Embo or occlude vascular hemorrhage s&i at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$3,937.33
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.
$22,499.00
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.
$2,866.38 with PGT vs $22,499.00 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 | $2,866.38 | ↓ -27% |
| AETNA | Medicare|All Plans | $2,924.87 | ↓ -26% |
| BCBS | Medicare|All Plans | $2,924.87 | ↓ -26% |
| UNITED | Medicare|All Plans | $2,983.37 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $3,012.62 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $3,129.62 | ↓ -21% |
| Ambetter | Commercial|All Plans | $4,241.07 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $4,387.31 | ↑ +11% |
| UNITED | Medicaid|All Other Plans | $5,507.76 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $5,669.75 | ↑ +44% |
| United | Commercial|Exchange | $7,783.00 | ↑ +98% |
| Wellpoint | Medicaid|STAR | $7,795.91 | ↑ +98% |
| Bright Health | Commercial|All Plans | $8,410.13 | ↑ +114% |
| Ellwood | Commercial|All Plans | $8,774.61 | ↑ +123% |
| Entrust | Commercial|All Plans | $9,449.58 | ↑ +140% |
| NX Health | Commercial|All Plans | $9,505.83 | ↑ +141% |
| Cigna | Commercial|Local Plus | $11,024.51 | ↑ +180% |
| Health Smart | Commercial|All Plans | $12,374.45 | ↑ +214% |
| First Health | Commercial|All Plans | $13,499.40 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $13,661.40 | ↑ +247% |
| Humana | Commercial|All Plans | $13,724.39 | ↑ +249% |
| BCBS-TX | Commercial|Blue Premier | $13,871.87 | ↑ +252% |
| BCBS-TX | Commercial|Blue Advantage HMO | $13,970.96 | ↑ +255% |
| Cigna | Commercial|All Other Plans | $14,399.36 | ↑ +266% |
| Aetna | Commercial|All Plans | $14,849.34 | ↑ +277% |
| BCBS-TX | Commercial|HMO | $14,862.72 | ↑ +277% |
| United | Commercial|All Other Plans | $15,273.00 | ↑ +288% |
| BCBS-TX | Commercial|PPO | $16,348.99 | ↑ +315% |
| PHCS | Commercial|All Plans | $19,124.15 | ↑ +386% |
| Multiplan | Commercial|All Plans | $20,249.10 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $22,499.00 | ↑ +471% |
Visitor-reported prices
Comments
Embo or occlude vascular hemorrhage s&i at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $15,027.40 | $4,257.76 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $15,949.00 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $15,565.91 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $15,027.40 | $4,007.31 – $27,252.71 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $15,949.00 | $85.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $15,949.00 | $8,240.31 – $27,252.71 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $15,565.91 | $71.00 – $27,252.71 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $15,027.40 | $4,007.31 – $27,252.71 |