Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$353.68
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.
$2,021.00
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.
$27.40 with PGT vs $2,960.00 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 | $27.40 | ↓ -92% |
| BCBS | Medicare|All Plans | $27.95 | ↓ -92% |
| AETNA | Medicare|All Plans | $27.95 | ↓ -92% |
| UNITED | Medicare|All Plans | $28.51 | ↓ -92% |
| AMERIVANTAGE | Medicare|All Plans | $28.79 | ↓ -92% |
| SCANHealth | Medicare|All Plans | $29.91 | ↓ -92% |
| Ambetter | Commercial|All Plans | $40.53 | ↓ -89% |
| Wellpoint | Commercial|Exchange | $41.93 | ↓ -88% |
| Wellpoint | Medicaid|All Other Plans | $54.18 | ↓ -85% |
| Wellpoint | Medicaid|STAR | $74.50 | ↓ -79% |
| Bright Health | Commercial|All Plans | $80.37 | ↓ -77% |
| Ellwood | Commercial|All Plans | $83.85 | ↓ -76% |
| Entrust | Commercial|All Plans | $90.30 | ↓ -74% |
| NX Health | Commercial|All Plans | $90.84 | ↓ -74% |
| SUPERIOR | Medicaid|CHIP | $91.17 | ↓ -74% |
| UNITED | Medicaid|STARKIDS | $92.99 | ↓ -74% |
| UNITED | Medicaid|All Other Plans | $92.99 | ↓ -74% |
| SUPERIOR | Medicaid|All Other Plans | $95.73 | ↓ -73% |
| BCBS | Medicaid|STARKIDS | $95.73 | ↓ -73% |
| Health Smart | Commercial|All Plans | $118.25 | ↓ -67% |
| First Health | Commercial|All Plans | $129.00 | ↓ -64% |
| Humana | Commercial|All Plans | $131.15 | ↓ -63% |
| SUPERIOR | Medicaid|STAR | $132.20 | ↓ -63% |
| Cigna | Commercial|All Other Plans | $137.60 | ↓ -61% |
| Aetna | Commercial|All Plans | $141.90 | ↓ -60% |
| BCBS-TX | Commercial|Blue Premier | $146.02 | ↓ -59% |
| BCBS-TX | Commercial|Blue Advantage HMO | $147.06 | ↓ -58% |
| BCBS-TX | Commercial|HMO | $156.45 | ↓ -56% |
| BCBS-TX | Commercial|PPO | $172.10 | ↓ -51% |
| PHCS | Commercial|All Plans | $182.75 | ↓ -48% |
| Multiplan | Commercial|All Plans | $193.50 | ↓ -45% |
| BCBS-TX | Commercial|Ref Lab | $215.00 | ↓ -39% |
| SUPERIOR | Medicaid|STARPLUS | $226.10 | ↓ -36% |
| UNITED | Medicaid|STARPLUS | $230.66 | ↓ -35% |
| United | Commercial|Exchange | $1,508.00 | ↑ +326% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +717% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +737% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,705.39 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,645.93 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $1,705.39 | $85.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $1,705.39 | $86.66 – $2,558.09 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $1,645.93 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $1,705.39 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple | $1,705.39 | $71.00 – $2,975.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $1,645.93 | $71.00 – $2,975.00 |