Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$325.85
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.
?
What you pay up front if you don't use insurance.
$1,862.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$30.33 with PGT vs $2,960.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $30.33 | ↓ -91% |
| BCBS | Medicare|All Plans | $30.94 | ↓ -91% |
| AETNA | Medicare|All Plans | $30.94 | ↓ -91% |
| UNITED | Medicare|All Plans | $31.56 | ↓ -90% |
| AMERIVANTAGE | Medicare|All Plans | $31.87 | ↓ -90% |
| SCANHealth | Medicare|All Plans | $33.11 | ↓ -90% |
| Ambetter | Commercial|All Plans | $44.87 | ↓ -86% |
| Wellpoint | Commercial|Exchange | $46.41 | ↓ -86% |
| Wellpoint | Medicaid|All Other Plans | $59.98 | ↓ -82% |
| Wellpoint | Medicaid|STAR | $82.47 | ↓ -75% |
| Bright Health | Commercial|All Plans | $88.97 | ↓ -73% |
| Ellwood | Commercial|All Plans | $92.82 | ↓ -72% |
| Entrust | Commercial|All Plans | $99.96 | ↓ -69% |
| NX Health | Commercial|All Plans | $100.56 | ↓ -69% |
| SUPERIOR | Medicaid|CHIP | $109.22 | ↓ -66% |
| UNITED | Medicaid|STARKIDS | $111.40 | ↓ -66% |
| UNITED | Medicaid|All Other Plans | $111.40 | ↓ -66% |
| BCBS | Medicaid|STARKIDS | $114.68 | ↓ -65% |
| SUPERIOR | Medicaid|All Other Plans | $114.68 | ↓ -65% |
| Health Smart | Commercial|All Plans | $130.90 | ↓ -60% |
| First Health | Commercial|All Plans | $142.80 | ↓ -56% |
| Humana | Commercial|All Plans | $145.18 | ↓ -55% |
| Cigna | Commercial|All Other Plans | $152.32 | ↓ -53% |
| Aetna | Commercial|All Plans | $157.08 | ↓ -52% |
| SUPERIOR | Medicaid|STAR | $158.37 | ↓ -51% |
| BCBS-TX | Commercial|Blue Premier | $172.80 | ↓ -47% |
| BCBS-TX | Commercial|Blue Advantage HMO | $174.04 | ↓ -47% |
| BCBS-TX | Commercial|HMO | $185.15 | ↓ -43% |
| PHCS | Commercial|All Plans | $202.30 | ↓ -38% |
| BCBS-TX | Commercial|PPO | $203.66 | ↓ -37% |
| Multiplan | Commercial|All Plans | $214.20 | ↓ -34% |
| BCBS-TX | Commercial|Ref Lab | $238.00 | ↓ -27% |
| SUPERIOR | Medicaid|STARPLUS | $270.87 | ↓ -17% |
| UNITED | Medicaid|STARPLUS | $276.33 | ↓ -15% |
| United | Commercial|Exchange | $1,508.00 | ↑ +363% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +786% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +808% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,358.40 | $103.82 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,864.29 | $71.00 – $2,796.43 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,512.62 | $71.00 – $1,890.78 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,358.40 | $103.82 – $1,742.94 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,864.29 | $85.00 – $2,796.43 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,864.29 | $103.82 – $2,796.43 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,512.62 | $71.00 – $2,268.94 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth | $1,358.40 | $103.82 – $1,742.94 |