Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$443.60
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.
$2,534.82
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.
$28.81 with United vs $2,534.82 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 |
|---|---|---|---|
| United | Commercial|Exchange | $28.81 | ↓ -94% |
| BCBS-TX | Commercial|Blue Advantage HMO | $37.16 | ↓ -92% |
| Cigna | Commercial|Local Plus | $39.21 | ↓ -91% |
| United | Commercial|All Other Plans | $47.54 | ↓ -89% |
| BCBS-TX | Commercial|Blue Premier | $60.59 | ↓ -86% |
| BCBS-TX | Commercial|HMO | $62.21 | ↓ -86% |
| BCBS-TX | Commercial|PPO | $71.10 | ↓ -84% |
| PGT | Medicare|All Plans | $322.94 | ↓ -27% |
| BCBS | Medicare|All Plans | $329.53 | ↓ -26% |
| AETNA | Medicare|All Plans | $329.53 | ↓ -26% |
| UNITED | Medicare|All Plans | $336.12 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $339.42 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $352.60 | ↓ -21% |
| Ambetter | Commercial|All Plans | $477.82 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $494.29 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $638.78 | ↑ +44% |
| Bright Health | Commercial|All Plans | $836.50 | ↑ +89% |
| Wellpoint | Medicaid|STAR | $878.32 | ↑ +98% |
| Ellwood | Commercial|All Plans | $988.58 | ↑ +123% |
| Entrust | Commercial|All Plans | $1,064.63 | ↑ +140% |
| NX Health | Commercial|All Plans | $1,070.97 | ↑ +141% |
| Health Smart | Commercial|All Plans | $1,394.16 | ↑ +214% |
| First Health | Commercial|All Plans | $1,520.90 | ↑ +243% |
| Humana | Commercial|All Plans | $1,546.25 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $1,622.29 | ↑ +266% |
| Aetna | Commercial|All Plans | $1,672.99 | ↑ +277% |
| PHCS | Commercial|All Plans | $2,154.60 | ↑ +386% |
| Multiplan | Commercial|All Plans | $2,281.34 | ↑ +414% |
| BCBS-TX | Commercial|Ref Lab | $2,534.82 | ↑ +471% |
Visitor-reported prices
Comments
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $13,543.29 | $100.72 – $107.52 |
| Baylor St Luke's Medical Center | Houston | $7,077.64 | $24.24 – $20,221.82 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $7,077.64 | $29.35 – $20,221.82 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $7,077.64 | $29.35 – $20,221.82 |
| St. Joseph Health College Station Hospital | College Station | $443.60 | $28.81 – $2,154.60 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $7,077.64 | $29.35 – $20,221.82 |
| St. Joseph Health Grimes Hospital | Navasota | $443.60 | $28.81 – $2,813.66 |
| St. Luke's Health - The Vintage Hospital | Houston | $7,077.64 | $29.35 – $20,221.82 |