Etoposide 20 mg/ml intravenous solution at St. Joseph Health Madison Hospital

100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$0.42

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2.37

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.18 with PGT vs $1.40 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 →

Payer
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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
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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 $0.18 ↓ -57%
UNITED Medicare|All Plans $0.19 ↓ -55%
AETNA Medicare|All Plans $0.19 ↓ -55%
AMERIVANTAGE Medicare|All Plans $0.19 ↓ -55%
BCBS Medicare|All Plans $0.19 ↓ -55%
SCANHealth Medicare|All Plans $0.20 ↓ -52%
Cigna Commercial|Local Plus $0.24 ↓ -43%
Ambetter Commercial|All Plans $0.27 ↓ -36%
Wellpoint Commercial|Exchange $0.28 ↓ -33%
United Commercial|Exchange $0.28 ↓ -33%
Wellpoint Medicaid|All Other Plans $0.36 ↓ -14%
Bright Health Commercial|All Plans $0.47 ↑ +12%
Wellpoint Medicaid|STAR $0.49 ↑ +17%
United Commercial|All Other Plans $0.51 ↑ +21%
Ellwood Commercial|All Plans $0.55 ↑ +31%
Entrust Commercial|All Plans $0.59 ↑ +40%
NX Health Commercial|All Plans $0.60 ↑ +43%
Health Smart Commercial|All Plans $0.77 ↑ +83%
First Health Commercial|All Plans $0.84 ↑ +100%
Humana Commercial|All Plans $0.86 ↑ +105%
BCBS-TX Commercial|Blue Advantage HMO $0.90 ↑ +114%
Cigna Commercial|All Other Plans $0.90 ↑ +114%
Aetna Commercial|All Plans $0.93 ↑ +121%
PHCS Commercial|All Plans $1.19 ↑ +183%
Multiplan Commercial|All Plans $1.26 ↑ +200%
BCBS-TX Commercial|Ref Lab $1.40 ↑ +233%
BCBS-TX Commercial|Blue Premier $1.40 ↑ +233%
BCBS-TX Commercial|HMO $1.40 ↑ +233%
BCBS-TX Commercial|PPO $1.40 ↑ +233%

Visitor-reported prices

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Etoposide 20 mg/ml intravenous solution at other Texas hospitals

Hospital City Cash price Negotiated range
Adventhealth Rollins Brook Lampasas $110.15 $2.50 – $2.50
Covenant Children's Hospital Lubbock $652.13 $2.43 – $4.56
HCA HOUSTON KINGWOOD HUMBLE $382.10 $1.04 – $7.11
Baylor St Luke's Medical Center Houston $533.84 $0.59 – $415.16
St. Luke's Health Memorial Lufkin Lufkin $75.81 $1.39 – $67.31
St. Luke's Health - Springwoods Village Hospital Spring $533.84 $0.71 – $415.16
St. Luke's Health - Sugar Land Hospital Sugar Land $533.84 $0.71 – $415.16
St. Luke's Health - Lakeside Hospital The Woodlands $533.84 $0.71 – $415.16

All Texas hospitals for this procedure →