Flexible Sigmoidoscopy at St. Joseph Health Madison Hospital
100 West Cross Street, Madisonville, TX · CommonSpirit Health · · NPI 1780731737
$36.75
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.
$210.00
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.
$26.76 with PGT vs $2,960.00 with United — 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 | $26.76 | ↓ -27% |
| BCBS | Medicare|All Plans | $27.30 | ↓ -26% |
| AETNA | Medicare|All Plans | $27.30 | ↓ -26% |
| UNITED | Medicare|All Plans | $27.85 | ↓ -24% |
| AMERIVANTAGE | Medicare|All Plans | $28.12 | ↓ -23% |
| SCANHealth | Medicare|All Plans | $29.22 | ↓ -20% |
| Ambetter | Commercial|All Plans | $39.59 | ↑ +8% |
| Wellpoint | Commercial|Exchange | $40.95 | ↑ +11% |
| Wellpoint | Medicaid|All Other Plans | $52.92 | ↑ +44% |
| Wellpoint | Medicaid|STAR | $72.77 | ↑ +98% |
| Bright Health | Commercial|All Plans | $78.50 | ↑ +114% |
| Ellwood | Commercial|All Plans | $81.90 | ↑ +123% |
| Entrust | Commercial|All Plans | $88.20 | ↑ +140% |
| NX Health | Commercial|All Plans | $88.73 | ↑ +141% |
| Health Smart | Commercial|All Plans | $115.50 | ↑ +214% |
| First Health | Commercial|All Plans | $126.00 | ↑ +243% |
| Humana | Commercial|All Plans | $128.10 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $134.40 | ↑ +266% |
| SUPERIOR | Medicaid|CHIP | $137.46 | ↑ +274% |
| Aetna | Commercial|All Plans | $138.60 | ↑ +277% |
| UNITED | Medicaid|All Other Plans | $140.21 | ↑ +282% |
| UNITED | Medicaid|STARKIDS | $140.21 | ↑ +282% |
| BCBS | Medicaid|STARKIDS | $144.33 | ↑ +293% |
| SUPERIOR | Medicaid|All Other Plans | $144.33 | ↑ +293% |
| PHCS | Commercial|All Plans | $178.50 | ↑ +386% |
| Multiplan | Commercial|All Plans | $189.00 | ↑ +414% |
| SUPERIOR | Medicaid|STAR | $199.32 | ↑ +442% |
| BCBS-TX | Commercial|Blue Premier | $203.62 | ↑ +454% |
| BCBS-TX | Commercial|Blue Advantage HMO | $205.07 | ↑ +458% |
| BCBS-TX | Commercial|Ref Lab | $210.00 | ↑ +471% |
| BCBS-TX | Commercial|HMO | $218.16 | ↑ +494% |
| BCBS-TX | Commercial|PPO | $239.98 | ↑ +553% |
| SUPERIOR | Medicaid|STARPLUS | $340.90 | ↑ +828% |
| UNITED | Medicaid|STARPLUS | $347.77 | ↑ +846% |
| United | Commercial|Exchange | $1,508.00 | ↑ +4003% |
| Cigna | Commercial|Local Plus | $2,888.00 | ↑ +7759% |
| United | Commercial|All Other Plans | $2,960.00 | ↑ +7954% |
Visitor-reported prices
Comments
Flexible Sigmoidoscopy at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Children's Hospital | Lubbock | $1,047.06 | $118.14 – $2,444.00 |
| Baylor St Luke's Medical Center | Houston | $723.80 | $558.36 – $2,068.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $723.80 | $558.36 – $2,068.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $723.80 | $558.36 – $2,068.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $723.80 | $558.36 – $2,068.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $723.80 | $558.36 – $2,068.00 |
| Covenant Medical Center | Lubbock | $1,047.06 | $120.14 – $2,681.00 |
| Covenant Hospital Plainview | Plainview | $963.48 | $262.62 – $1,000.00 |