External recharg sys intern 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

$1,215.55

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.

$6,946.00

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.

$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 →

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 $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

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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

All Texas hospitals for this procedure →