External recharg sys intern at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$1,215.55
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.
$6,946.00
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.
$749.12 with PGT vs $5,880.00 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 |
|---|---|---|---|
| PGT | Medicare|All Plans | $749.12 | ↓ -38% |
| BCBS | Medicare|All Plans | $764.40 | ↓ -37% |
| AETNA | Medicare|All Plans | $764.40 | ↓ -37% |
| UNITED | Medicare|All Plans | $779.69 | ↓ -36% |
| AMERIVANTAGE | Medicare|All Plans | $787.34 | ↓ -35% |
| SCANHealth | Medicare|All Plans | $817.91 | ↓ -33% |
| Ambetter | Commercial|All Plans | $1,108.38 | ↓ -9% |
| Wellpoint | Commercial|Exchange | $1,146.60 | ↓ -6% |
| United | Commercial|Exchange | $1,176.00 | ↓ -3% |
| BCBS-TX | Commercial|Blue Advantage HMO | $1,293.60 | ↑ +6% |
| BCBS-TX | Commercial|Blue Premier | $1,470.00 | ↑ +21% |
| Wellpoint | Medicaid|All Other Plans | $1,481.76 | ↑ +22% |
| BCBS-TX | Commercial|HMO | $1,587.60 | ↑ +31% |
| BCBS-TX | Commercial|PPO | $1,705.20 | ↑ +40% |
| Cigna | Commercial|Local Plus | $1,822.80 | ↑ +50% |
| United | Commercial|All Other Plans | $1,940.40 | ↑ +60% |
| Wellpoint | Medicaid|STAR | $2,037.42 | ↑ +68% |
| Bright Health | Commercial|All Plans | $2,197.95 | ↑ +81% |
| Ellwood | Commercial|All Plans | $2,293.20 | ↑ +89% |
| Entrust | Commercial|All Plans | $2,469.60 | ↑ +103% |
| NX Health | Commercial|All Plans | $2,484.30 | ↑ +104% |
| Health Smart | Commercial|All Plans | $3,234.00 | ↑ +166% |
| First Health | Commercial|All Plans | $3,528.00 | ↑ +190% |
| Humana | Commercial|All Plans | $3,586.80 | ↑ +195% |
| Cigna | Commercial|All Other Plans | $3,763.20 | ↑ +210% |
| Aetna | Commercial|All Plans | $3,880.80 | ↑ +219% |
| PHCS | Commercial|All Plans | $4,998.00 | ↑ +311% |
| Multiplan | Commercial|All Plans | $5,292.00 | ↑ +335% |
| BCBS-TX | Commercial|Ref Lab | $5,880.00 | ↑ +384% |
Visitor-reported prices
Comments
External recharg sys intern at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $5,023.20 | $1,004.64 – $6,279.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $5,023.20 | $1,674.40 – $7,534.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100 | $5,023.20 | $920.92 – $7,534.80 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor | $5,023.20 | $1,590.68 – $6,697.60 |
| Baylor St Luke's Medical Center | Houston | $0.35 | $0.27 – $19,766.00 |
| Adventhealth Rollins Brook | Lampasas | not published | $4,826.69 – $4,826.69 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $1,498.34 – $4,591.05 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $1,498.34 – $4,591.05 |