Filter vena cava fem denali at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$4,773.30
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.
$27,276.00
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.
$567.95 with PGT vs $4,458.00 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 | $567.95 | ↓ -88% |
| BCBS | Medicare|All Plans | $579.54 | ↓ -88% |
| AETNA | Medicare|All Plans | $579.54 | ↓ -88% |
| UNITED | Medicare|All Plans | $591.14 | ↓ -88% |
| AMERIVANTAGE | Medicare|All Plans | $596.93 | ↓ -87% |
| SCANHealth | Medicare|All Plans | $620.11 | ↓ -87% |
| Ambetter | Commercial|All Plans | $840.34 | ↓ -82% |
| Wellpoint | Commercial|Exchange | $869.31 | ↓ -82% |
| United | Commercial|Exchange | $891.60 | ↓ -81% |
| BCBS-TX | Commercial|Blue Advantage HMO | $980.76 | ↓ -79% |
| BCBS-TX | Commercial|Blue Premier | $1,114.50 | ↓ -77% |
| Wellpoint | Medicaid|All Other Plans | $1,123.42 | ↓ -76% |
| Bright Health | Commercial|All Plans | $1,159.08 | ↓ -76% |
| BCBS-TX | Commercial|HMO | $1,203.66 | ↓ -75% |
| BCBS-TX | Commercial|PPO | $1,292.82 | ↓ -73% |
| Cigna | Commercial|Local Plus | $1,381.98 | ↓ -71% |
| United | Commercial|All Other Plans | $1,471.14 | ↓ -69% |
| Wellpoint | Medicaid|STAR | $1,544.70 | ↓ -68% |
| Ellwood | Commercial|All Plans | $1,738.62 | ↓ -64% |
| Entrust | Commercial|All Plans | $1,872.36 | ↓ -61% |
| NX Health | Commercial|All Plans | $1,883.51 | ↓ -61% |
| Health Smart | Commercial|All Plans | $2,451.90 | ↓ -49% |
| First Health | Commercial|All Plans | $2,674.80 | ↓ -44% |
| Humana | Commercial|All Plans | $2,719.38 | ↓ -43% |
| Cigna | Commercial|All Other Plans | $2,853.12 | ↓ -40% |
| Aetna | Commercial|All Plans | $2,942.28 | ↓ -38% |
| PHCS | Commercial|All Plans | $3,789.30 | ↓ -21% |
| Multiplan | Commercial|All Plans | $4,012.20 | ↓ -16% |
| BCBS-TX | Commercial|Ref Lab | $4,458.00 | ↓ -7% |
Visitor-reported prices
Comments
Filter vena cava fem denali at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $4,073.27 | not published |
| St. Luke's Health - Patients Medical Center | Pasadena | $3,223.35 | $100.00 – $2,806.65 |
| Baylor St Luke's Medical Center | Houston | $8,197.79 | $100.00 – $1,470.00 |
| St. Luke's Health Memorial Lufkin | Lufkin | $7,869.02 | $1,266.93 – $7,601.58 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $8,197.79 | $100.00 – $1,470.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $8,197.79 | $100.00 – $1,470.00 |
| St. Joseph Health College Station Hospital | College Station | $4,773.30 | $891.60 – $3,789.30 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $8,197.79 | $100.00 – $1,470.00 |