Epoetin alfa-epbx 40,000 unit/ml injection solution at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$24.42
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.
$139.52
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.
$2.23 with PGT vs $17.44 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 | $2.23 | ↓ -91% |
| BCBS | Medicare|All Plans | $2.27 | ↓ -91% |
| AETNA | Medicare|All Plans | $2.27 | ↓ -91% |
| UNITED | Medicare|All Plans | $2.32 | ↓ -90% |
| AMERIVANTAGE | Medicare|All Plans | $2.34 | ↓ -90% |
| SCANHealth | Medicare|All Plans | $2.43 | ↓ -90% |
| Cigna | Commercial|Local Plus | $2.97 | ↓ -88% |
| Ambetter | Commercial|All Plans | $3.29 | ↓ -87% |
| Wellpoint | Commercial|Exchange | $3.41 | ↓ -86% |
| United | Commercial|Exchange | $3.49 | ↓ -86% |
| Wellpoint | Medicaid|All Other Plans | $4.40 | ↓ -82% |
| Bright Health | Commercial|All Plans | $5.76 | ↓ -76% |
| Wellpoint | Medicaid|STAR | $6.05 | ↓ -75% |
| United | Commercial|All Other Plans | $6.28 | ↓ -74% |
| Ellwood | Commercial|All Plans | $6.81 | ↓ -72% |
| Entrust | Commercial|All Plans | $7.33 | ↓ -70% |
| NX Health | Commercial|All Plans | $7.37 | ↓ -70% |
| Health Smart | Commercial|All Plans | $9.60 | ↓ -61% |
| First Health | Commercial|All Plans | $10.47 | ↓ -57% |
| Humana | Commercial|All Plans | $10.64 | ↓ -56% |
| Cigna | Commercial|All Other Plans | $11.17 | ↓ -54% |
| Aetna | Commercial|All Plans | $11.52 | ↓ -53% |
| BCBS-TX | Commercial|Blue Advantage HMO | $14.79 | ↓ -39% |
| PHCS | Commercial|All Plans | $14.83 | ↓ -39% |
| Multiplan | Commercial|All Plans | $15.70 | ↓ -36% |
| BCBS-TX | Commercial|Ref Lab | $17.44 | ↓ -29% |
| BCBS-TX | Commercial|Blue Premier | $17.44 | ↓ -29% |
| BCBS-TX | Commercial|HMO | $17.44 | ↓ -29% |
| BCBS-TX | Commercial|PPO | $17.44 | ↓ -29% |
Visitor-reported prices
Comments
Epoetin alfa-epbx 40,000 unit/ml injection solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $779.13 | $41.27 – $41.27 |
| Covenant Children's Hospital | Lubbock | $2,721.47 | $26.48 – $42.80 |
| St. Luke's Health Memorial Lufkin | Lufkin | $382.79 | $10.74 – $459.32 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson | $397.16 | $10.97 – $103.99 |
| St. Luke's Health Memorial Livingston | Livingston | $382.79 | $10.74 – $459.32 |
| Covenant Medical Center | Lubbock | $2,721.47 | $7.88 – $46.64 |
| St. Luke's Health Memorial San Augustine | San Augustine | $382.79 | $10.74 – $459.32 |
| Covenant Hospital Plainview | Plainview | $2,721.47 | $7.65 – $8.32 |