Evasc rpr a-unilac ndgft rpt at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$5,053.13
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.
$28,875.00
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.
$2,476.00 with United vs $28,875.00 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 |
|---|---|---|---|
| United | Commercial|Exchange | $2,476.00 | ↓ -51% |
| BCBS-TX | Commercial|Blue Premier | $3,393.59 | ↓ -33% |
| BCBS-TX | Commercial|Blue Advantage HMO | $3,417.83 | ↓ -32% |
| BCBS-TX | Commercial|HMO | $3,635.99 | ↓ -28% |
| PGT | Medicare|All Plans | $3,678.68 | ↓ -27% |
| BCBS | Medicare|All Plans | $3,753.75 | ↓ -26% |
| AETNA | Medicare|All Plans | $3,753.75 | ↓ -26% |
| UNITED | Medicare|All Plans | $3,828.83 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $3,866.37 | ↓ -23% |
| BCBS-TX | Commercial|PPO | $3,999.58 | ↓ -21% |
| SCANHealth | Medicare|All Plans | $4,016.52 | ↓ -21% |
| United | Commercial|All Other Plans | $4,859.00 | ↓ -4% |
| Ambetter | Commercial|All Plans | $5,442.94 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $5,630.63 | ↑ +11% |
| UNITED | Medicaid|All Other Plans | $7,068.60 | ↑ +40% |
| Wellpoint | Medicaid|All Other Plans | $7,276.50 | ↑ +44% |
| Cigna | Commercial|Local Plus | $9,871.00 | ↑ +95% |
| Wellpoint | Medicaid|STAR | $10,005.19 | ↑ +98% |
| Bright Health | Commercial|All Plans | $10,793.48 | ↑ +114% |
| Ellwood | Commercial|All Plans | $11,261.25 | ↑ +123% |
| Entrust | Commercial|All Plans | $12,127.50 | ↑ +140% |
| NX Health | Commercial|All Plans | $12,199.69 | ↑ +141% |
| Health Smart | Commercial|All Plans | $15,881.25 | ↑ +214% |
| First Health | Commercial|All Plans | $17,325.00 | ↑ +243% |
| UNITED | Medicaid|STARPLUS | $17,532.90 | ↑ +247% |
| Humana | Commercial|All Plans | $17,613.75 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $18,480.00 | ↑ +266% |
| Aetna | Commercial|All Plans | $19,057.50 | ↑ +277% |
| PHCS | Commercial|All Plans | $24,543.75 | ↑ +386% |
| Multiplan | Commercial|All Plans | $25,987.50 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $28,875.00 | ↑ +471% |
Visitor-reported prices
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Evasc rpr a-unilac ndgft rpt at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $2,667.85 | $755.89 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $2,667.85 | $711.43 – $7,038.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $2,667.85 | $711.43 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine | $2,667.85 | $666.96 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving | $2,667.85 | $489.11 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett | $2,667.85 | $489.11 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney | $2,667.85 | $755.89 – $7,038.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco | $2,667.85 | $1,244.99 – $7,038.00 |