Factor ix recombinant nos at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$178.50
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.
$1,020.00
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.
$1.78 with BCBS-TX vs $502.86 with BCBS-TX — 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 |
|---|---|---|---|
| BCBS-TX | Commercial|Blue Advantage HMO | $1.78 | ↓ -99% |
| United | Commercial|Exchange | $1.84 | ↓ -99% |
| Cigna | Commercial|Local Plus | $2.09 | ↓ -99% |
| BCBS-TX | Commercial|Blue Premier | $2.90 | ↓ -98% |
| BCBS-TX | Commercial|HMO | $2.98 | ↓ -98% |
| United | Commercial|All Other Plans | $3.04 | ↓ -98% |
| BCBS-TX | Commercial|PPO | $3.41 | ↓ -98% |
| PGT | Medicare|All Plans | $64.07 | ↓ -64% |
| BCBS | Medicare|All Plans | $65.38 | ↓ -63% |
| AETNA | Medicare|All Plans | $65.38 | ↓ -63% |
| UNITED | Medicare|All Plans | $66.68 | ↓ -63% |
| AMERIVANTAGE | Medicare|All Plans | $67.34 | ↓ -62% |
| SCANHealth | Medicare|All Plans | $69.95 | ↓ -61% |
| Ambetter | Commercial|All Plans | $94.79 | ↓ -47% |
| Wellpoint | Commercial|Exchange | $98.06 | ↓ -45% |
| Wellpoint | Medicaid|All Other Plans | $126.73 | ↓ -29% |
| Bright Health | Commercial|All Plans | $165.95 | ↓ -7% |
| Wellpoint | Medicaid|STAR | $174.25 | ↓ -2% |
| Ellwood | Commercial|All Plans | $196.12 | ↑ +10% |
| Entrust | Commercial|All Plans | $211.21 | ↑ +18% |
| NX Health | Commercial|All Plans | $212.46 | ↑ +19% |
| Health Smart | Commercial|All Plans | $276.58 | ↑ +55% |
| First Health | Commercial|All Plans | $301.72 | ↑ +69% |
| Humana | Commercial|All Plans | $306.75 | ↑ +72% |
| Cigna | Commercial|All Other Plans | $321.84 | ↑ +80% |
| Aetna | Commercial|All Plans | $331.89 | ↑ +86% |
| PHCS | Commercial|All Plans | $427.44 | ↑ +139% |
| Multiplan | Commercial|All Plans | $452.58 | ↑ +154% |
| BCBS-TX | Commercial|Ref Lab | $502.86 | ↑ +182% |
Visitor-reported prices
Comments
Factor ix recombinant nos at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | $2.27 | $1.85 – $14.71 |
| HCA HOUSTON CONROE | CONROE | $9.35 | $1.83 – $14.71 |
| Ascension Providence | Waco | $2.25 | $1.60 – $4.48 |
| Ascension Seton Cedar Park Hospital | Cedar Park | $1.41 | $1.46 – $1.76 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling | $0.81 | $1.46 – $1.76 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet | $0.81 | $1.46 – $1.76 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin | $1.44 | $1.46 – $3.06 |
| Ascension Seton Northwest (Ascension Seton) | Austin | $1.44 | $1.46 – $3.06 |