Esophagoscop stent placement at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$651.53
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.
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What you pay up front if you don't use insurance.
$3,723.00
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.
$474.32 with PGT vs $11,861.00 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 | $474.32 | ↓ -27% |
| BCBS | Medicare|All Plans | $483.99 | ↓ -26% |
| AETNA | Medicare|All Plans | $483.99 | ↓ -26% |
| UNITED | Medicare|All Plans | $493.67 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $498.51 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $517.87 | ↓ -21% |
| Ambetter | Commercial|All Plans | $701.79 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $725.99 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $938.20 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $1,290.02 | ↑ +98% |
| Bright Health | Commercial|All Plans | $1,391.66 | ↑ +114% |
| Ellwood | Commercial|All Plans | $1,451.97 | ↑ +123% |
| Entrust | Commercial|All Plans | $1,563.66 | ↑ +140% |
| NX Health | Commercial|All Plans | $1,572.97 | ↑ +141% |
| Health Smart | Commercial|All Plans | $2,047.65 | ↑ +214% |
| First Health | Commercial|All Plans | $2,233.80 | ↑ +243% |
| Humana | Commercial|All Plans | $2,271.03 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $2,382.72 | ↑ +266% |
| Aetna | Commercial|All Plans | $2,457.18 | ↑ +277% |
| SUPERIOR | Medicaid|CHIP | $2,806.25 | ↑ +331% |
| UNITED | Medicaid|STARKIDS | $2,862.38 | ↑ +339% |
| UNITED | Medicaid|All Other Plans | $2,862.38 | ↑ +339% |
| BCBS | Medicaid|STARKIDS | $2,946.56 | ↑ +352% |
| SUPERIOR | Medicaid|All Other Plans | $2,946.56 | ↑ +352% |
| PHCS | Commercial|All Plans | $3,164.55 | ↑ +386% |
| Multiplan | Commercial|All Plans | $3,350.70 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $3,723.00 | ↑ +471% |
| SUPERIOR | Medicaid|STAR | $4,069.06 | ↑ +525% |
| United | Commercial|Exchange | $6,045.00 | ↑ +828% |
| BCBS-TX | Commercial|Blue Premier | $6,693.16 | ↑ +927% |
| BCBS-TX | Commercial|Blue Advantage HMO | $6,740.97 | ↑ +935% |
| SUPERIOR | Medicaid|STARPLUS | $6,959.50 | ↑ +968% |
| UNITED | Medicaid|STARPLUS | $7,099.81 | ↑ +990% |
| BCBS-TX | Commercial|HMO | $7,171.25 | ↑ +1001% |
| Cigna | Commercial|Local Plus | $7,855.00 | ↑ +1106% |
| BCBS-TX | Commercial|PPO | $7,888.37 | ↑ +1111% |
| United | Commercial|All Other Plans | $11,861.00 | ↑ +1720% |
Visitor-reported prices
Comments
Esophagoscop stent placement at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health College Station Hospital | College Station | $651.53 | $2,047.65 – $3,723.00 |
| St. Joseph Health Grimes Hospital | Navasota | $651.53 | $1,349.96 – $4,132.53 |
| St. Joseph Health Burleson Hospital | Caldwell | $651.53 | $819.06 – $3,723.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $5,976.04 – $8,715.36 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | not published | $2,667.54 – $14,118.49 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | not published | $2,667.54 – $14,118.49 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | not published | $2,667.54 – $14,118.49 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | not published | $2,667.54 – $14,118.49 |