +89% |
| PHCS | Commercial|All Plans | $129.20 | ↑ +100% |
| Multiplan | Commercial|All Plans | $136.80 | ↑ +111% |
| BCBS-TX | Commercial|Ref Lab | $152.00 | ↑ +135% |
| Cigna | Commercial|Local Plus | $181.30 | ↑ +180% |
| United | Commercial|Exchange | $1,508.00 | ↑ +2229% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +4471% |
Visitor-reported prices
Comments
Emb without cervical dilation 58100 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $397.66 | $45.96 – $493.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $519.01 | $49.18 – $747.38 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $487.91 | $45.96 – $585.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $397.66 | $45.96 – $493.64 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $519.01 | $49.18 – $747.38 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $519.01 | $45.96 – $747.38 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $487.91 | $45.96 – $702.59 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $397.66 | $45.96 – $493.64 |